A child is admitted to the hospital after a routine lead screen reveals an elevated serum lead level. The prescriber has ordered edetate calcium disodium (calcium EDTA) as a chelating agent. Dur-ing this drug treatment, the nurse will expect to:
a. collect a daily urine specimen.
b. give the medication on an empty stomach.
c. monitor the child's heart rate and blood pressure.
d. request orders for liver function tests.
A
Edetate calcium disodium (calcium EDTA) is administered to children as a chelating agent for lead poisoning. Its principle toxicity is renal tubular necrosis, as evidenced by hematuria and proteinuria. Daily urinalysis should be performed. The medication is given IV or IM, not orally. The drug does not have significant effects on the heart rate or blood pressure. It does not cause hepatotoxicity.
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