Antidotes
A client develops respiratory depression after receiving morphine.
What is naloxone.
The nurse notices a client's urine has turned orange.
What is rifampin (antitubercular).
The nurse should not administer this insulin unless the meal tray is present.
What is insulin Lispro/Aspart (rapid-acting).
This medication may cause Red Man Syndrome.
What is vancomycin (glycopeptide).
This class of medications commonly cause hypokalemia.
What is diuretics (loop and thiazide).
A client receiving warfarin has an INR of 5.5 and active bleeding.
What is vitamin K.
A client complains their tongue and stool have turned black.
What is bismuth subsalicylate (adsorbent).
This NSAID medication must be limited to no more than 5 days due to GI bleeding risk.
What is ketorolac.
I am a rescue inhaler that commonly causes tachycardia.
What is albuterol (short-acting beta-2 agonist).
Never take this medication with nitroglycerin.
What is sildenafil.
A client receives excessive lorazepam and becomes difficult to arouse.
What is flumazenil.
This medication commonly causes muscle pain requiring immediate reporting.
What is atorvastatin (HMG-CoA reductase inhibitor).
The client's potassium is 2.9 mEq/L before receiving digoxin. What should the nurse do?
Hold digoxin and notify the provider. Hypokalemia increases risk of digoxin toxicity. Digoxin has a narrow therapeutic window (0.8-2 ng/mL).
A client taking metformin is scheduled for a CT scan with IV contrast tomorrow. What should the nurse anticiapte?
What is hold metformin before and after contrast until kidney function is reassessed (can cause acute kidney injury).
Avoid alcohol because of a severe disulfiram-like reaction can occur while taking this antibiotic (two possible options).
What is metronidazole (antiprotozoal) and cefazolin (cephalosporin).
A client develops severe bleeding after heparin administration.
What is protamine sulfate.
This medication requires routine INR monitoring.
What is warfarin (anticoagulant).
This medication requires monitoring of TSH levels.
What is levothyroxine (thyroid replacement).
A client has been taking amiodarone for several months.
Which organ system requires routine monitoring because of the risk of toxicity
What is lungs (pulmonary toxicity).
I lower uric acid production but do not treat an acute gout attack.
What is allopurinol (antigout).
A client taking rivaroxaban develops life-threatening bleeding.
What is andexxa.
The provider orders Vancomycin 1 g IV over 2 hours.
The pharmacy sends 250 mL of solution.
At what rate (mL/hr) should the IV pump be programmed?
What is 125 ml/hr.
A client taking lithium (antimanic) says, "I've started eating a low-sodium diet to improve my health."
What is the nurse's best response?
What is notify the provider and teach the client to maintain a consistent sodium intake. Hyponatremia increases the risk of lithium toxicity. Clients should maintain consistent sodium and fluid intake.
A client receiving haloperidol develops a high fever, muscle rigidity, and altered mental status.
Which life-threatening adverse effect should the nurse suspect?
What is neuroleptic malignant syndrome (NMS),
A client taking fluoxetine (SSRI) and develops agitation, sweating, tremors, and confusion.
Which complication should the nurse suspect?
What is Serotonin syndrome.