A patient is experiencing status epileptics. The nurse anticipates immediate administration of which drug?
Diazepam
Phenobarbital
Valproic acid
Phenytoin
The Correct Answer is A
A) Diazepam
Diazepam (a benzodiazepine) is the first-line treatment for status epilepticus, especially in emergency situations. It works by quickly calming overactive electrical activity in the brain and can be administered intravenously for rapid effect. Diazepam is commonly given as an initial treatment due to its fast onset of action in stopping seizures.
B) Phenobarbital
Phenobarbital is an anticonvulsant that can also be used for seizures, but it is typically used in cases where seizures persist after initial treatment, or as a long-term maintenance therapy. It is not the first-line drug for status epilepticus and is typically administered after other options like diazepam have been tried.
C) Valproic acid
Valproic acid is an anticonvulsant used for chronic seizure management (like for generalized seizures and some focal seizures), but it is not typically used as the immediate treatment in status epilepticus. It may be used in the long-term management or when other drugs fail, but diazepam or lorazepam are preferred for immediate control of seizures.
D) Phenytoin
Phenytoin is another commonly used anticonvulsant, but it has a slower onset of action compared to benzodiazepines like diazepam. While phenytoin is often used for long-term seizure prevention, it is not the most immediate choice in an emergency setting. After initial seizure control with a benzodiazepine, phenytoin may be given for continued seizure prevention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered dose of phenobarbital: 6 mg/kg/day divided equally every 12 hours
Patient weight: 44 lbs
Concentration of phenobarbital elixir: 20 mg/5 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 44 lbs x 0.453592 kg/lb = 19.958 kg
Step 2: Calculate the total daily dose of phenobarbital:
Total daily dose (mg) = Ordered dose (mg/kg/day) x Patient weight (kg)
Total daily dose (mg) = 6 mg/kg/day x 19.958 kg
Total daily dose (mg) = 119.748 mg/day
Step 3: Calculate the dose per administration:
Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day
Dose per administration (mg) = 119.748 mg/day / 2 administrations/day
Dose per administration (mg) = 59.874 mg
Step 4: Calculate the volume to be administered per dose:
Volume (mL) = Dose per administration (mg) / Concentration (mg/mL)
Volume (mL) = 59.874 mg / (20 mg/5 mL)
Volume (mL) = 59.874 mg x (5 mL / 20 mg)
Volume (mL) = 14.9685 mL
Step 5: Round to the nearest whole number:
Volume (mL) ≈ 15 mL
Correct Answer is A
Explanation
Given:
Value in grams: 5,524 g
To convert grams to kilograms, we need to divide the value by 1000.
Step 1: Divide the value by 1000:
5,524 g / 1000 = 5.524 kg
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