A patient is prescribed bupropion (Wellbutrin SR) 100 mg twice daily. It is time for the second dose today and the drug sent up from the pharmacy is Wellbutrin 100 XL. What is the nurse's best action?
a. Administer the Wellbutrin XL tablet in place of the Wellbutrin SR tablet.
b. Cut the Wellbutrin XL tablet in half and then administer it.
c. Call the pharmacy and obtain a Wellbutrin SR 100 mg tablet.
d. Hold the dose and notify the prescriber.
C
An order for Wellbutrin SR can be confused with Wellbutrin XL. Both drugs are norepinephrine and dopamine reuptake inhibitors used to treat depression. But Wellbutrin SR is a slow-release form of the drug given twice a day, whereas Wellbutrin XL is an extended-release form of the drug given once a day. Because of their absorption and differences in onset of action, these drugs are not interchangeable.
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Leonard presents with symptoms of hyperlipidemia and is prescribed simvastatin. Simvastatin is available as 20-mg tablets. If the duration of the treatment is 7 weeks and the daily dosage is 40 mg, calculate the total number of tablets required for the duration of the treatment.
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