A nurse is taking care of a patient in the ICU who has been on opioids for an extended period of time. The nurse understands that the child has to slowly wean from the medication over a period of time
While weaning, the nurse will observe the child for symptoms of too rapid withdrawal, including: 1. Hyperactive deep tendon reflexes, vomiting, and abdominal cramps.
2. Bradycardia and pallor.
3. Decreased blood pressure and drowsiness.
4. Voracious appetite and hypotonicity.
1
Rationale 1: These are symptoms of withdrawal resulting from reducing the dose too quickly.
Rationale 2: A child who is being withdrawn from opioids too quickly will be tachycardic and have hot flashes and sweating.
Rationale 3: The child who is being withdrawn from opioids too quickly will be hypertensive and wakeful.
Rationale 4: Nausea, abdominal pain, diarrhea, and hypertonicity would be symptoms of withdrawal.
Global Rationale:
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