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

Author Question: A child is receiving a combination albuterol/ipratropium DuoNeb inhalation treatment. The patient ... (Read 74 times)

SO00

  • Hero Member
  • *****
  • Posts: 568
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

tanna.moeller

  • Sr. Member
  • ****
  • Posts: 328
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

  • Hero Member
  • *****
  • Posts: 568
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


tanna.moeller

  • Sr. Member
  • ****
  • Posts: 328
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
A patient examination room should be simple and efficiently designed. A patient examination room should be simple and efficiently designed.
Differential metabolic profile from livers of control mice and livers from mice 2 h after treatment ... Differential metabolic profile from livers of control mice and livers from mice 2 h after treatment ...
A karyotype shows this child has three copies of chromosome 21. A karyotype shows this child has three copies of chromosome 21.
Video: Wound Repair Animation

For a complete list of videos, visit our video library