Author Question: The nurse is monitoring a child who is receiving EDTA with BAL (British anti-Lewisite) for the ... (Read 27 times)

WhattoUnderstand · **on:** Jul 22, 2018

The nurse is monitoring a child who is receiving EDTA with BAL (British anti-Lewisite) for the treatment of lead poisoning.

The nurse reviews the laboratory results of the child during treat-ment with this medication and is particularly concerned with monitoring which of the following laboratory test results? 1. Cholesterol level
2. Blood urea nitrogen (BUN) level
3. Complete blood cell (CBC) count
4. Hemoglobin and hematocrit (H&H) levels

Question 2

The nurse is admitting a child who arrived from the emergency department after treatment for acetaminophen (Tylenol) overdose.

The nurse reviews the child's record and expects to note that the child received which of the following for the acetaminophen overdose? 1. Epoetin alfa (Epogen)
2. Protamine sulfate
3. Acetylcysteine (Mucomyst)
4. Ethylenediaminetetr aacetic acid (EDTA)

maaaaaaaaaa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: Kidney function tests should be monitored because EDTA is nephrotoxic. The cal-cium level should also be monitored because EDTA enhances the excretion of calcium. Cho-lesterol level, complete blood cell (CBC) count, and hemoglobin and hematocrit (H&H) lev-els are not the primary concern during treatment with EDTA.

Answer to Question 2

3

Rationale: Acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tylenol) overdose. It is administered orally with juice or cola or via nasogastric (NG) tube. Epogen induces erythro-poiesis and is used in the treatment of anemia. Protamine sulfate is the antidote for heparin. EDTA is used in the treatment of lead poisoning.