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Author Question: A child is prescribed procainamide for a dysrhythmia. The child weighs 66 pounds and the recommended ... (Read 100 times)

jasdeep_brar

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on: Jul 24, 2018
A child is prescribed procainamide for a dysrhythmia. The child weighs 66 pounds and the recommended safe dose for children is 2-5 mg/kg/dose. The maximum dose for this child is:
 
  a. 60 mg/dose. c. 150 mg/dose.
  b. 90 mg/dose. d. 330 mg/dose.

Question 2

The nurse prepares to administer an intravenous dose of lidocaine by:
 
  a. understanding that the lidocaine will increase the client's heart rate.
  b. monitoring the client for ventricular dysrhythmias.
  c. using only the preservative-free/catecholamine-free form that may be administered IV.
  d. understanding that lidocaine with epinephrine is most likely to abolish dysrhythmias.


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mrphibs

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

ANS: C

Feedback
A Incorrect: This is the minimum dose.
B Incorrect: Although safe, this is not the maximum dose.
C Correct: 66 pounds divided by 2.2 = 30 kg x 5 mg/kg = 150 mg/dose.
D Incorrect: This exceeds the safe dosage range.

Answer to Question 2

ANS: C

Feedback
A Incorrect: Lidocaine is used to decrease heart rate.
B Incorrect: The client should be monitored, but not for dysrhythmias.
C Correct This statement is true of lidocaine administration
D Incorrect: Dysrhythmias usually are not completely abolished.


jasdeep_brar

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


mrphibs

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


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