Identify The Medication
A patient with acute anxiety reports rapid heart rate, tremors, and panic before public speaking. Which of the following should the provider order that reduces physical symptoms by blocking beta receptors?
A. diazepam
B. propranolol
C. fluoxetine
D. morphine
B. propranolol
A patient taking diphenhydramine reports dry mouth, urinary retention, and blurred vision. Which of the following is this patient experiencing?
A. benzodiazepine toxicity
B. serotonin syndrome
C. anticholinergic effects
C. anticholinergic effects
Before administering propranolol, which of the following assessment is most important?
A. heart rate
B. blood pressure
C. temperature, heart rate, blood pressure
D. both A and B
D. both A and B
Propranolol is scheduled for a patient with a HR of 52 and BP is 90/58.
hold
What do you administer for a patient with opioid overdose and presents with RR 6/min and pinpoint pupils?
naloxone
A patient reports relief of anxiety after 30 minutes but is very drowsy, slurring speech, and has impaired coordination.
Vitals: BP 98/60 RR 10
Which of the following medication(s) have these reported symptoms?
A. Benzodiazepines (alprazolam, lorazepam, diazepam)
B. naloxone
C. sertaline/fluoxetine/paroxetine
A. Benzodiazepines (alprazolam, lorazepam, diazepam)
A patient taking benzodiazepines presents with confusion, hypotension, respiratory depression, and decreased level of consciousness.
benzodiazepine toxicity
You have an order to administer lorazepam via IV on a patient, what assessments take priority?
respiratory rate and level of consciousness
RR: 10
O2: 90%
Pain level: 8/10
Morphine is due
Hold
What do administer for a patient with benzodiazepine overdose and is hypotensive and unresponsive?
flumazenil
"This medication took weeks to work, but I don't feel sedated or high"
buspirone
Symptoms: hyperreflexia, diaphoresis
Vitals: HR-130 Temp- 102
Medications: SSRI's
What adverse effect are these associated with?
serotonin syndrome
When a patient taking SSRI's reports worsening depression and new suicidal thoughts, what assessment takes priority?
suicide risk assessment
What should you do if a patient that is taking alprazolam reports drinking alcohol earlier in the evening?
After naloxone administration what should be expected?
agitation and severe pain
What medication could cause nausea, insomnia, and sexual dysfunction, in a patient with depression, two weeks after starting?
SSRI's
-sertraline
-fluoxetine
-parozetine-
-citalopram
What are symptoms of opioid overdose in a patient receiving morphine?
difficulty arrousing, shallow respirations, and cyanosis
A patient on opioids is post-op day 1. Which assessment is the nurse's priority?
respiratory status
A patient on fluoxetine reports headaches and mild nausea, vitals are stable.
give
A patient wakes up after being given flumazenil but has a history of long-term benzo use. What is the top concern?
seizures
What medications can cause drowsiness, pinpoint pupils, RR 8/min, and O2 of 88% in a post-op patient in severe pain?
morphine/oxycodone/hydrocodone-acetaminophen
What symptoms could a patient experience with a disulfiram-alcohol reaction?
flushing, vomiting, chest pain, and hypotension
Before administering naloxone, what should the nurse anticipate monitoring closely after administration?
respiratory status, return of pain/withdrawl
avoid all alcohol, including mouthwash and cough syrup
Why must patients who have had naloxone administered be monitored closely?
shorter half-life than opioids and risk of re-sedation