NURS-6630A-2/NURS-6630N- 2/NURS-6630D-2/NURS6630C-2- MIDTERM

A 59-year-old male has been admitted to the E. D. due to a methamphetamine overdose. The patient’s friend reported he ingested up to 2 grams because “he thought cops were coming to get him.” The patient’s vitals are all within normal limits, except his blood pressure is 180/110. What is the best recommendation to make at this time? Response Feedback: "When severe hypertension arises, phentolamine is recommended for vasodilation. Beta- or mixed alpha- and beta-adrenergic blockers (such as propranolol or labetalol) are to be avoided because they may exacerbate stimulant-induced cardiovascular toxicity.” Disorientation, tremor, hyperactivity, fever, hallucinations, marked wakefulness, and increased autonomic tone are all features that are consistent with which part of alcohol withdrawal? Response Feedback: "The principal features are disorientation (to time, place, or person), tremor, hyperactivity, marked wakefulness, fever, increased autonomic tone, and hallucinations.” Which medication(s) requires a test dose to determine accurate use of the drug (i.e., how addicted the patient truly is on a certain drug) before beginning a titration schedule to withdrawal the patient? I. Butalbital II. Lorazepam III. Hydrocodone Response Feedback: “Treatment should begin with an oral test dose of 200 mg of pentobarbital, a short-acting-barbiturate.