As you assess the newborn, you observe for central nervous system (CNS) depressant effects
that might result because the mother received an opioid during labor. What drug would be
helpful to reverse signs of CNS depression in the infant?
a. Carbamazepine (Tegretol)
b. Nalbuphine (Nubain)
c. Midazolam (Versed)
d. Naloxone (Narcan)
d
Opioid antagonists such as naloxone (Narcan) can promptly reverse the CNS depressant effects in
the newborn. Carbamazepine is an anticonvulsant commonly used to treat seizures. Nalbuphine is
an opioid agonist-antagonist used for pain relief and causes sedation. Midazolam is an intravenous
benzodiazepine which is used for conscious/procedural sedation. Note: An opioid antagonist is
contraindicated for an infant of an opioid-dependent woman because it may precipitate abstinence
syndrome (withdrawal symptoms).
You might also like to view...
The nurse is providing post-procedure care for a patient who has had a lumbar puncture. Which of the following orders does the nurse anticipate?
a. Have the patient lie flat for 6 hours. b. Keep the patient NPO for 4 hours. c. Monitor the patient's pedal pulses every 4 hours. d. Keep the head of the bed elevated 30 degrees for 8 hours.
A 13-year-old boy is brought to the emergency department with an injury to his left ankle after a skateboard accident. Diagnostic films show a fracture across the epiphyses
The doctor explains that the patient may not have full ROM and that his left leg may be shorter than his right leg. The parents ask why one leg may be shorter than the other. What would be the nurse's best answer? A) The epiphysis is the growth plate B) The fracture crosses the part of the bone where the bone lengthens C) Any fracture of a bone has the potential of decreasing length in the leg bone D) Bone growth in boys generally stops about this time
Write as a percentage
What will be an ideal response?
As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
1. Increased PCO2 and respiratory acidosis 2. Decreased PCO2 and respiratory alkalosis 3. Low pH and low PCO2 4. High pH and high PCO2