Author Question: A patient who has been taking carbamazepine (Tegretol) for 2 months has all of the following blood ... (Read 231 times)

dollx

  • Hero Member
  • *****
  • Posts: 558
A patient who has been taking carbamazepine (Tegretol) for 2 months has all of the following blood laboratory results. Which result does the nurse report to the prescriber immediately?
 
  a. White blood cell (WBC) count 2200/mm3
  b. Platelet count 300,000/mm3
  c. Potassium 3.6 mEq/L
  d. Sodium 132 mEq/L

Question 2

A patient is receiving IV caspofungin (Cancidas). Which assessments are most important for the nurse to perform daily? (Select all that apply.)
 
  a. Assessing both calves for swelling, redness, and pain
  b. Examining the skin for rash and blisters
  c. Assessing capillary refill in fingers and toes
  d. Assessing the injection site for irritation or phlebitis
  e. Reviewing laboratory reports of white blood cell counts
  f. Listening for bowel sounds in all four abdominal quadrants
  g. Reviewing laboratory reports for blood urea nitrogen (BUN) and creatinine



cupcake16

  • Sr. Member
  • ****
  • Posts: 309
Answer to Question 1

A
Carbamazepine can suppress bone marrow activity and decrease the number of WBCs. This pa-tient's WBC count is much lower than normal (normal range is 5000 to 10,000/mm3), greatly increasing his or her risk for infection. The drug must be discontinued as soon as possible (but not abruptly). The blood sodium level is slightly low as well, but it is not an immediate problem.

Answer to Question 2

A, B, D, G
Echinocandins can increase the rate of clot formation, which increases the risk for deep vein thrombosis (DVT). DVT is most likely to occur in the veins of the lower legs and in the pelvis. Symptoms of DVT in an extremity include swelling, warmth, and pain or discomfort. All the systemic antifungal agents can cause renal insufficiency. Anyone prescribed these drugs must have renal function monitored. Any intravenous antifungal drug can irritate veins and cause phlebitis. Skin irritation and rashes can occur with systemic antifungal therapy. Rashes may be severe with many types of lesions (Stevens-Johnson syndrome). If the rashes become widespread with crusting, fever, and tissue necrosis, the condition can be life-threatening. Echinocandins do not affect intestinal motility or capillary refill. They also do not directly affect bone marrow production of white blood cells.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

The average human gut is home to perhaps 500 to 1,000 different species of bacteria.

Did you know?

If you could remove all of your skin, it would weigh up to 5 pounds.

For a complete list of videos, visit our video library