A patient taking amitriptyline (Elavil) is brought to the emergency department confused and agitated
As time progresses, her assessment reveals a heart rate of 120/minute, temperature 104° F, flushing, mydriasis, and blood pressure 170/90. Based on her assessment, which of the following would be the nurse's priority action?
a. Gastric lavage, activated charcoal, and physostigmine
b. Epinephrine and propranolol (Inderal)
c. Gastric lavage, activated charcoal
d. Cool IV fluids and a cooling blanket
ANS: A
Amitriptyline overdose should be suspected based on the patient's assessment findings. The patient should be treated with gastric lavage, followed by ingestion of activated charcoal, which will bind with the medication so that it is removed from the body. Physostigmine is given to counteract the anticholinergic actions of the amitriptyline.
Epinephrine and propranolol are not indicated as treatment for amitriptyline overdose. There is no reason to suspect that alcohol toxicity is the issue.
Physostigmine should be included as part of the management of amitriptyline overdose.
Bringing down the patient's temperature is not indicated for amitriptyline overdose.
You might also like to view...
The nurse is caring for a postoperative client, who is on strict bed rest, after having a rod placed for scoliosis. The client is currently supine
Which action by the nurse is necessary prior to logrolling this client? 1. Moving the client closer to the side of the bed that the client will be turned toward 2. Placing a pillow under the client's head 3. Placing one or two pillows between the client's legs 4. Having the client fold the arms on the chest
A client is admitted with acute osteomyelitis. A recent history of which of the following could be possible etiologies of this infection? (Select all that apply.)
A. Recent dental work B. Urinary tract infection C. Pregnancy D. Surgery E. Hemodialysis F. Gastrointestinal parasites
Which of the following measures can help prevent or reduce the risk for fire and burns?
A) have a fire extinguisher in the house B) avoid using flammable liquids C) only use extension and electrical cords that are in great shape D) all of the above
When assessing the child with osteogenesis imperfecta, the nurse should expect to observe:
a. Discolored teeth. c. Increased muscle tone. b. Below-normal intelligence. d. Above-average stature.