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Author Question: A child is receiving a combination albuterol/ipratropium DuoNeb inhalation treatment. The patient ... (Read 78 times)

SO00

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on: Jul 23, 2018
A child is receiving a combination albuterol/ipratropium DuoNeb inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?
 
  a. Contact the provider to report systemic anticholinergic side effects.
  b. Discontinue the aerosol treatment imme-diately.
  c. Notify the provider of a possible allergic reaction.
  d. Reassure the patient that these are ex-pected side effects.

Question 2

A nurse and a nursing student are reviewing the care of a 30-kg patient who will receive intravenous aminophylline. Which statement by the student indicates an understanding of the administration of this medication?
 
  a. After the loading dose has been given, the patient will receive 6 mg/kg/hr.
  b. Dosing is titrated based on the serum theophylline levels.
  c. If the patient's serum theophylline level is less than 15 mcg/mL, the rate should be reduced.
  d. The patient will receive a loading dose of 180 mg over 5 minutes.


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tanna.moeller

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

D
The most common adverse effects of this combination drug are dry mouth and irritation of the pharynx. The patient should be reassured that these are common and minor effects. Systemic an-ticholinergic side effects are rare. It is not necessary to discontinue the medication. Patients with peanut allergy may have severe anaphylactic reactions, but the patient's symptoms are not those associated with anaphylaxis.

Answer to Question 2

B
Dosing for aminophylline is based on each patient's serum theophylline levels. The loading dose usually is 6 mg/kg; after that, the maintenance infusion is titrated according to the theophylline levels. A serum theophylline level of 15 mcg/mL is within the therapeutic range, so dosing would not need to change. The patient's total loading dose will be 180 mg, but infusions should never be given at a rate faster than 25 mg/min.


SO00

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


tanna.moeller

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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