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

Author Question: A child who weighs 20 kg is prescribed an intravenous (IV) aminophylline (Truphylline) loading dose ... (Read 51 times)

asd123

  • Hero Member
  • *****
  • Posts: 557
A child who weighs 20 kg is prescribed an intravenous (IV) aminophylline (Truphylline) loading dose of 500 mg. What is the nurse's best action?
 
  a. Administer the drug by IV push.
  b. Hold the dose and contact the prescriber immediately.
  c. Administer the drug by continuous infusion over 20 to 30 minutes.
  d. Assess the child's peak expiratory flow rate and then administer the drug as pre-scribed.

Question 2

A patient receiving aminophylline (Theophylline) by continuous IV infusion for a severe asthma attack asks why a blood sample must be drawn. What is the nurse's best response?
 
  a. The blood level of this drug that causes dangerous side effects is close to the level needed to help open the airways.
  b. The blood test helps us evaluate how well the drug is working to open your air-ways and improve your oxygen intake.
  c. The blood test helps determine how much of this drug you are making naturally and how much we are giving you.
  d. This blood tests assesses whether you are developing an allergy to this drug.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CAPTAINAMERICA

  • Sr. Member
  • ****
  • Posts: 325
Answer to Question 1

B
The recommended loading dose of IV aminophylline is 5 to 7 mg/kg, which is a dosage between 100 and 140 mg. The 500-mg prescription is between four and five times the recommended dose. It is possible that this is the dosage that is needed; however, because it is very far out of the rec-ommended range, the dosage should be rechecked with the prescriber (and a pharmacist). If this dosage is to be administered, the child should be in an intensive care unit.

Answer to Question 2

A
The therapeutic range for theophylline is very narrow (10 to 20 mcg/mL). If the drug blood levels are lower than 10 mcg/mL, the patient's symptoms will not be controlled. If the drug blood levels are higher than 20 mcg/mL, the patient may have serious adverse reactions. Blood levels of this drug need to be monitored closely to ensure safe and effective drug delivery.




asd123

  • Member
  • Posts: 557
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


rleezy04

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Gracias!

 

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?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

Russia has the highest death rate from cardiovascular disease followed by the Ukraine, Romania, Hungary, and Poland.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

For a complete list of videos, visit our video library