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 54 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
Wow, this really help

emsimon14

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

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?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days
Teaching an illterate patient Teaching an illterate patient
It is important to act concerned when a patient is upset. It is important to act concerned when a patient is upset.
Examples of endocrine disorders. (B) A patient with a goiter. Examples of endocrine disorders. (B) A patient with a goiter.
There are many ways for an individual to monitor his or her blood glucose level There are many ways for an individual to monitor his or her blood glucose level
Video: Angiotensin II - kidneys, adrenal glands and dehydration

For a complete list of videos, visit our video library