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NCLEX Cardiac

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What should you teach your patient about MRI?
A disease in which thrombi trap blood in the deep veins of the pelvis and legs.
BIRTH CONTROL PILL (LEADING CAUSE of HTN In YOUNG WOMEN-45=STILL YOUNG) - BLACK Male (then white male - than black female - then white female) - obesity - smoking - stress - high Na diet - lack of exercise - age - sex - race - or noncompliance.
A patient on sildenafil (Viagra) - Cealis - or Levitra bc these drugs together can cause very low blood pressure and heart attack.
MRI is painless - you must remain still inside a small/noisy space. If you are claustrophobic you may need sedation. Remove all jewelry and other metal objects. If you have any shrapnel - a pacemaker - or any surgically implanted joints - pins - clip

2. What should you tell a patient who developed a hematoma in the hospital and is being discharged?
To report to her healthcare provider if she feels a large bump in her groin - if she has groin pain unrelieved by acetaminophen - or if she develops numbness - tingling - etc. in the affected leg.
Include rest periods prior to any activity.
A drop in systolic BP greater than 12 mm Hg during inspiration indicating a compromise.
(1st) Assess LOC - (2nd) if unconscious= begin CPR - and (3rd) Notify physician.

3. What is a therapeutic digoxin level?
Explain procedure - stress importance of reporting symptoms. INSTRUCT The PATIENT NO TO EAT DRINK OR SMOKE AT LEAST 1 HOUR BEFORE The TEST. EVALUATE PATIENTS HISTORY FOR ANY CARDIAC CONDITIONS OR MEDICATIONS THAT MAY INTERFERE WITH The TEST!!! (No va
A drop in systolic BP greater than 12 mm Hg during inspiration indicating a compromise.
Cannot
0.5-2.0 ng/ml

4. What is impedance cardiography?
Fifth left intercostal space medial to the midclavicular line.
Second Right intercostal space.
ICG is a noninvasive way to collect hemodynamic data for assessing patients with heart failure - hypertension - or dyspnea.
(1st) Assess the client for signs of decreased cardiac output and Notify the physician (2nd).

5. What is characteristic of atrial fibrillation?
No radial artery punctures if negative
Administer 100% O2 - left trendelenburg position - heparin administered - and oral warfarin started (give heparin and warfarin together for at least 5 days).
It is noninvasive. You must not eat - smoke - or drink alcohol for 3 hours before the test. WEAR COMFORTABLE SHOES And LOOSE LIGHTWEIGHT SHORTS OR SLACKS - YOU MAY GET AN INJECTION of THAllIUM - after your blood pressure and ECG are monitored for 10-
No clearly defined or measurable P waves and an irregular - irregular ventricular response.

6. What are the nursing interventions for a patient in atrial fibrillation?
(1st) Assess the client for signs of decreased cardiac output and Notify the physician (2nd).
Difficulty breathing - pain in midchest and shoulder - pale - nausea - and light headedness.
Hair loss - muscle mass loss - pallor when elevated - dependent rubor - and prolonged cap refill time.
D/C the med and call the doctor.

7. When should bleeding precautions be implemented?
This noninvasive test takes 24 hours and causes no discomfort. Electrodes are applied to your body - you need to log your activities for a 24 hour period (walking - sleeping - urinating - physical symptoms - and medications). Don't tamper with the mo
To report to her healthcare provider if she feels a large bump in her groin - if she has groin pain unrelieved by acetaminophen - or if she develops numbness - tingling - etc. in the affected leg.
When: using anticoagulants - liver disease - decrease in platelets (less than 150 -000) - hemophilia - using thrombolytic meds - DIC - CA - HIV - chemo - bone marrow problems - and ASA/NSAIDS.
Gently insert the oropharyngeal airway by turning it upside down (into U shape) and slide it into the mouth. As continue to insert rotate it so the ends of the U turn downward into an arch shape after it transverses the oral cavity and approaches the

8. What are the S&S of cardiac tamponade?
SOB - dyspnea - anxiousness - diaphoresis - cool/clammy skin - distended neck veins - mental status changes - narrowed pulse pressure - hypotension - and faint or muffled heart sounds.
Trendelenburg position for insertion. Pt holds breath to prevent air from entering sinus tract.
It usually occurs when your heart is working harder (ex: exercising - eating large meal - or feeling stress. Also very hot or cold weather).
RAndI= Razor - electric - Aspirin - NO - Needles - small gauge - Decrease - needle sticks - and Injury- protect from. No percodan or NSAIDS - no open toed shoes.

