A middle-aged patient has been prescribed tetracycline as part of ...

[Metfan725]

A middle-aged patient has been prescribed tetracycline as part of his treatment of H. pylori. The patient has a history of heart disease for which he is receiving digoxin. Given his history and current medications,
 
  the patient is at risk for which of the following conditions?
 
  A) Respiratory depression
  B) Decreased effectiveness of tetracycline
  C) Prolonged clotting times
  D) Risk of digoxin toxicity

Question 2

A client is receiving quinupristin/dalfopristin via a peripheral intravenous infusion. After the drug is administered, the nurse would flush the intravenous line with which of the following?
 
  A) Normal saline
  B) 0.45 sodium chloride
  C) Dextrose 5 and water
  D) Heparin

[jomama]

Answer to Question 1

Ans: D
Feedback:
When digoxin interacts with tetracyclines, the patient is at risk for digoxin toxicity. Respiratory depression is an effect observed when neuromuscular blocking drugs interact with lincosamides. A decrease in the effectiveness of tetracycline is seen when the drug is taken with antacids, dairy products, or iron. An increased risk for bleeding with prolonged clotting times is noted when tetracycline is given with anticoagulants.

Answer to Question 2

Ans: C
Feedback:
Quinupristin/dalfopristin is irritating to the vein. After peripheral infusion, the vein should be flushed with 5 dextrose in water (D5W), because the drug is incompatible with saline or heparin flush solutions.

[Metfan725]

Excellent

[atrochim]

TYSM