The nurse is reviewing laboratory test results for a patient who is about to begin taking piperacillin. An abnormal elevation in which laboratory values would cause the nurse to notify the prescriber immediately?
a. PT and PTT
b. BUN and creatinine
c. Hematocrit and hemoglobin
d. Serum glutamic-oxaloacetic transaminase (SGOT) and alanine transaminase (ALT)
B
The medication prescribed for the patient is dependent on a normal kidney function. The BUN and creatinine level are the best indications of kidney function.
A PT and PTT are not indicated in this situation but are indicted for heparin and warfarin.
Hematocrit and hemoglobin may be needed once the patient begins treatment.
SGOT and ALT are indicated for drugs that are hepatotoxic, which piperacillin is not.
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