9. What is pulsus paradoxus?
A drop in systolic BP greater than 12 mm Hg during inspiration indicating a compromise.
It is a noninvasive test that takes 15 mins. Electrodes are applied to sites on your body. You must lie still - relax - and breathe normally and remain quiet. Talking or moving distorts the images
Leg pain that is brought on by exercise and relieved by rest. It is characteristic of peripheral artery occlusion/ arterial insufficiency. It is dull or cramp like and consistently occurs in the same area of the leg and with same amount of distance.
Left sternal border

10. What does an Allen's test determine?
Whether the patients ulnar and radial arteries are patent.
Ventricular rate is regular at a rate of 40-60 bpm and there is no relationship of P waves to QRS complexes.
Identify the highest point of pulsation and measure from this point to the sternal angle. A measurement of greater than 3 cm= an elevated venous pressure.
Maintain BED REST

11. What should you teach someone after they have had a pacemaker placed?
Keep clean and dry for 72 hours - DON'T LIFT The ELBOW OR ARM ON The INCISION SIDE FOR FOUR WEEKS (CAN'T BRUSH HAIR OR TEECH BC PULLS CAN ROLL MARBLES) - DON'T LIFT PUSH OR PULL MORE THAN 10 LBS FOR FOUR WEEKS - take pulse and wt each day - CAll CARD
It is a sterile procedure so both nurse and patient should wear a mask - arrange sterile field - remove dressing - assess the catheter insertion site for infection - put on sterile gloves - clean the site moving outwardly in a circular motion - apply
When not visable - place the patient in the left lateral position - ask them to exhale fully and stop breathing for a few seconds.
(1st) Assess the client for signs of decreased cardiac output and Notify the physician (2nd).

12. What will a leg with arterial insufficiency look like?
Decreased tissue perfusion. Tx: clot busting treatment must start within 6 hours.
A monitor with four dual electrodes that are applied to the patients neck and thorax.
Whether the patients ulnar and radial arteries are patent.
Hair loss - muscle mass loss - pallor when elevated - dependent rubor - and prolonged cap refill time.

13. What is important to remember when removing a CVC from a patient?
The arteries have narrowed - decreased O2 to tissues= hypoxia to cells.
Stop the medication - address the factors that may have precipitated the event. If life threatening Digibind ay be indicated.
Patient who are unable to tolerate exercise stress testing.
Have the patient use the val salva maneuver when the line is being removed (bear down/hold breath) to prevent air from entering where the line was and causing a PE.

14. What is you see an NA placing cardiac monitor electrodes on a patient. She is placing (-) on the left and (+) on the right what should you do?
Air embolism
A fluid accumulation in the pericardial space that compromises cardiac function. It is considered a medical emergency and is a hemodynamic consequence of blood or excess fluid accumulation in the pericardial sac. Common causes are surgical or traumat
In fatty areas or over major muscles - large breasts - or bony prominences.
Correct her and tell her that the (+) lead goes on the left and the (-) lead goes on the right side.

15. What SE should you look for with calcium channel blocker use?
Constipation or MAY CAUSE ANKLES TO SWELL (call healthcare provider).
BP is elevated or decreased depending on activity.
CPR should be done. No defibrillation bc no rhythm to shock (heart already depolarized).
A fluid accumulation in the pericardial space that compromises cardiac function. It is considered a medical emergency and is a hemodynamic consequence of blood or excess fluid accumulation in the pericardial sac. Common causes are surgical or traumat

16. What is a major complication of central line placement?
Deep in the sternomastoid muscle - so look for pulsations in the soft tissue surrounding that area.
Pneumothorax and will end up with chest tube to help reinflate lung.
It is noninvasive. You must not eat - smoke - or drink alcohol for 3 hours before the test. WEAR COMFORTABLE SHOES And LOOSE LIGHTWEIGHT SHORTS OR SLACKS - YOU MAY GET AN INJECTION of THAllIUM - after your blood pressure and ECG are monitored for 10-
Check for response - activate ERS - open airway head tilt chin lift - check breathing (5-10 sec) - give 2 breaths (1 sec) with visible chest rise - checks brachial pulse (5-10 sec) - locates CPR finger position - deliver 1st cycle of compressions (30

