The nurse is caring for a patient with a severe allergic reaction. Which medication and route should the nurse anticipate being ordered for this patient?
a. Intramuscular morphine
b. Subcutaneous epinephrine
c. IV diphenhydramine
d. Oral diphenhydramine (Benadryl)
ANS: B
Epinephrine subcutaneous (SQ) or intramuscular (IM) is given for anaphylactic reactions. It causes vasoconstriction, bronchodilation, and cardiac stimulation. A. Morphine is not used for an allergic reaction. C. D. Diphenhydramine is an oral medication however will not work quickly enough for the patient's severe allergic reaction.
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