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

Author Question: An older adult patient with frequent premature ventricular contractions (PVCs) is receiving ... (Read 82 times)

tfester

  • Hero Member
  • *****
  • Posts: 534
on: Jul 23, 2018
An older adult patient with frequent premature ventricular contractions (PVCs) is receiving intravenous (IV) lidocaine (Xylocaine) by continuous infusion. The patient becomes confused and sees insects on the walls.
 
  What is the nurse's best action? a. Reorient the patient to person, place, and time.
  b. Ask the patient's family about alcohol use or abuse.
  c. Check the patient's chart for a history of dementia.
  d. Notify the prescriber immediately.

Question 2

A patient asks the nurse why an intravenous (IV) line must be used to receive the antidysrhyth-mic drug lidocaine (Xylocaine). What is the nurse's best response?
 
  a. The drug companies have not developed an oral form of this drug.
  b. This drug can also be given by endotracheal tube in the ICU.
  c. The drug in oral form would be destroyed by the liver making it ineffective.
  d. This drug does not work when given by any other route.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Juro

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
With older adults, signs of confusion may indicate lidocaine toxicity. Older adults are more sen-sitive to the effects and side effects of this drug. Notify the prescriber immediately; the drug must be stopped and the patient started on another antidysrhythmic drug to prevent life-threatening dysrhythmias such as ventricular tachycardia. Once the drug is discontinued and metabolized, these symptoms will resolve.

Answer to Question 2

C
Lidocaine can only be given by IV or by airway inhalation (ET tube). When given orally, the liver destroys most of the drug, making it ineffective.


tfester

  • Hero Member
  • *****
  • Posts: 534
Reply #2 on: Jul 23, 2018
TY


Juro

  • Sr. Member
  • ****
  • Posts: 337
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

The strongest synthetic topical retinoid drug available, tazarotene, is used to treat sun-damaged skin, acne, and psoriasis.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

These older adults are participating in an exercise class at their assisted-living facility These older adults are participating in an exercise class at their assisted-living facility
Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
The pubic symphysis of the pelvis is useful for estimating age in the adult skeleton. The pubic symphysis of the pelvis is useful for estimating age in the adult skeleton.
Children’s interactions with older siblings may help promote an understanding of other people’s ... Children’s interactions with older siblings may help promote an understanding of other people’s ...
Patient with rheumatoid arthritis. Patient with rheumatoid arthritis.
Video: What is Reverse Osmosis?

For a complete list of videos, visit our video library