A client is in the emergency department after an overdose of an unknown substance. Which assessment findings does the nurse correlate with possible salicylate poisoning?
a. Increased deep tendon reflexes
b. Increased rate and depth of respiration
c. Decreased capillary refill
d. Decreased intestinal motility and paralytic ileus
B
Salicylates are acidic, and salicylate poisoning increases the rate and depth of ventilation in two ways. First, salicylates directly stimulate the respiratory centers. Second, by causing a metabolic acidosis and reducing the pH of the blood, the respiratory centers are stimulated to compensate.
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