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Author Question: A child with human immunodeficiency virus is started on sulfamethoxazole and trimethoprim (Bactrim) ... (Read 81 times)

Awilson837

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on: Jun 28, 2018
A child with human immunodeficiency virus is started on sulfamethoxazole and trimethoprim (Bactrim) for Pneumocystis carinii pneumonia (PCP) prophylaxis.
 
  The recommended dose is based on the trimethoprim (TMP) component and is 1520 mg TMP/kg/day in divided doses every 68 hours. The child weighs 6.8 kg. The highest dose of TMP the child can receive a day is ____.
  What will be an ideal response?

Question 2

A child is prescribed Didanosine (Videx), a nucleoside reverse transcriptase inhibitor, for human immunodeficiency virus (HIV). Which lab value will the nurse monitor closely for this child?
 
  1. Potassium
  2. Sodium
  3. Red blood cell count
  4. Glucose


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bd5255

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Reply #1 on: Jun 28, 2018
Answer to Question 1

Correct Answer: 136
Rationale: 6.8 kg (the child's weight) is multiplied by 20 mg. This yields the answer, which is 136 mg a day.

Answer to Question 2

Correct Answer: 3
Rationale: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.


Awilson837

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

flexer1n1

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Reply 3 on: Yesterday
Excellent

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