A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which interventions? Place the interventions in order from the highest priority (first intervention) to the lowest priority (last intervention)
Provide your answer using lowercase letters separated by commas (e.g., a, b, c, d).
a. Place the patient on continuous pulse oximetry to assess SaO2.
b. Administer the prescribed naloxone (Narcan) dose by slow IV push.
c. Ensure oxygen is available.
d. Prepare to calm the child as analgesia is reversed.
ANS:
b, a, c, d
The Narcan prescribed dose should be given, first by slow IV push every 2 minutes until effect is obtained. The second intervention should be assessment of the patient's SaO2 status. Oxygen should be made available and administered if the SaO2 status indicates hypoxemia. Last, the child should be calmed as the analgesia is reversed.
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