A patient is brought into the emergency department by ambulance. Based on the patient's signs and symptoms, the physician suspects an overdose of a cholinesterase inhibitor
Which primary intervention would the nurse prepare for to treat the resultant respiratory depression? a. Physostigmine (Antilirium)
b. Succinylcholine (Anectine)
c. Atropine (Sal-Tropine)
d. Mechanical ventilation
D
An overdose of a cholinesterase inhibitor can lead to respiratory depression, respiratory failure, and death secondary to neuromuscular blockade; therefore the nurse should prepare to place the patient on mechanical ventilation.
Physostigmine is not the primary treatment for cholinesterase overdose.
Succinylcholine is not the primary treatment for cholinesterase overdose.
Atropine can be used to reduce muscarinic stimulation after cholinesterase overdose, but it is not the first action the nurse should anticipate.
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