The nurse has just received a patient from the recovery room who has been receiving amikacin (Amikin) for treatment of an infection
Upon assessment of the patient, the nurse finds that he cannot move his extremities, and he is having difficulty breathing. The nurse suspects neuromuscular blockage and should be prepared to administer
a. epinephrine.
b. calcium gluconate.
c. Decadron.
d. magnesium sulfate.
ANS: B
Neuromuscular blockade can be reversed with calcium. IV infusion of calcium salt (calcium gluconate) is the treatment of choice.
Epinephrine is not indicated for aminoglycoside toxicity; in fact, aminoglycoside toxicity is not apparent.
Decadron would not reverse the current condition.
Nothing indicates that the patient requires magnesium sulfate.
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