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Pharmacology 3rd Edition by Michael Adams , Carol Urban
Edition 3ISBN: 978-0133923612Pharmacology 3rd Edition by Michael Adams , Carol Urban
Edition 3ISBN: 978-0133923612 Exercise 2
Remember the patient "Pete Elbertson" at the beginning of the chapter? Now read the remainder of the case study. Based on the information presented within this chapter, respond to the critical thinking questions that follow.
Pete Elbertson is a 60-year-old man who enjoys working in his large vegetable garden. Two days ago, while working with his tomatoes, Pete noticed that insects had infested the plants. To avoid further damage, he powdered the plants with an insecticide. In his rush to finish, he accidentally contaminated himself with the insecticide and kept working for several hours before showering.
Now, Pete presents to the local emergency department with nausea, dizziness, sweating, excessive salivation, weepy eyes, and a runny nose. He reports intermittent twitching of his upper extremities and uncoordinated movement.
His initial assessment reveals an 84-kg (185-lb) Caucasian male with a past medication history of HTN diagnosed 5 years ago. He is married and has two adult children. He smokes one pack of cigarettes per day and does not use alcohol. His vital signs are blood pressure, 158/94 mmHg; heart rate, 58; respiratory rate, 30; and temperature, 37.3°C (99.2°F). His skin is pale and moist. He exhibits copious lacrimation and rhinorrhea. Both pupils are con?stricted. Crackles are heard bilaterally in all lung fields on inspiration. Since admission to the emergency department he has vomited twice and had one large diarrhea stool.
Pete is diagnosed with acute organophosphate poisoning. The patient is started on oxygen therapy, and the nurse will observe him closely for further respiratory distress. Atropine 2 mg is administered IV every 15 minutes over the next hour.
What adverse effects should you expect for the patient from the administration of atropine?
Pete Elbertson is a 60-year-old man who enjoys working in his large vegetable garden. Two days ago, while working with his tomatoes, Pete noticed that insects had infested the plants. To avoid further damage, he powdered the plants with an insecticide. In his rush to finish, he accidentally contaminated himself with the insecticide and kept working for several hours before showering.
Now, Pete presents to the local emergency department with nausea, dizziness, sweating, excessive salivation, weepy eyes, and a runny nose. He reports intermittent twitching of his upper extremities and uncoordinated movement.
His initial assessment reveals an 84-kg (185-lb) Caucasian male with a past medication history of HTN diagnosed 5 years ago. He is married and has two adult children. He smokes one pack of cigarettes per day and does not use alcohol. His vital signs are blood pressure, 158/94 mmHg; heart rate, 58; respiratory rate, 30; and temperature, 37.3°C (99.2°F). His skin is pale and moist. He exhibits copious lacrimation and rhinorrhea. Both pupils are con?stricted. Crackles are heard bilaterally in all lung fields on inspiration. Since admission to the emergency department he has vomited twice and had one large diarrhea stool.
Pete is diagnosed with acute organophosphate poisoning. The patient is started on oxygen therapy, and the nurse will observe him closely for further respiratory distress. Atropine 2 mg is administered IV every 15 minutes over the next hour.
What adverse effects should you expect for the patient from the administration of atropine?
Explanation
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The common adverse effects associated wi...
Pharmacology 3rd Edition by Michael Adams , Carol Urban
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