What is the antidote for toxic opioid reactions and how is it ...

[skymedlock]

What is the antidote for toxic opioid reactions and how is it administered?
 
  What will be an ideal response?

Question 2

Before M.M. goes home, you provide education about warfarin therapy. You inform him that
  he will be on this medication for several months to prevent another occurrence of VTE.
 
  Which of these statements will be included in the teaching? Select all that apply, and correct
  the ones that are wrong.
  a. Take the warfarin at the same time every day.
  b. You will need to have blood work done on a regular basis while on this drug.
  c. There are no dietary restrictions while on this drug.
  d. Watch for bleeding from your gums, nose, and bowels.
  e. It's a good idea to wear a medical alert bracelet or necklace while on this drug.

[efwsefaw]

Answer to Question 1

 An opioid antagonist such as naloxone (Narcan) will be administered. Naloxone is available in
0.2 mg/mL, 0.4 mg/mL, or 1 mg/mL strengths. It may be administered undiluted or diluted; each
0.4 mg is administered IV push over 30 seconds every 2 to 3 minutes as needed. Repeat the dose
until the desired response is obtained. The IV route will provide the most rapid onset, but naloxone
might be given IM if an IV site is not readily present.
 Medications should not be initiated unless respirations are six or fewer breaths/min or the patient
is obtunded with pinpoint pupils.
 Keep in mind that the duration of naloxone is only 20 to 60 minutes when given IV; the duration of
the opiates might outlast the duration of the reversal agent. Monitor the patient closely for return
of respiratory depression.
 Keep in mind that when this drug is active, the patient will be in pain.

Answer to Question 2

a, b, d, e
Once a maintenance dose has been established, patients on warfarin therapy need to maintain a
consistent intake of vitamin Kcontaining foods (such as greens). Increasing or decreasing intake can
affect the INR.

[skymedlock]

Excellent

[tandmlomax84]

TYSM