17. In what locations should you not place electrodes?
Lower left sternal border
Close the open catheter lumen with the clamp - and place the pt on their left side in trendelenburg to move the air embolus away from the pulmonic valve. If you hear a churning sound in his chest (a classic sign of air embolus) and the patient starts
A patient on sildenafil (Viagra) - Cealis - or Levitra bc these drugs together can cause very low blood pressure and heart attack.
In fatty areas or over major muscles - large breasts - or bony prominences.

18. What should you do if the patient you are applying cardiac monitor electrodes to is hairy?
Rescuer arrives with AED - turn AED on - select proper pads and apply - clear victim to analyze - clear victim to shock/press shock - resume chest compressions after 1 shock - delivers cycle of compressions at correct rate - pause to allow other resc
Clip the hair to allow good contact between the electrodes and the skin (DONT SHAVE).
4th left intercostal space lower sternal border
Using both gloved hands - apply firm pressure just above the skin puncture site and over the hematoma to compress the area. Wait at least 15 mins before removing pressure and reassessing the site. Then notify the health care provider.

19. If 2 liters of fluid is left in the pericardial sac (cardiac tamponade) and goes untreated what could it cause?
Varicose veins - elevate legs - weight reduction - brawny in color - ted hose - topical steroids - ulcers - and skin color changes.
Trendelenburg position for insertion. Pt holds breath to prevent air from entering sinus tract.
Stop What they are doing - sit down and rest - if prescribed nitroglycerin tablets place one under tongue - if it still remains take another tablet in 5 mins - and if still in pain take another after an additional 5 mins - if still pain after 3 table
Right sided heart failure

20. What should you always assume with a patient who has a central line placed and is experiencing SOB?
Difficulty breathing - pain in midchest and shoulder - pale - nausea - and light headedness.
Right sided heart failure
Air embolism
An inflammation of the pericardium. It may result in MI.

21. What should you teach your patient about a holter monitor?
(1st) Assess the client for S&S of decreased cardiac output and Notify physician (2nd).
A fluid accumulation in the pericardial space that compromises cardiac function. It is considered a medical emergency and is a hemodynamic consequence of blood or excess fluid accumulation in the pericardial sac. Common causes are surgical or traumat
This noninvasive test takes 24 hours and causes no discomfort. Electrodes are applied to your body - you need to log your activities for a 24 hour period (walking - sleeping - urinating - physical symptoms - and medications). Don't tamper with the mo
Low pitched sounds such as S3 and S4 and the murmur of mitral stenosis. BEL(low)L

22. What is the antidote for coumadin?
An inflammation of the pericardium. It may result in MI.
Vitamin K (aqua myphiton)
To inhibit thrombus and clot formation.
A clinician will perform echocardiogram guided pericardiocentesis with a needle or catheter to remove excess fluid in the pericardial sac.

23. What is the treatment for a pt. with ventricular tachycardia?
Fourth or fifth intercostal space at or medial to the midclavicular line.
Old truck driver or someone on bed rest or with pelvic trauma.
It is a test that examines the hearts response to being stressed by a pharmacologic agent. Persantine and adenosine vasodilate the coronary arteries and cause blood to shunt away from partially occluded coronary vessels. Then dobutamine stresses the
Awake and alert: IV lidocaine bolus and drip Unconscious - hypotensive - or S&S of angina/CHF: Direct current cardioversion and IV Lidocaine bolus and drip.

24. What is a chemical stress test (persantine stress test)?
Correct her and tell her that the (+) lead goes on the left and the (-) lead goes on the right side.
It is a test that examines the hearts response to being stressed by a pharmacologic agent. Persantine and adenosine vasodilate the coronary arteries and cause blood to shunt away from partially occluded coronary vessels. Then dobutamine stresses the
Second left intercostal space
Crushing chest pain that lasts 30 mins or longer and may radiate to the neck - shoulders - or jaw - diaphoresis - nausea - and SOB.

