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

Author Question: The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ... (Read 77 times)

NClaborn

  • Hero Member
  • *****
  • Posts: 560
The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ampicillin and gentamicin. Which is an important nursing action?
 
  a. Administer each antibiotic to infuse over 15 to 20 minutes.
  b. Order serum peak and trough levels of ampicillin.
  c. Prepare the schedule so that the drugs are given at the same time.
  d. Set up separate tubing sets for each drug labeled with the drug name and date.

Question 2

The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin) and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action will the nurse take?
 
  a. Administer the next dose as ordered.
  b. Obtain repeat peak and trough levels before giving the next dose.
  c. Report possible drug toxicity to the patient's provider.
  d. Report a decreased drug therapeutic level to the patient's provider.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Briannahope

  • Sr. Member
  • ****
  • Posts: 364
Answer to Question 1

ANS: D
Intravenous aminoglycosides can be given with penicillins and cephalosporins but should not be mixed in the same container. The IV line should be flushed between antibiotics, or separate tubing sets may be set up. Gentamicin must be infused over 30 to 60 minutes. It is not necessary to measure ampicillin peak and trough levels. Giving the drugs at the same time increases the risk of mixing them together.

Answer to Question 2

ANS: C
Gentamycin peak values should be 5 to 8 mcg/mL, and trough levels should be 0.5 to 2 mcg/mL. Peak levels give information about whether or not a drug is at toxic levels, while trough levels indicate whether a therapeutic level is maintained. This drug is at a toxic level, and the next dose should not be given.




NClaborn

  • Member
  • Posts: 560
Reply 2 on: Jul 23, 2018
Excellent


cdmart10

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Gracias!

 

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

No drugs are available to relieve parathyroid disease. Parathyroid disease is caused by a parathyroid tumor, and it needs to be removed by surgery.

For a complete list of videos, visit our video library