The nurse is preparing to give sargramostim to a patient who has acute myelogenous leukemia (AML). The nurse assesses a heart rate of 78 beats per minute and a blood pressure of 120/70 mm Hg
The patient reports shortness of breath and has a cough and bilateral crackles. What will the nurse do next?
a. Contact the provider; discuss giving a lower dose.
b. Contact the pharmacist; request a bronchodilator.
c. Contact the pharmacist; request an order for furosemide.
d. Contact the provider; suggest administration of antibiotics.
ANS: A
Patients receiving this drug can experience sequestration of granulocytes in the pulmonary circulation and may experience dyspnea. The sargramostim infusion should be reduced in half if this occurs. Bronchospasm, pulmonary edema, and infection are not common side effects.
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