The nurse reviews a client with suspected salicylate poisoni… | MyMerci
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The nurse reviews a client with suspected salicylate poisoning. Which action is the priority?

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History
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Notes
A client reports taking a large amount of aspirin 10 hours ago and now has nausea and ringing in both ears.
Temperature 38.1 C, HR 116/min, RR 32/min with deep respirations, BP 104/62 mm Hg.
Salicylate concentration increased from 52 to 68 mg/dL; pH 7.47; PaCO2 24 mm Hg; bicarbonate 17 mEq/L; potassium 3.2 mEq/L; glucose 88 mg/dL.
Poison-center consultation and sodium bicarbonate protocol are prescribed.
The client is anxious and increasingly confused.
Explanation
Tinnitus, tachypnea, mixed acid-base disturbance, and a rising salicylate concentration require prompt toxicology management, commonly including alkalinization and close potassium and pH monitoring.
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