25. What should you know about your recovery period after having an implantable cardioverter defibrillator (ICD)?
Stand behind the victim - wrap arms around waist (IF PREGNANT WRAP ABOVE The BABy) - make a fist with one had and place thumb against abdomen midline - grasp fist with other hand - press into victims abdomen with quick upward thrusts.
For the first month post op - do not lift more than 10 or 15 lbs. And avoid excessive pushing - pulling - or twisting.
Left sternal border
Need for follow up blood tests - Need to take oral warfarin for at least 3 months - and to reduce current risk encourage weight loss - smoking cessation - and regular exercise.

26. What is intermittent claudication?
Leg pain that is brought on by exercise and relieved by rest. It is characteristic of peripheral artery occlusion/ arterial insufficiency. It is dull or cramp like and consistently occurs in the same area of the leg and with same amount of distance.
NO NSAIDS or ASA.
(1st) Assess the client for signs of decreased cardiac output and Notify the physician (2nd).
Thromboanglitis obliterans/ Buerger's disease= inflammatory process of arterial wall - veins - and nerves where they become blocked. It is associated with smoking/tobacco use.

27. For what disease should you do the Allen's test?
Lowers BP and makes heart beat stronger. SE: flushed face.
Lower left sternal border
Thromboanglitis obliterans/ Buerger's disease= inflammatory process of arterial wall - veins - and nerves where they become blocked. It is associated with smoking/tobacco use.
Awake and alert: IV lidocaine bolus and drip Unconscious - hypotensive - or S&S of angina/CHF: Direct current cardioversion and IV Lidocaine bolus and drip.

28. What is the treatment for atrial fibrillation?
Stop the medication - address the factors that may have precipitated the event. If life threatening Digibind ay be indicated.
Direct current cardioversion and digoxin/propranolol (inderal).
Old truck driver or someone on bed rest or with pelvic trauma.
Only for a few hours

29. What is the purpose of compression devices?
CPR should be done. No defibrillation bc no rhythm to shock (heart already depolarized).
To reduce a patients risk of DVT and PE. They include graduated compression stockings - vena cava filters - and intermittent sequential external compression devices.
Open up blood vessels
PT. Normal= 12 sec. If on anticoagulants it should be between 1 1/2 to 2 1/2 x the normal value. For PT= 18-30 sec.

30. What are the S&S of superior vena cava syndrome?
Air answers (open junctions)
Feeling of fullness in head - tightness around shirt collar - or rings/jewelry that suddenly seem tight - swelling in face - hands - arms - and swollen/cyanotic lips - dyspnea - coughing - hoarseness - chest pain - hemotysis - visable collateral ches
Decrease in weight - diuretics (watch K loss) - aldactone (k sparing but check renal fx) - inderal (do Not give to asthma patients or diabetic patients) - more exercise - no smoking - and decreased Na intake.
Patient who are unable to tolerate exercise stress testing.

31. What are common risk factors for an MI?
Having the patient supine is ideal but any position is acceptable so long as in same position for each monitoring session - locate clean and dry sensor sites on the neck (in line with earlobe) and thorax (midaxillary at xiphoid process) - connect lea
In the first 72 hours!!!!!
Elevated legs - anticoagulation therapy (aggressive: generally IV heparin) - Be alert for signs of PE.
Smoking - elevated cholesterol - diabetes - hypertension - old age - and family hx of coronary artery disease.

32. When should you be concerned about premature ventricular contraction?
Difficulty breathing - pain in midchest and shoulder - pale - nausea - and light headedness.
Deep in the sternomastoid muscle - so look for pulsations in the soft tissue surrounding that area.
When they occur >6 per minute or occurring 2 or more in a row (bigeminy or trigeminy=on way out).
The symptoms improve when the patient is sitting in upright position that promotes drainage but worsen with the client is lying down.

33. If you see a NA placing a patient with DVT in sitting position with legs dependent what should you do?
Pallor - diaphoresis - tachypnea - severe tearing chest pain radiating to back - PULSES In ARMS Are STRONG BUT LEG PULSES Are WEAK - low SP02.
The arteries have narrowed - decreased O2 to tissues= hypoxia to cells.
INTERVENE: to control edema and decrease pain patient should be on bed rest with legs elevated six inches above heart level.
Need for follow up blood tests - Need to take oral warfarin for at least 3 months - and to reduce current risk encourage weight loss - smoking cessation - and regular exercise.

