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

Author Question: A child who weighs 20 kg is prescribed an intravenous (IV) aminophylline (Truphylline) loading dose ... (Read 17 times)

asd123

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A child who weighs 20 kg is prescribed an intravenous (IV) aminophylline (Truphylline) loading dose of 500 mg. What is the nurse's best action?
 
  a. Administer the drug by IV push.
  b. Hold the dose and contact the prescriber immediately.
  c. Administer the drug by continuous infusion over 20 to 30 minutes.
  d. Assess the child's peak expiratory flow rate and then administer the drug as pre-scribed.

Question 2

A patient receiving aminophylline (Theophylline) by continuous IV infusion for a severe asthma attack asks why a blood sample must be drawn. What is the nurse's best response?
 
  a. The blood level of this drug that causes dangerous side effects is close to the level needed to help open the airways.
  b. The blood test helps us evaluate how well the drug is working to open your air-ways and improve your oxygen intake.
  c. The blood test helps determine how much of this drug you are making naturally and how much we are giving you.
  d. This blood tests assesses whether you are developing an allergy to this drug.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CAPTAINAMERICA

  • Sr. Member
  • ****
  • Posts: 325
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
The recommended loading dose of IV aminophylline is 5 to 7 mg/kg, which is a dosage between 100 and 140 mg. The 500-mg prescription is between four and five times the recommended dose. It is possible that this is the dosage that is needed; however, because it is very far out of the rec-ommended range, the dosage should be rechecked with the prescriber (and a pharmacist). If this dosage is to be administered, the child should be in an intensive care unit.

Answer to Question 2

A
The therapeutic range for theophylline is very narrow (10 to 20 mcg/mL). If the drug blood levels are lower than 10 mcg/mL, the patient's symptoms will not be controlled. If the drug blood levels are higher than 20 mcg/mL, the patient may have serious adverse reactions. Blood levels of this drug need to be monitored closely to ensure safe and effective drug delivery.


asd123

  • Member
  • Posts: 557
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

smrtceo

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

Did you know?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

This 11-month old girl demonstrates one of the abilites of a child of this age group - creating a to This 11-month old girl demonstrates one of the abilites of a child of this age group - creating a to
Hydrocephalus. The figure on the left is a child with the enlarged ventricles of hydrocephalus. The Hydrocephalus. The figure on the left is a child with the enlarged ventricles of hydrocephalus. The
Wrapping an Infant or Small Child Wrapping an Infant or Small Child
The fact that a mother works outside the home has no negative effect on the well-being of her child ... The fact that a mother works outside the home has no negative effect on the well-being of her child ...
Dose-response curve with threshold Dose-response curve with threshold
Trends in employed mothers with a child/children younger than 3 years of age Trends in employed mothers with a child/children younger than 3 years of age
Video: Types of Shock (Part 2 of 2)

For a complete list of videos, visit our video library