TherapeuticjkDrugjkLevels:jkDigoxinjk-
jkCORRECTjkANSWER✔0.8jktojk2.0jkng/ml
ToxicjkLevel:jkgreaterjkthanjk3.4jkng/ml
CLONIDINEjk-jkCORRECTjkANSWER✔AdversejkEffects/
NursingjkConsiderations:
Drowsiness/sedationjk-
jkwilljkimprovejkwithjktime,jkcarefuljktojkavoidjkdrivingjkandjkotherjkactivities
Dryjkmouthjk-jkwilljkimprovejkwithjktime,jksuckjkonjkhardjkcandy
Constipationjk-jkdrinkjklotsjkofjkwater
Reboundjkhypertensionjk-
jkdon'tjkstopjksuddenlyjk(canjkbejkgivenjkoral,jkandjktransdermal)jk-
jkweanjkoffjkoverjk1-2jkweeks
Administerjkpatchjkonjkhairless,jkclean,jkdryjkskinjkandjkbejksurejktojkremovejkol
djkpatch
Otherjkpatientjkteachingjk-
jkavoidjktakingjkwithjkalcoholjkandjkotherjkmedicationsjkthatjkcausejkdrowsines
s!
TherapeuticjkDrugjkLevels:jkGentamicinjk-
jkCORRECTjkANSWER✔0.5jktojk0.8jkng/
mljkAjk58jkyearjkoldjkwhojkdoesn'tjklisten
,sargramostimjk-jkCORRECTjkANSWER✔increasesjkWBC
TherapeuticjkDrugjkLevels:jkLidocainejk-
jkCORRECTjkANSWER✔1.5jktojk5.0jkmcg/ml
ToxicjkLevel:jkgreaterjkthanjk5jkmcg/ml
TherapeuticjkDrugjkLevels:jkLithiumjk-
jkCORRECTjkANSWER✔0.4jktojk1.0jkmEq/L
ToxicjkLevel:jkgreaterjkthanjk1.5jkmEq/L
TherapeuticjkDrugjkLevels:jkMagnesiumjkSulfatejk-
jkCORRECTjkANSWER✔4jktojk8jkmg/dL
ToxicjkLevel:jkgreaterjkthanjk9jkmg/dL
TherapeuticjkDrugjkLevels:jkPhenobarbitaljk-
jkCORRECTjkANSWER✔10jktojk30jkmcg/ml
ToxicjkLevel:jkgreaterjkthanjk40jkmcg/ml
GENTAMYCINjk-
jkCORRECTjkANSWER✔58jkyearjkoldjkwithjkbadjkkidneys,jkwhojkdoesn'tjkli
sten,jkandjkcan'tjkseejkbecausejkhejkfelljkinjkajktroughjkandjkgotjkajkrash.
Nephrotoxicityjk-jkmonitorjkandjkreport!
,Hearingjklossjk(ototoxicity)jk-
jkringingjkinjkear,jkheadache,jkdizziness,jkvertigo;jkstopjkandjknotifyjkthejkphysic
ian
Neurologicjk(numbness,jktingling,jkweakness,jkopticjknervejkdysfunctionjk(vi
sualjkchanges)jk-jkmonitorjkandjkreport
Hypersensitivityjk-jkreportjkrash,jkurticaria
Monitorjkpeakjkandjktrough
Peakjk-jk30jkminutesjkAFTERjkadministration
Troughjk-jkrightjkBEFOREjknextjkdose
salmeteroljkANDjkteburtalinejk-jkCORRECTjkANSWER✔Long-
Actingjktojkrequirejklessjkdosing
lastsjk12jkhoursjk(MDI)jk
Peakjkeffectjkinjk2jkhours,jkdurationjk12jkhours
Onsetjk10-20jkminutesjk-jkprevent!
-priljk-jkCORRECTjkANSWER✔ACEjkInhibitorjk(Captopril,jklisinopril)
TherapeuticjkUse:jkHTN,jkHF,jkMI,jkDiabeticjkNeuropathy
-pam,jk-lamjk-jkCORRECTjkANSWER✔Benzodiazepine/
DONTjkCONFUSEjkWITHjkPRAM
-statinjk-
jkCORRECTjkANSWER✔Antilipidemic jk(lovastatin,jksimvastatin)
, TherapeuticjkUse:jkHypercholesterolemia,jkPreventionjkofjkCoronaryjkEvent
s,jkProtectionjkagainstjkMIjkandjkstrokejkinjkclientsjkwithjkdisbetes
-asone,jk-solonejk-
jkCORRECTjkANSWER✔Corticosteroidjk(prednisone,jkprednisolone)
TherapeuticjkUse:jkstatusjkasthmaticus,jkacutejkasthmajkattack,jkasthmajkattac
kjkPPX
-ololjk-
jkCORRECTjkANSWER✔BetajkBlockerjk(propranolol,jkmetoprolol)
TherapeuticjkUse:jkHTN,jkAngina,jkTachydysrhythmia,jkHF,jkMI
-cillinjk-jkCORRECTjkANSWER✔Penicillin
DosingjkAdministrationjkTechniquesjk(MDI)jk-jk-
jkCORRECTjkANSWER✔Shakejkinhalerjk-jkattachjkspacer
Exhale,jkpressjkcanister,jkinhale
Holdjkbreathjkforjk10jksecondsjk(orjkasjklongjkasjkpossible)
Exhalejkthroughjkpursedjklips
Waitjk1jkminutejkbeforejkrepeating
Cleanjkandjkrinsejkcase,jkcap
-idejk-
jkCORRECTjkANSWER✔OraljkHypoglycemicjk(Biguanides,jkglipizide)