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 61 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

smrtceo

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid
Stereotaxic Surgery on a Human Patient Stereotaxic Surgery on a Human Patient
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
It is important to act concerned when a patient is upset. It is important to act concerned when a patient is upset.
Denney's model ON actual level of performance on exercised and unexercised abilities Denney's model ON actual level of performance on exercised and unexercised abilities
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: What are the Parts of a Plant Cell?

For a complete list of videos, visit our video library