[Solved]: Pete Elbertson is a 60-year-old man who enjoys…

Pete Elbertson is a 60-year-old man who enjoys working in his large vegetable garden. Two days ago, while watering 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 unintentionally contaminated himself with the insecticide and kept working for several hours before showering.Now, Pete presents to the local emergency department (ED) 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 revealed an 84-kg (185 lb) white male with a past medication history of hypertension (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 beats/min; respiratory rate: 30 breaths/min; and temperature: 37.3 C (99.2 F). His skin is pale and moist. He exhibits copious lacrimation and rhinorrhea. Both pupils are constricted. Crackles are heart 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.This activity contains 3 questions:Discuss the mechanism of action associated with atropine.Why is this drug being given to Pete?What adverse effects should you expect for the patient from the administration of atropine? Bill Jennings, a 55-year old man, has been using an epinephrine inhaler for asthma for several months. He is attending a community health fair at a local church, and you are the nurse screening his blood pressure.When you take Bill’s blood pressure, you discover it is 172/94 mmHg. As you talk with him, the patient reveals that he is also self-medicating with over the counter (OCT) pseudoephedrine 60 mg 3 times per day for seasonal allergies. Bill says his blood pressure is usually 120/80 mmHg.This activity contains 2 questions:Explain why the increased blood pressure might be related to the drug combination.What patient teaching should occur in this situation?