An 80-year-old client who weighs 60 kg is admitted to the hospital with fever and confusion. She has been taking a diuretic and is diagnosed with dehydration and UTI. The patient is prescribed gentamicin 180 mg IV to be given three times each day. 1. Which labs should be monitored before and during the antibiotic therapy? 2. Explain why gentamicin may be contraindicated in this patient. 3. What special nursing considerations should be considered based on the patient's age? 4. Describe the acceptable dosage for this patient. How does the patient's age affect dosing?

Understanding Health Insurance: A Guide to Billing and Reimbursement
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Author:GREEN
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Chapter9: Cms Reimbursement Methodologies
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An 80-year-old client who weighs 60 kg is
admitted to the hospital with fever and
confusion. She has been taking a diuretic and
is diagnosed with dehydration and UTI. The
patient is prescribed gentamicin 180 mg IV to
be given three times each day.
1. Which labs should be monitored before and
during the antibiotic therapy?
2. Explain why gentamicin may be
contraindicated in this patient.
3. What special nursing considerations should
be considered based on the patient's age?
4. Describe the acceptable dosage for this
patient. How does the patient's age affect
dosing?
Transcribed Image Text:An 80-year-old client who weighs 60 kg is admitted to the hospital with fever and confusion. She has been taking a diuretic and is diagnosed with dehydration and UTI. The patient is prescribed gentamicin 180 mg IV to be given three times each day. 1. Which labs should be monitored before and during the antibiotic therapy? 2. Explain why gentamicin may be contraindicated in this patient. 3. What special nursing considerations should be considered based on the patient's age? 4. Describe the acceptable dosage for this patient. How does the patient's age affect dosing?
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