Question

p of patients. The understands which choice below is the most effective way to achieve and maintain 27. The nurse is responsible for administering medications to a nurse a drug's therapeutic level? 1. IV push 2. Sublingual route 3. Oral administration 4. Large volume infusio

Answer 1

27. Some drugs require that blood levels are maintained within a certain range to avoid inefficacy as a result of low blood levels and producing side effects for the patient as a result of level in the blood being too high. So before side effects the level of the drug in the blood is determined and the effective way to achieve and maintain a drug's therapeutic level is administering drugs sublingually as this route is relatively more permeable and enhances rapid absorption of drugs with high acceptability.

a. IV push : Rapid IV push of a drug may lead to very high drug concentrations in the injected vein, possibly causing adverse effects.

b. Sublingual route: This route is especially for  nitrates and certain hormones . In this route the the drug do not undergo first pass liver metabolism and directly reach systemic circulation without more change to the drug.(answer)

c.Oral :The drug through this route reaches liver before reaching the systemic circulation where the amount of drug reaching the target tissue may be reduced .

d.Large volume infusion: This is given when there is need for rapid action of a drug .