This topic contains a solution. Click here to go to the answer

Author Question: A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine (Zyrtec) syrup once ... (Read 96 times)

LCritchfi

  • Hero Member
  • *****
  • Posts: 519
A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine (Zyrtec) syrup once daily. The parents tell the nurse that the child does not like the syrup, and they do not think that the drug is effective.
 
  The nurse will suggest they discuss which drug with their child's healthcare provider?
  a. Cetirizine (Zyrtec) 5 mg chewable tablet once daily
  b. Loratadine (Claritin) 10 mg chewable tablet once daily
  c. Fexofenadine (Allegra) syrup 5 mL twice daily
  d. Desloratadine (Clarinex) 5 mg rapid-disintegrating tablet once daily

Question 2

A patient will begin taking fexofenadine (Allegra) for hay fever. The nurse teaching this patient will tell the patient that:
 
  a. fexofenadine should be taken with food to prevent gastrointestinal (GI) symptoms.
  b. the medication may be taken once or twice daily.
  c. tolerance to sedation will occur in a few weeks.
  d. with renal impairment, this drug should be taken every other day.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ultraflyy23

  • Sr. Member
  • ****
  • Posts: 312
Answer to Question 1

ANS: A
The child is receiving a low dose of cetirizine and can receive up to 5 mg per day in either a single dose or two divided doses. Cetirizine is available in a chewable tablet, which this child may tolerate better, so the parents should be encouraged to explore this option with their provider. The loratadine 10 mg chewable tablet is approved for children 6 years and older. Fexofenadine would be safe for this child, but it is unlikely that the syrup would be any better than the cetirizine syrup. Desloratadine is not approved for children under the age of 12 years.

Answer to Question 2

ANS: B
Fexofenadine may be given 60 mg twice daily or 180 mg once daily. Fexofenadine does not need to be given with food. Sedation is not a common side effect of fexofenadine. There is no caution to reduce the dosage or increase the dosing interval in patients with renal impairment who take fexofenadine.





 

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

Bacteria have flourished on the earth for over three billion years. They were the first life forms on the planet.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

For a complete list of videos, visit our video library