34. What is an air embolism?
When a large air bubble blocks blood flow from the right ventricle into the pulmonary artery.
Rapid ventricular rate with no relationship to atrial activity and QRS complex is wide and bizarre.
NO because it isn't sterile so keep out.
Exercise and use graduated compression devices as directed - don't stand for long period of time - to avoid dislodging blood clots don't rub or massage your legs.

35. Where should you place your stethescope to find the mitral (apex) valve?
Constipation or MAY CAUSE ANKLES TO SWELL (call healthcare provider).
Fifth left intercostal space medial to the midclavicular line.
Used to detect an abdominal aortic aneurysm. This noninvasive test takes 15 to 30 mins. They apply conductive gel to your abdomen and move a transducer over abdomen to scan blood vessels. Sound waves bouncing off anatomic structures are translated in
Open up blood vessels

36. What are the nursing interventions for a patient with premature ventricular contractions?
Pulse before and after giving.
(1st) Assess the client for signs of decreased cardiac output and Notify the physician (2nd).
Stop What they are doing - sit down and rest - if prescribed nitroglycerin tablets place one under tongue - if it still remains take another tablet in 5 mins - and if still in pain take another after an additional 5 mins - if still pain after 3 table
Idiopathic

37. What is characteristic of ventricular tachycardia?
Rapid ventricular rate with no relationship to atrial activity and QRS complex is wide and bizarre.
BP is elevated or decreased depending on activity.
Spasms of the arterioles in finger/toes (digits of hands/feet may fall off). Tx: stop smoking - avoid stress & cold - use a vasodilator (calcium channel blocker). No skiing or butcher for career.
Pericardial friction rub: A high pitched squeaking or grating sound during cardiac contraction. It is typically best heard when the patient sits - leans forward - and breaths out.

38. How long is contrast media in the body?
Only for a few hours
A clinician will perform echocardiogram guided pericardiocentesis with a needle or catheter to remove excess fluid in the pericardial sac.
Ask patient to make a tight fist - using your index and middle fingers compress both the radial and ulnar arteries to obstruct blood flow to hand - ask pt to relax hand (hand and palm should appear blanched bc flow stopped) - release pressure on ulna
The physician injects a local anesthetic into the site - inserts a catheter - and threads it through the artery into the left side of the heart or through a vein into the right side of the heart to your lungs. Next - a dye is injected which may cause

39. Should the tubing for a venous access port be included under the dressing site?
Vascular - artery disease causing fluid to back up into the lungs.
Don a protective gown - gloves - and goggles - call Dr - hand pt. emesis basin and raise the HOB 45* (at this angle he can spit out blood and prevent N&V/aspiration - have another nurse firmly press on his nose just below bony part (apply pressure at
In the first 72 hours!!!!!
NO because it isn't sterile so keep out.

40. What is characteristic of complete heart block?
Using both gloved hands - apply firm pressure just above the skin puncture site and over the hematoma to compress the area. Wait at least 15 mins before removing pressure and reassessing the site. Then notify the health care provider.
Ventricular rate is regular at a rate of 40-60 bpm and there is no relationship of P waves to QRS complexes.
Used in an emergency (Vfib/defib) - used with Vfib or Vtach - NO CARDIAC OUTPUT - client is unconscious - EKG monitor - NO CONSENT NEEDED - begin with 200 Joules and up to 360.
Pallor - diaphoresis - tachypnea - severe tearing chest pain radiating to back - PULSES In ARMS Are STRONG BUT LEG PULSES Are WEAK - low SP02.

41. What is a good diagnosis for someone with right sided HF?
Activity intolerance
In fatty areas or over major muscles - large breasts - or bony prominences.
The damaged portion of the aorta is removed and is repaired with a synthetic graft.
Paroxysmal nocturnal dyspnea - elevated pulmonary capillary wedge pressure - BLOOD TINGED SPUTUM - cough - orthopnea - exertional dyspnea - cyanosis.

