Author Question: A nurse in the emergency department (ED) cares for a 17-year-old patient brought in by his parents. ... (Read 172 times)

panfilo · **on:** Jul 23, 2018

A nurse in the emergency department (ED) cares for a 17-year-old patient brought in by his parents.

The parents say they think he overdosed on acetaminophen (Tylenol), because he just had a serious break up with a girlfriend. Which antidote would the nurse anticipate administering?
a. Atropine (Sal-Tropine)
b. Naloxone (Narcan)
c. Protamine sulfate
d. Acetylcysteine (Mucomyst)

Question 2

The police bring a man to the emergency department (ED) who is visibly ill. The man is vomiting and complains of stomach pain. He tells the ED staff, My wife is trying to kill me.

The police officer states that the man gave him a small bottle with white power in it. The prescriber runs some tests and confirms arsenic poisoning. The nurse should prepare to administer
a. deferoxamine (Desferal).
b. dimercaprol (BAL In Oil).
c. edetate calcium disodium (calcium EDTA).
d. penicillamine (Cuprimine).

perkiness · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
The antidote for acetaminophen overdose is acetylcysteine.
Atropine is the appropriate treatment for muscarinic agonists.
Narcan is appropriate for opioid overdose.
Protamine sulfate is appropriate for heparin overdose.

Answer to Question 2

ANS: B
Dimercaprol binds with arsenic, and the resulting chelates are excreted in the urine.
Deferoxamine is indicated for iron toxicity.
Edetate calcium disodium is indicated for lead poisoning.
Penicillamine is indicated for Wilson's disease, a disorder of copper metabolism.