A client is diagnosed with acute poisoning of acetylsalicylic acid (aspirin). The nurse knows that ion trapping will be the therapy of choice for this medication and prepares to:
1. Insert a nasogastric tube for lavage.
2. Provide supportive therapy.
3. Hang a bag of 100 mL normal saline solution with 100 units regular insulin adjusted to the client's rising blood glucose levels.
4. Administer sodium bicarbonate and furosemide (Lasix) intravenously.
Correct Answer: 4
Rationale 1: This procedure is not used in ion trapping.
Rationale 2: Supportive therapy is not a part of ion trapping.
Rationale 3: This treatment would be used for hypoglycemia, not for ion trapping.
Rationale 4: Forced alkaline diuresis may be used to increase the excretion of acidic drugs like salicylates. A diuretic such as furosemide along with IV sodium bicarbonate makes the urine more alkaline.
Global Rationale: Forced alkaline diuresis may be used to increase the excretion of acidic drugs like salicylates. A diuretic such as furosemide along with IV sodium bicarbonate makes the urine more alkaline. The remaining procedures are not part of ion trapping.
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