You are the nurse in an emergency department when a 6-year-old is brought in after swallowing a piece from a wooden puzzle
What medication are you likely to administer intramuscularly in order to relax the esophagus to facilitate removal of the foreign body?
A) Haloperidol
B) Prostigmine
C) Epinephrine
D) Glucagon
Ans: D
Feedback: Glucagon is administered prior to removal of a foreign body because it relaxes the smooth muscle of the esophagus, thereby facilitating insertion of the endoscope. Haloperidol is an antipsychotic drug and is not indicated. Prostigmine is prescribed for clients with myostenia gravis. It increases muscular contraction, an effect opposite that which is desired to facilitate removal of the foreign body. Epinephrine is indicated in asthma attack and bronchospasm; however, these are not the reasons the child is undergoing treatment.
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