Bits and Bobs 5

Question 1

Diuretics and Lithium

Answer 1

The use of diuretics would cause sodium and water excretion, which would increase the risk of lithium toxicity.

Question 2

chlorpromazine (Thorazine) and blood pressure

Answer 2

can cause a significant hypotensive effect (and possible client injury), the nurse must assess the client’s blood pressure (lying, sitting, and standing) before administering this drug.

Question 3

Dystonia

Answer 3

characterized by cramps and rigidity of the tongue, face, neck, and back muscles. Dystonia is defined by involuntary maintained contraction of agonist and antagonist muscles yielding abnormal posturing, twisting and repetitive movements, or tremulous and can be initiated or worsened by attempted movement.

Question 3

what reverses a dystonic reaction

Answer 3

diphenhydramine (Benadryl) reverses a dystonic reaction

Question 3

Diuretics

Answer 3

Diuretics are used to mobilize edematous fluid, reduce pulmonary venous pressure, and reduce preload.
*Thiazide diuretics (e.g., hydrochlorothiazide [Hydrodiuril]) are often the first choice in chronic HF because of their convenience, safety, low cost, and effectiveness.

Question 4

normal dose of activated charcoal

Answer 4

• normal dose of activated charcoal 30 g mixed in 250 ml of water

Question 5

Adventitious crisis

Answer 5

• Adventitious crisis is a crisis involving a traumatic event. It is not part of everyday life.

Question 5

When do you see the effects of ECT

Answer 5

• Beneficial effects of ECT usually are evident after the first several treatments. Since treatments are administered at intervals of 48 hours, these effects are apparent after one week of therapy

Question 6

an increase in sodium will _____ lithium levels

Answer 6

Any time the level of sodium increases, such as with a change in the dietary intake, the levels of lithium will decrease.

Question 6

what aids in the excretion of PCP

Answer 6

• An acid environment aids in the excretion of PCP. The nurse will definitely give the client with PCP intoxication cranberry juice to acidify the urine to a ph of 5.5 & accelerate excretion.