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Author Question: A patient is receiving tobramycin 3 times daily. A tobramycin peak level is 4.5 and the trough is ... (Read 32 times)

JMatthes

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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


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princessflame2016

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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

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Reply 2 on: Jul 23, 2018
Excellent

bblaney

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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