A patient who has been taking diphenoxylate with atropine (Lomotil) is very drowsy and has a respiratory rate of 10 bpm. The roommate, who brought the patient to the emergency department, states that the patient took "a whole bottle" of the drug. Which nursing action is indicated?
1. Administer a beta blocker
2. Administer naloxone
3. Administer high volume intravenous fluids
4. Administer activated charcoal
2
Rationale 1: There is no indication that a beta blocker is needed.
Rationale 2: Naloxone is a narcotic antagonist to reverse the effects of opioid overdose.
Rationale 3: The patient will need intravenous access, but there is no information to suggest high volume IV fluids are necessary.
Rationale 4: Activated charcoal will not reverse the patient's respiratory depression.
Global Rationale: Naloxone is a narcotic antagonist to reverse the effects of opioid overdose. The patient will need intravenous access, but there is no information to suggest high volume IV fluids are necessary. Activated charcoal will not reverse the patient's respiratory depression. There is no indication that a beta blocker is needed.
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