A 45-year-old man has a history of heart failure and is diagnosed with pulmonary arterial hyper-tension. Initially, he is prescribed treprostinil (Tyvaso) 3 breathes (18 mcg) per treatment session via the Tyvaso Inhalation System
Upon first administration, the patient feels nauseated, throat irritation, muscle pain, and experi-ences flushing. What is the best next course of action?
a. Continue medication administration with the addition of pain relievers.
b. Stop medication administration and con-tinue to the next treatment session.
c. Reduce dose to 1 to 2 breaths per session and then gradually increase to 3.
d. Change medication administration.
ANS: C
The initial dose for Tyvaso is 3 breathes (18 mcg) per treatment session. If not tolerated, the dose may be reduced to 1 to 2 breathes per session and then increased to 3. Tyvaso should be in-creased by 3 breathes every 1 to 2 weeks until 9 breathes (54 mcg) per treatment session is reached.
You might also like to view...
Which pulmonary measurement is also called MBC?
A. PEFR B. MVV C. SVC D. FVC
Assessment of a 72-year-old man reveals absent lung sounds to the left lung accompanied by a sudden onset of sharp chest pain on the same side. When obtaining the history, which of the following statements made by his wife is MOST important?
A) "He has chronic obstructive pulmonary disease." B) "He has had a fever since last night." C) "He did not take his medications today." D) "He just saw his doctor yesterday."
The Joint Commission created a program to help accredited health care institutions focus upon specific patient safety concerns
SOAP is an acronym for what?