The nurse is transcribing an order for disulfiram on a patient in ...

[justinmsk]

The nurse is transcribing an order for disulfiram on a patient in alcohol rehabilitation. When planning the time of day to administer this medication the nurse will document that disulfiram be given
 
  a. before breakfast.
  b. with lunch.
  c. before dinner.
  d. at bedtime.

Question 2

Which patient assessment will the nurse expect to observe when a patient has ingested alcohol while on disulfiram (Antabuse)?
 
  a. Unconsciousness
  b. Hypertension
  c. GI bleeding
  d. Severe vomiting

[kalskdjl1212]

Answer to Question 1

ANS: D
Disulfiram should be administered at bedtime to avoid the complications of sedative effects.

Answer to Question 2

ANS: D
Severe vomiting occurs when alcohol is ingested while a patient is on disulfiram therapy. Disulfiram blocks the metabolism of acetaldehyde, a metabolite of alcohol. Elevated levels of acetaldehyde produce a reaction causing nausea, severe vomiting, sweating, throbbing headache, dizziness, blurred vision, and confusion. Disulfiram will not generally cause unconsciousness when alcohol is ingested with it, does not cause hypertension when taken in combination with alcohol, and does not cause GI bleeding.

[justinmsk]

Thanks for the timely response, appreciate it

[parshano]

Gracias!