Exhibits

Which of the following is the most appropriate initial management for this patient?

A. Photophobia: Antihistamines are not typically associated with photophobia. Common side effects include dry mouth and drowsiness, but not increased sensitivity to light.

B. Increased blood pressure: Antihistamines do not commonly cause increased blood pressure. They are more likely to lead to side effects like dry mouth, drowsiness, and blurred vision rather than affecting blood pressure significantly.

C. Diarrhea: Diarrhea is not a usual side effect of antihistamines. These medications are more likely to cause constipation rather than diarrhea.

D. Dry mouth: Dry mouth is a common adverse effect of many antihistamines. This occurs due to their anticholinergic effects, which decrease saliva production and lead to dry mouth.

A. Respiratory acidosis is caused by hypoventilation, leading to an increase in carbon dioxide levels in the blood. This condition is characterized by confusion, drowsiness, and headache, but it does not typically present with vomiting, tingling, or slow respirations as described in this scenario.
B. Metabolic alkalosis occurs due to a loss of hydrogen ions or an excess of bicarbonate, commonly caused by prolonged vomiting. The symptoms described, including persistent vomiting, tingling, and slow, shallow respirations, are consistent with metabolic alkalosis.
C. Metabolic acidosis results from the accumulation of acid or loss of bicarbonate, often presenting with rapid, deep breathing (Kussmaul respirations). The client’s slow respirations and other symptoms do not align with metabolic acidosis, making this option less likely.
D. Respiratory alkalosis is caused by hyperventilation, which leads to a decrease in carbon dioxide levels. It is usually associated with rapid breathing and does not match the slow respirations and other symptoms seen in this client.