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Author Question: A patient receiving dobutamine (Dobutrex) at 180 mcg/minute is having all of the following ... (Read 59 times)

Lobcity

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on: Jul 23, 2018
A patient receiving dobutamine (Dobutrex) at 180 mcg/minute is having all of the following physiologic responses. Which response indicates that the drip rate may be too high?
 
  a. Systolic blood pressure increase from 106 to 122 mm Hg
  b. Hourly urine output of 100 mL
  c. Facial flushing
  d. Chest pain

Question 2

What technique does the nurse use when measuring a liquid drug in a medicine cup to ensure an accurate dose?
 
  a. Holding the cup at eye level while pouring the drug
  b. Holding the cup below eye level while pouring the drug
  c. Holding the cup above eye level while pouring the drug
  d. Using a syringe to draw up the drug and then placing it in the medicine cup


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upturnedfurball

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Dobutamine is a positive inotropic drug. Side effects include improved urine output and in-creased blood pressure. Facial flushing is common but not serious. Chest pain indicates the heart is working too hard, which may be related to the dosage level. The nurse should slow the drip rate and immediately notify the prescriber.

Answer to Question 2

A
To ensure an accurate dose with a medicine cup, fill while holding the cup at eye level. Either place the cup on a table and bend to look straight at the mark, or hold the cup up to your eyes as you fill it. Looking down at the mark or looking at it from an angle below the cup will result in an inaccurate dose. Although drawing the drug up into a syringe first also ensures an accurate dose, this step is not necessary.


Lobcity

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Reply #2 on: Jul 23, 2018
Thanks


upturnedfurball

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Reply #3 on: Jul 23, 2018
Welcome :)


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