A patient is brought to the emergency department after taking amitriptyline. The patient is hypotensive, drowsy, and has a widened QRS complex on the ECG. Which treatment should the nurse anticipate?
Correct answer: A. Intravenous sodium bicarbonate
- A. Intravenous sodium bicarbonate
- B. Intravenous calcium gluconate
- C. Oral activated charcoal only
- D. Intramuscular naloxone
Explanation
Sodium bicarbonate helps correct the cardiac sodium-channel blockade and metabolic acidosis associated with serious tricyclic antidepressant poisoning. Calcium treats some calcium-channel blocker problems, while naloxone is used for opioid toxicity.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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