Case study: Allergies and Asthma The school nurse is reviewing the medications of Dante,a fourth grader who has multiple

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Case study: Allergies and Asthma
The school nurse is reviewing the medications of Dante,a fourth
grader who has multiple allergies, including a severe nut
allergy. Dante has asthma also and has been ordered the
following metered dose inhalers:
Ventolin (Salbutamol), 2 puffs, PO, TID, to
be given at 0600, 1400 and, 2200.
Atrovent (Ipratropium Bromide), 2 puffs, PO,
TID, to be given at 0600, 1400 and, 2200.
Flovent (Fluticasone), 2 puffs, PO, BID, to
be given at 1000 and 2200
1. What education would be provided to the cafeteria staff to
minimize the risk of Danté’s having an anaphylactic reaction?
2. What instructions would the school nurse provide to those who
may be in a position to administer a single dose of
epinephrine?
3. What assessment data would be essential to determine the
effectiveness of the epinephrine for Danté before and after an
anaphylactic reaction?
4. It is 2200 and your client should receive all three
puffers. In what order would you administer these
medications?
5. If the patient developed acute asthma induced by
beta-blockers, explain why he might not respond to being treated by
a drug such as salbutamol.
6. Physician ordered 500mg of Levofloxacin IV. Pharmacy sent you
a pre-made bag of Levofloxacin 500mg in a 100ml bag of NS for your
patient. Physician order reads: administer Levofloxacin IV over 90
minutes. The drop factor of tubing is 60gtts/ml. What is the drip
rate?