Identify the initial action by the ER nurse that is most appropriate for a 42-year-old woman diagnosed with a mood disturbance disorder who overdoses on amitriptyline (Elavil).
A)Induce vomiting by administering 30 mL of syrup of Ipecac.
B)Initiate an IV of normal saline at 200 mL per hour.
C)Lavage the stomach with a #14 nasogastric tube to prevent trauma.
D)Administer activated charcoal 50 g every 4 hours for 24 hours.

Question

Quizplus · Accepted Answer

Activated charcoal is the most appropriate initial action for an overdose of amitriptyline because it binds to the drug in the stomach and prevents its absorption into the bloodstream.

Identify the Initial Action by the ER Nurse That Is