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Author Question: Which drug interaction may occur when an aminoglycoside or tetracycline is given in conjunction with ... (Read 30 times)

mwit1967

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on: Jul 24, 2018
Which drug interaction may occur when an aminoglycoside or tetracycline is given in conjunction with neuromuscular-blocking agents?
 
  a. Deep sedation
  b. Decreased effectiveness of antibiotics
  c. Increased neuromuscular-blocking activity
  d. Sensitivity to antibiotics and possible allergic reaction

Question 2

A patient taking a neuromuscular-blocking agent is assessed to have a heart rate of 120 and blood pressure of 80/50. The nurse will anticipate the physician writing an order for
 
  a. ABGs.
  b. blood glucose level.
  c. CBC.
  d. liver function tests.


wilsonbho

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Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: C
Question antibiotic orders that prescribe aminoglycosides or tetracycline when neuromuscular blockers have been used. These drugs may potentiate the neuromuscular-blocking activity. This combination of medications would not cause deep sedation. Neuromuscular-blocking agents do not decrease the effectiveness of antibiotics or increase sensitivity to antibiotics.

Answer to Question 2

ANS: A
Patients taking neuromuscular-blocking agents should be monitored closely for clinical signs of hypoxia and hypercapnia (tachycardia, hypotension, cyanosis). ABG levels may be determined to confirm the clinical observations. Blood glucose levels, CBC, and liver function tests would not be indicated with these symptoms.


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mwit1967

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


wilsonbho

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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