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3 Cards in this Set
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- Back
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A patient receiving epinephrine via IV starts to show signs of cardiac dysrhythmias. What is the primary intervention the should nurse perform?
a. Stop what he or she is doing and obtain the patient's history b. Withhold the epinephrine and notify the provider immediately c. Assess lung sounds and ask patient if he/she is having trouble breathing d. Reduce IV drip rate and stay with patient for a minimum of 10 minutes to monitor further changes in heart rhythm.
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b. Withhold the epinephrine and notify the provider immediately
Rationale: Epinephrine is fast-acting and can cause dysrhythmias that lead to ventricular fibrillation or myocardial infarction. Per Pearson's drug guide, epinephrine should be withheld in the case of a dysrhythmia, and the physician should be notified immediately. |
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A patient receiving epinephrine reports that she is feeling unusually nervous and is having difficulty sleeping. She also reports some difficulty breathing because her "chest feels irritated." What intervention should the nurse consider?
a. Ask the doctor if he could prescribe albuterol to help with the patient's bronchiole irritation. b. Ask the physician to decrease the dosage c. Inform patient that these are the normal side effects of epinephrine usage and not to worry d. Administer more epinephrine, because obviously the medication is not working. |
b. Ask the physician to decrease the dosage
Rationale: These symptoms are seen, outside of patient vitals, when the dosage of epinephrine is too high. While these side effects are not life-threatening at this moment, the dosage should be decreased to avoid further complications.
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