A provider has ordered ceftriaxone 4 gm once daily for a patient with renal impairment. What will the nurse do?
a. Administer the medication as prescribed.
b. Contact the provider to ask about giving the drug in divided doses.
c. Discuss increasing the interval between doses with the provider.
d. Discuss reducing the dose with the provider.
ANS: A
Unlike other cephalosporins, ceftriaxone is eliminated largely by the liver, so dosage reduction is unnecessary in patients with renal impairment. Giving the drug in divided doses, increasing the interval between doses, and reducing the dose are not necessary.
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