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A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient has severe hypotension and bradycardia. IV
fluids and vasopressors are initiated. What nursing assessment findings indicate the treatment has been effective?

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lheduardomarques

An intentional overdose of propranolol can cause severe damage to the patient such as severe hypotension and bradycardia, so that after the procedures we can make a nursing assessment indicating that the treatment was effective, we need to know that.....

Overdose of Propranolol

 

Symptoms of overdose may include

  • Bradycardia
  • Hypotension
  • Acute heart failure
  • and bronchospasm.

Bronchospasm can normally be reversed by bronchodilators such as salbutamol. Larger doses may be required and should be titrated to clinical response.

General treatment should include:

  • Careful monitoring
  • Treatment in an intensive care unit
  • Use of gastric lavage
  • Activated charcoal
  • A laxative to prevent absorption of any drug still present in the gastrointestinal tract,
  • Use of plasma or plasma substitutes to treat hypotension and shock.

Bradycardia

Bradycardia is irregular or slow heart rhythm, usually less than 60 beats per minute. At this rate, the heart cannot pump enough oxygen-rich blood to your body during activity or exercise.

With this information, we can say that it is necessary for the nurse to see if the heart rate is higher. If damage to the heart's electrical system is causing the heart to beat slowly, the patient may need an implantable cardiac device called a pacemaker.

Learn more about Propranolol in https://brainly.com/question/7285447?referrer=searchResults

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