This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with cystic fibrosis uses inhaled tobramycin TOBI 300 mg every 12 hours in repeating ... (Read 108 times)

mynx

  • Hero Member
  • *****
  • Posts: 555
on: Jul 23, 2018
A patient with cystic fibrosis uses inhaled tobramycin TOBI 300 mg every 12 hours in repeating cycles of 4 weeks on and 4 weeks off. The patient reports hoarseness and tinnitus. The nurse will tell the patient that:
 
  a. an intravenous form may be used to avoid hoarseness.
  b. hearing loss may occur with continued use of the drug.
  c. the provider will need to monitor renal function closely.
  d. these are common side effects of this me-dication.

Question 2

A nurse is quizzing a nursing student who is preparing to care for a patient with cystic fibrosis. The patient uses inhaled tobramycin TOBI, dornase alfa Pulmozyme, ibuprofen, and salme-terol Serevent Diskus.
 
  Which statement by the student indicates understanding of this patient's drug regimen? a. Dornase alfa is used as needed to de-crease viscosity of sputum.
  b. Ibuprofen is used to minimize pleuritic pain associated with coughing.
  c. Salmeterol acts by causing bronchodila-tion and improving ciliary function.
  d. Tobramycin is given via a metered-dose inhaler to avoid systemic side effects.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

trampas

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Inhaled tobramycin can cause tinnitus but does not cause hearing loss. Hoarseness is a common side effect. An intravenous aminoglycoside can cause hearing loss and is not used chronically for cystic fibrosis. Hearing loss will not occur with inhaled tobramycin. Inhaled tobramycin does not increase the risk of renal toxicity.

Answer to Question 2

Great help.


mynx

  • Hero Member
  • *****
  • Posts: 555
Reply #2 on: Jul 23, 2018
TY


trampas

  • Sr. Member
  • ****
  • Posts: 320
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

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?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
A patient with exophthalmos. A patient with exophthalmos.
ROM exercises on a patient’s wrist: ulnar deviation. ROM exercises on a patient’s wrist: ulnar deviation.
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
The locations of disease-causing mutations in the cystic fibrosis gene The locations of disease-causing mutations in the cystic fibrosis gene
Video: The primary factors that affect circulation - MABP, CO and SVR

For a complete list of videos, visit our video library