42. What is a nursing diagnosis for arterial occlusion? Tx
Pericardial friction rub - chest pain (sharp and aggravated with breathing) - abnormal EKG findings - possible fever and tachycardia.
After a sheath removal to apply consistent pressure and prevent bleeding. (Ex: after swan ganz removal).
Decreased tissue perfusion. Tx: clot busting treatment must start within 6 hours.
Whether the patients ulnar and radial arteries are patent.

43. What are the five areas for listening to the heart?
Before
All People Enjoy Time Magazine= Aortic - Pulmonic - ERB's point - Tricuspid - and Mitral/Apex. P(2) E (3) T (4) MA (5) (locations)
Limit the size of the infarction is the goal. Treatment= thrombolytic therapy (tPA) initiated within 6 hours of the first symptoms= standard treatment.
It is noninvasive. You must not eat - smoke - or drink alcohol for 3 hours before the test. WEAR COMFORTABLE SHOES And LOOSE LIGHTWEIGHT SHORTS OR SLACKS - YOU MAY GET AN INJECTION of THAllIUM - after your blood pressure and ECG are monitored for 10-

44. What lab value is used to evaluate a patient on coumadin? What is the normal value?
It is a noninvasive test that takes 15 mins. Electrodes are applied to sites on your body. You must lie still - relax - and breathe normally and remain quiet. Talking or moving distorts the images
NO TED HOSE - NO SHEETS/BLANKETS - NO COMPRESSION DEVICES - (TEACH NO OPEN TOES SHOES). Lambs wool is okay!
To report to her healthcare provider if she feels a large bump in her groin - if she has groin pain unrelieved by acetaminophen - or if she develops numbness - tingling - etc. in the affected leg.
PT. Normal= 12 sec. If on anticoagulants it should be between 1 1/2 to 2 1/2 x the normal value. For PT= 18-30 sec.

45. What are the S&S of pulmonary embolism?
Constipation or MAY CAUSE ANKLES TO SWELL (call healthcare provider).
Idiopathic
Feeling warm (fire) or tin can taste is expected and will pass.
Anxiousness - restlessness - tachycardia - tachypneic - 90% SP02 - dyspnea - substernal pain - coughing - hemoptysis - and fever.

46. What should be done during the insertion of both a CVP catheter and a swan ganz catheter?
NO NSAIDS or ASA.
PTT. Normal= 30 sec. If on anticoagulants it should be between 1 1/2 to 2 1/2 x the normal value. For PTT= 45-75 sec.
Pericardial friction rub - chest pain (sharp and aggravated with breathing) - abnormal EKG findings - possible fever and tachycardia.
Trendelenburg position for insertion. Pt holds breath to prevent air from entering sinus tract.

47. What do calcium channel blockers do?
Old truck driver or someone on bed rest or with pelvic trauma.
Open up blood vessels
In the first 72 hours!!!!!
Pneumothorax and will end up with chest tube to help reinflate lung.

48. What are the indications for a chemical stress test (persantine stress test)?
Patient who are unable to tolerate exercise stress testing.
Stand behind the victim - wrap arms around waist (IF PREGNANT WRAP ABOVE The BABy) - make a fist with one had and place thumb against abdomen midline - grasp fist with other hand - press into victims abdomen with quick upward thrusts.
Nitrates - Beta blockers - and Calcium channel blockers
CPR should be done. No defibrillation bc no rhythm to shock (heart already depolarized).

49. What should you teach a patient regarding discharge after a DVT?
Exercise and use graduated compression devices as directed - don't stand for long period of time - to avoid dislodging blood clots don't rub or massage your legs.
When a large air bubble blocks blood flow from the right ventricle into the pulmonary artery.
Second Right intercostal space.
Pallor - diaphoresis - tachypnea - severe tearing chest pain radiating to back - PULSES In ARMS Are STRONG BUT LEG PULSES Are WEAK - low SP02.

50. What should be immediately done for a patient experiencing digoxin toxicity?
One large emboli (smaller=better)
Check for response - activate ERS - open airway head tilt chin lift - check breathing (5-10 sec) - give 2 breaths (1 sec) with visible chest rise - checks brachial pulse (5-10 sec) - locates CPR finger position - deliver 1st cycle of compressions (30
Elevated legs - anticoagulation therapy (aggressive: generally IV heparin) - Be alert for signs of PE.
Stop the medication - address the factors that may have precipitated the event. If life threatening Digibind ay be indicated.

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