The paramedics are transporting to the emergency department a ...

[Wadzanai]

The paramedics are transporting to the emergency department a patient who is experiencing shock. What will the nurse prepare in anticipation of the patient's arrival?
 
  1. Cardiac monitor
  2. Pulse oximeter
  3. Oxygen
  4. Whole blood
  5. Dextran 40

Question 2

Prior to administering dopamine the nurse reviews a patient's current medication history. For which medications would dopamine cause a drugdrug interaction?
 
  1. MAO inhibitor
  2. Phenytoin
  3. Beta blocker
  4. Digoxin
  5. Aspiring

[jordangronback]

Answer to Question 1

Correct Answer: 1,2
Rationale 1: When treating shock, the patient should be immediately connected to a cardiac monitor.
Rationale 2: When treating shock, the patient should be immediately connected to a pulse oximeter.
Rationale 3: Unless contraindicated, oxygen is administered via a nonrebreather mask.
Rationale 4: The use of whole blood will be decided after the type of shock is determined.
Rationale 5: The use of dextran 40 will be decided after the type of shock is determined.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Concurrent administration with MAO inhibitors increases the alpha-adrenergic effects of dopamine.
Rationale 2: Phenytoin may decrease the action of dopamine.
Rationale 3: A beta blocker may inhibit the inotropic effect of dopamine.
Rationale 4: Digoxin may increase the risk of dysrhythmias in the patient.
Rationale 5: There is no evidence to suggest a drugdrug interaction will occur if dopamine is administered to a patient who takes aspirin.

[Wadzanai]

Thank you!

[jordangronback]

Always glad to help...