The nurse is assisting the nurse practitioner who is preparing to intubate the patient. The nurse practitioner has ordered atracurium and midazolam (Versed), a short acting benzodiazepine used to sedate the patient
In what order will the nurse administer these medications? A) It does not matter; they can be given in any order.
B) Give the midazolam first and then atracurium a few moments later.
C) Give atracurium and then give midazolam a few moments later.
D) Benzodiazepines are contraindicated with atracurium.
B
Feedback:
Atracurium induces muscular paralysis resulting in the inability to breath due to paralysis of respiratory muscles but it has no impact on perception of consciousness. Receiving this drug before being sedated would be frightening and extremely anxiety provoking for the patient, so the sedative should be given first to reduce perception and consciousness before administering atracurium. There is no contraindication of benzodiazepines and the order they are given does matter.
You might also like to view...
Which factor was the most significant feature associated with district nursing?
A) Caring for the sick B) Teaching hygiene and cleanliness C) Preventing illness D) Gathering statistical data
The Papanicolaou smear is performed primarily to detect what disorder?
a. Cervical cancer c. Uterine cancer b. Vaginal infections d. Ovarian cancer
Which of the following would most accurately indicate that a therapeutic range for a medication had been reached?
1. No serious adverse effects are experienced following administration. 2. The indication for administration was achieved without serious side effects. 3. A pre-specified amount (in milligrams) was administered. 4. The medication was effective, but the patient experienced a lethal dysrhythmia.
Which disorder(s) might limit a patient's visual field? Select all that apply
a. Diabetes b. Advanced glaucoma c. Peripheral vascular disease d. Cataracts