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 19 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
Thanks for the timely response, appreciate it

atrochim

  • Member
  • Posts: 331
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Thyroid conditions may make getting pregnant impossible.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
Audiometry. The child in this photograph is undergoing a hearing test with an audiologist. Audiometry. The child in this photograph is undergoing a hearing test with an audiologist.
Dose-Response Curves for Morphine Dose-Response Curves for Morphine
Change in Drawing Abilities from Early to Middle Childhood Drawings become more realistic as fine m Change in Drawing Abilities from Early to Middle Childhood Drawings become more realistic as fine m
A child with rickets A child with rickets
An overweight child not only has different kinds of encounters with his peers An overweight child not only has different kinds of encounters with his peers
Video: Atrophy

For a complete list of videos, visit our video library