An emergency department nurse is admitting a 3-year-old brought in after swallowing a piece from a wooden puzzle
The nurse should anticipate the administration of what medication 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, facilitating insertion of the endoscope. Haloperidol is an antipsychotic drug and is not indicated. Prostigmine is prescribed for patients with myastheniagravis. 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.
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