A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A, B, C, D, E])
a. Initiate IV access.
b. Take a health history.
c. Obtain a toxicology screen.
d. Administer naloxone (Narcan).
e. Provide respiratory support with a bag-valve mask.
ANS:
E, A, D, C, B
Maintenance of the airway is the first priority for patients with possible depressant overdose. Opioid antagonists are given before toxicology testing is done because reversal of the opioid will prevent respiratory arrest. However, this will require IV access. The toxicology report will help guide further treatment for possible multiple substance ingestions. The health history will guide care after the initial emergency treatment phase.
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