A patient took a large quantity of bath salts. Priority nursing and medical measures include: (select all that apply)
a. administration of naloxone (Narcan).
b. vitamin B12 and folate supplements.
c. restoring nutritional integrity.
d. management of heart rate.
e. environmental safety.
ANS: D, E
Care of patients who have taken bath salts is similar to those who have used other stimulants. Tachycardia and chest pain are common when a patient has used bath salts. These problems are life-threatening and take priority. Patients who have used these substances commonly have bizarre behavior and/or paranoia; therefore, safety is a priority concern. Nutrition is not a priority in an overdose situation. Vitamin replacements and naloxone apply to other drugs of abuse.
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