This topic contains a solution. Click here to go to the answer

Author Question: A child with hemophilia A who weighs 30 kg receives factor VIII on an ongoing basis as prophylaxis. ... (Read 76 times)

washai

  • Hero Member
  • *****
  • Posts: 523
A child with hemophilia A who weighs 30 kg receives factor VIII on an ongoing basis as prophylaxis. The provider orders desmopressin (Stimate) to be used for nosebleeds.
 
  The nurse will instruct the child's parents to give the medication as _____ nostril as needed.
  a. 1 spray in each
  b. 1 spray in one
  c. 2 sprays in each
  d. 2 sprays in one

Question 2

A patient with hemophilia is hospitalized for infusion of factor VIII replacement through a venous port. While giving the drug, the nurse notes that the patient's temperature is 101.5 F. The nurse will contact the provider to report which possibility?
 
  a. Anaphylactic reaction
  b. Contamination of factor replacement
  c. Port infection
  d. Thrombolytic event



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
Answer to Question 1

ANS: B
Children who weigh less than 50 kg should use 1 spray in one nostril for a dose of 150 mcg. Each spray delivers 150 mcg, so 1 spray in both nostrils would give a dose of 300 mcg. Using 2 sprays in one nostril would give a dose of 300 mcg; using 2 sprays in both nostrils would give a dose of 600 mcg.

Answer to Question 2

ANS: C
Central venous access devices are used to facilitate frequent IV administration of factor replacement but pose the risks of infection and thrombosis. This patient has a fever, which is a symptom of infection. Anaphylactic reactions to factor replacement can occur but are characterized by wheezing and shortness of breath, along with swelling in the face. Viral contamination of factor replacement is rare with factor VIII. Thrombolytic events would have symptoms associated with clot formation in certain organs and are not associated with fever.




washai

  • Member
  • Posts: 523
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Excellent

 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

For a complete list of videos, visit our video library