This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has been receiving intravenous gentamicin for several days reports having had a ... (Read 96 times)

WWatsford

  • Hero Member
  • *****
  • Posts: 539
    • Biology Forums!
on: Jul 23, 2018
A patient who has been receiving intravenous gentamicin for several days reports having had a headache for 2 days. The nurse will request an order to:
 
  a. obtain a gentamicin trough before the next dose is given.
  b. give an analgesic to control headache discomfort.
  c. reduce the dose of the gentamicin to minimize side effects.
  d. obtain renal function tests to evaluate for potential nephrotoxicity.

Question 2

A patient is admitted to the unit for treatment for an infection. The patient receives IV amikacin (Amikin) twice a day. When planning for obtaining a peak aminoglycoside level, when should the nurse see that the blood is drawn?
 
  a. 30 minutes after the IV infusion is complete
  b. 1 hour after the IV infusion is complete
  c. 1 hour before administration of the IV infusion
  d. A peak level is not indicated with twice-daily dosing.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

xMRAZ

  • Sr. Member
  • ****
  • Posts: 363
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
A headache may be a sign of developing ototoxicity, so a gentamicin trough should be obtained before the next dose is given. Analgesics are not indicated until a serious cause of the headache has been ruled out. Reducing the dose without first knowing the level would not be indicated. A headache is an early sign of ototoxicity, not nephrotoxicity.

Answer to Question 2

ANS: A
When divided daily doses are used, blood samples for measurement of peak levels are drawn 1 hour after IM injection and 30 minutes after completion of an IV infusion. This medication is administered IV, so blood draws must follow 30 minutes after infusion to obtain peak levels. Measurement of peak levels is unnecessary only when a single daily dose is used.


WWatsford

  • Hero Member
  • *****
  • Posts: 539
    • Biology Forums!
Reply #2 on: Jul 23, 2018
Thanks


xMRAZ

  • Sr. Member
  • ****
  • Posts: 363
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

The nurse assists the patient in reflecting on his feelings The nurse assists the patient in reflecting on his feelings
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive (A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Patient Teaching Patient Teaching
Patient with rheumatoid arthritis. Patient with rheumatoid arthritis.
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
Video: Allergic Rhinitis

For a complete list of videos, visit our video library