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

Author Question: A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ ... (Read 73 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
on: Jul 24, 2018
A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ the dose of _____.
 
  a. increasing; cephalosporin
  b. decreasing; cephalosporin
  c. increasing; aminoglycoside
  d. decreasing; aminoglycoside

Question 2

A 20-kg child takes valproic acid (Depakote) for seizures and has had regular dose increases with a current dose of 250 mg twice daily.
 
  The child continues to have one to two seizures each week along with significant drowsiness that interferes with school participation. The primary care NP should contact the child's neurologist to discuss: a. obtaining a serum valproic acid level.
  b. changing the medication to gabapentin (Neurontin).
  c. increasing the valproic acid by 5 mg per kg of weight.
  d. adding lamotrigine (Lamictal) to this child's drug regimen.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

peilian

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Cephalosporins can heighten aminoglycoside toxicity, so a decrease in the dose of the aminoglycoside should be considered.

Answer to Question 2

D
Research suggests a combination of lamotrigine and valproate to be the most effective regimen in patients with refractory epilepsy. Valproic acid dosing may be increased to a maximum of 60 mg/kg/day unless side effects prevent further increase in dosage. The other drugs are not recommended.


justinmsk

  • Hero Member
  • *****
  • Posts: 524
Reply #2 on: Jul 24, 2018
TY


peilian

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Everyone has one nostril that is larger than the other.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Morphology of Primary Lesions Morphology of Primary Lesions
Lip Abnormalities, Chancre from Primary Syphilis Lip Abnormalities, Chancre from Primary Syphilis
Treating the pregnant patient Treating the pregnant patient
Nursing care principles for care Nursing care principles for care
A visually impaired patient is assisted by a service dog. A visually impaired patient is assisted by a service dog.
Advantages and Disadvantages of Managed Care Advantages and Disadvantages of Managed Care
Video: Olfaction. or the sense of smell

For a complete list of videos, visit our video library