Nursing has long been described as one of the most demanding professions. Nurses must think critically, communicate effectively, practice safely and efficiently, and adhere strictly to professional guidelines. Historically and today, many in the profession work short-staffed and beyond scheduled hours, encounter violence, and work through breaks and meals. Emotional intelligence can address these challenging conditions.
To manage hypotension and avoid kidney injury related to bupropion, Kim initiates isotonic I.V. fluids for hemodynamic stability. She knows that seizures are more likely with IR formulations and recognizes that increased agitation, decreased GCS score, and onset of tremors and hallucinations frequently precede seizures. Kim prepares to administer I.V. benzodiazepines, a first-line treatment for seizures and agitation from bupropion toxicity, as ordered, and to minimize the risk of rhabdomyolysis.
