This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is receiving tobramycin 3 times daily. A tobramycin peak level is 4.5 and the trough is ... (Read 34 times)

JMatthes

  • Hero Member
  • *****
  • Posts: 578
on: Jul 23, 2018
A patient is receiving tobramycin 3 times daily. A tobramycin peak level is 4.5 and the trough is 1.2. What will the nurse do?
 
  a. Give the next dose as ordered.
  b. Hold the next dose and notify the provider.
  c. Monitor the patient for signs of nephrotoxicity.
  d. Tell the patient to report tinnitus.

Question 2

A nurse is preparing to administer a dose of gentamicin to a patient who is receiving the drug 3 times daily. The nurse will monitor _____ levels.
 
  a. peak
  b. peak and trough
  c. serum drug
  d. trough


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

princessflame2016

  • Sr. Member
  • ****
  • Posts: 298
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
These levels are within normal limits, so the next dose may be given safely. It is not necessary to withhold the next dose. These levels do not indicate any increased risk of nephrotoxicity or ototoxicity.

Answer to Question 2

ANS: B
When divided doses of aminoglycosides are given, it is important to measure both peak and trough levels of the drug, because it is more difficult to achieve therapeutic peaks in lower doses without causing toxicity. Trough levels are drawn when single-dosing regimens are used, because high peak levels are guaranteed.


JMatthes

  • Member
  • Posts: 578
Reply 2 on: Jul 23, 2018
:D TYSM

kswal303

  • Member
  • Posts: 316
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Thyroid conditions may make getting pregnant impossible.

Patient Position for Posterior Percussion Patient Position for Posterior Percussion
Mechanisms of pain at the nociceptor level Mechanisms of pain at the nociceptor level
The medical assistant will provide patient education regarding the daily use of diabetic glucose ... The medical assistant will provide patient education regarding the daily use of diabetic glucose ...
Food Sources of Fiber Adults need to consume about 21 to 38 grams of fiber daily Food Sources of Fiber Adults need to consume about 21 to 38 grams of fiber daily
System of a patient in shock System of a patient in shock
Video: EpiPen Animation (Part 1)

For a complete list of videos, visit our video library