This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a ... (Read 30 times)

debasdf

  • Hero Member
  • *****
  • Posts: 570
on: Jul 23, 2018
A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a blood pressure of 82/38 . Friends state that the reaction was a result of an insect sting. Which drug should the nurse prepare to administer?
 
  a. Ephedrine
  b. Diphenhydramine (Benadryl)
  c. Dopamine
  d. Epinephrine (Adrenaline)

Question 2

A patient is prescribed azithromycin (Zithromax) as an alternative to penicillin.
 
  The patient tells the nurse that he experienced nausea and vomiting when he took erythromycin several months ago and asks if he should expect the same effects with azithromycin. Select the nurse's best re-sponse. a. I need to call your health care provider and ask for a different antibiotic.
  b. This drug is like erythromycin but has less severe gastrointestinal side effects.
  c. Take the drug with a hearty meal to reduce gastrointestinal side effects.
  d. I will get a prescription for an antiemetic in case this drug causes vomiting.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

zhanghao

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Epinephrine is the drug of choice for anaphylaxis.
Ephedrine is not a drug of choice in an anaphylaxis situation.
Diphenhydramine is an antihistamine and is indicated for minor allergic reactions, not evident in this patient, who is symptomatic of anaphylaxis.
Dopamine, which can be used to bring blood pressure up, would not reverse the signs and symp-toms of anaphylaxis.

Answer to Question 2

B
The nurse's best response is that azithromycin has fewer severe gastrointestinal (GI) side effects than erythromycin.
Calling the health care provider is not necessary, because it is not known whether the patient will experience nausea with the medication.
Azithromycin should not be taken with meals, because absorption is reduced by 50 in the presence of food.
Obtaining a prescription for an antiemetic is not necessary, because it is not known whether the patient will have any GI side effects; they occur in only 3 of those who take the drug.


debasdf

  • Hero Member
  • *****
  • Posts: 570
Reply #2 on: Jul 23, 2018
Thank you!


zhanghao

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

When using an interpreter, the nurse should pose questions directly to the patient, not the interpre When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Pulmonary Edema Pulmonary Edema
Examples of Emergency Conditions Examples of Emergency Conditions
Deliver abdominal thrusts to the supine unconscious patient. Deliver abdominal thrusts to the supine unconscious patient.
Assisting the patient to transfer from the bed or examining table to a wheelchair. Assisting the patient to transfer from the bed or examining table to a wheelchair.
Video: Mutations and translation

For a complete list of videos, visit our video library