« previous next »

Author Question: A patient is given a drug for the first time and develops shortness of breath. The patient's heart ... (Read 69 times)

Destiiny22

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A patient is given a drug for the first time and develops shortness of breath. The patient's heart rate is 76 beats per minute, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg.
 
  The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report a(n):
  a. allergic reaction.
  b. idiosyncratic effect.
  c. iatrogenic response.
  d. side effect.

Question 2

A patient is taking sertraline (Zoloft) for depression, and the provider orders azithromycin (Zithromax) to treat an infection. What will the nurse do?
 
  a. Contact the provider to discuss an alternative to azithromycin.
  b. Request an order for a different antidepressant medication.
  c. Request an order to reduce the dose of sertraline.
  d. Withhold the sertraline while giving the azithromycin.


Jane

  • Sr. Member
  • ****
  • Posts: 309
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
A side effect is a secondary drug effect produced at therapeutic doses. This patient received the correct dose of the drug and developed shortness of breath which, in this case, is a drug side effect. To experience an allergic reaction, a patient must have prior exposure to a drug and sensitization of the immune response. An idiosyncratic effect results from a genetic predisposition to an uncommon drug response. An iatrogenic response occurs when a drug causes symptoms of a disease.

Answer to Question 2

ANS: A
Both sertraline and azithromycin prolong the QT interval, and when taken together, they increase the risk of fatal dysrhythmias. Because the antibiotic is used for a short time, it is correct to consider using a different antibiotic. Reducing the dose of sertraline does not alter the combined effects of two drugs that lengthen the QT interval. Sertraline should not be stopped abruptly, so withholding it during antibiotic therapy is not indicated.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Symptoms of a patient in shock. Symptoms of a patient in shock.
The cardiovascular system. A schematic view of the closed circulation of blood. The heart is section The cardiovascular system. A schematic view of the closed circulation of blood. The heart is section
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
The patient is placed between the X-ray tube, which emits a cone-shaped X-ray beam, and the film or ... The patient is placed between the X-ray tube, which emits a cone-shaped X-ray beam, and the film or ...
A greater number of men than women hold full-time jobs, but the gap is closing because of an ... A greater number of men than women hold full-time jobs, but the gap is closing because of an ...
Heart covering and layer of the heart. Heart covering and layer of the heart.
Video: Fetal Development of the Cardiovascular System

For a complete list of videos, visit our video library