A client taking galantamine is brought to the emergency department with profuse salivation, vomiting, diarrhea…

Question

A client taking galantamine is brought to the emergency department with profuse salivation, vomiting, diarrhea, muscle weakness, a heart rate of 42/min, and shallow respirations. Which action should the nurse anticipate?

Accepted Answer

Option 2: Hold galantamine, support ventilation, and prepare prescribed atropine for cholinergic toxicity.

Severe salivation, vomiting, diarrhea, bradycardia, muscle weakness, and respiratory depression during galantamine therapy indicate cholinergic toxicity. The nurse should hold galantamine, support the airway and ventilation, notify the emergency treatment team or poison center, and prepare a prescribed tertiary anticholinergic such as atropine. Additional galantamine can worsen the crisis, while naloxone does not reverse cholinergic excess and oral fluids are unsafe with respiratory compromise.

Answer

Option 1: Give another galantamine dose to improve the muscle weakness and respiratory effort.

Answer

Option 3: Administer naloxone because the secretions and bradycardia indicate opioid toxicity.

Answer

Option 4: Encourage oral fluids and reassess after the gastrointestinal symptoms resolve.

A client taking galantamine is brought to the emergency department with profuse salivation, vomiting, diarrhea, muscle weakness, a heart rate of 42/min, and shallow respirations. Which action should the nurse anticipate?

In-depth explanation

Clinical scenario

Key concepts

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A client taking galantamine is brought to the emergency department with profuse salivation, vomiting, diarrhea, muscle weakness, a heart rate of 42/min, and shallow respirations. Which action should the nurse anticipate?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci