Author Question: A patient in the postanesthesia recovery unit received ketamine Ketalar for right open reduction ... (Read 19 times)

geoffrey · **on:** Jul 23, 2018

A patient in the postanesthesia recovery unit received ketamine Ketalar for right open reduction internal fixation surgery. What drug would be beneficial as a premedication to help minimize adverse reactions?

a. Methohexital Brevital
b. Sevoflurane Ultane
c. Atropine Sal-Tropine
d. Diazepam Valium

Question 2

The nurse is preparing to administer a dose of epoetin alfa to a patient and notes that the patient has a hemoglobin level of 11.7 gm/dL. Which action by the nurse is correct?

a. Administer the dose as ordered.
b. Hold the dose and notify the provider.
c. Request an order for a reduced dose.
d. Suggest that the provider increase the dose.

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

Answer to Question 1

D
To minimize the effects of ketamine, the patient should be premedicated with diazepam or mi-dazolam to reduce the risk of an adverse reaction. Methohexital would further sedate the patient. Sevoflurane would further complicate sedation and would not be indicated. Atropine would not reduce the risk of an adverse reaction.

Answer to Question 2

B
Because the risks of severe cardiovascular events and death are higher in patients whose hemog-lobin levels exceed 11 gm/dL, the nurse should hold the dose and notify the provider of this level. It is not correct to administer the dose. Reducing the dose and increasing the dose are not correct because the patient's hemoglobin level is already too high.