A nurse is caring for a patient receiving intrathecal baclofen (Lioresal). The patient is unresponsive. After asking a coworker to contact the provider, the nurse anticipates performing which intervention?
a. Preparing to support respirations
b. Administering an antidote to baclofen
c. Administering diazepam to prevent seizures
d. Obtaining an electrocardiogram
ANS: A
An overdose of baclofen can produce coma and respiratory depression, so the nurse would be correct to suspect overdose in this patient. Respiratory support is essential to prevent a fatal outcome. There is no antidote for baclofen overdose. Diazepam would not be indicated, because seizures are not a result of baclofen overdose and may further depress respirations. An electrocardiogram is not indicated for this patient.
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