Pharmacology Antivirals #3

Question

Acyclovir suspension is ordered for a child with chronic cold sores. Which instruction should the nurse included?

Answers

  1. Shake the liquid medication thoroughly immediately before taking
    • Rationale:

      This answer is correct because suspension medications are liquids that must be thoroughly shaken prior to measuring the dosage. This is to make sure the medication is adequately mixed so the correct dosage can be given. After thorough shaking, the oral suspension liquid can be measured with a dosing syringe or special dose-measuring spoon or medication cup. This can be obtained from the pharmacist. A household spoon should not be used since consistent, accurate measurement is not possible with just a household spoon.

  2. Be sure to use a household teaspoon for more accurate dosing
    • Rationale:

      This answer is not correct because a household spoon should not be used since consistent, accurate measurement is not possible with just a household spoon. After thorough shaking, the oral suspension liquid can be measured with a dosing syringe or special dose-measuring spoon or medication cup. This can be obtained from the pharmacist.

  3. Drink plenty of water while taking to flush the liver and GI system
    • Rationale:

      This answer is not correct because, although plenty of water should be consumed by the client, it is not done to flush the liver or gastrointestinal system, but to flush the kidneys. The kidneys are most affected by this medication so plenty of fluids should be consumed.

  4. If you miss a dose, take two doses to maintain drug levels in the body
    • Rationale:

      This answer is not correct because if a dose of acyclovir is missed, the client should not take a double dose. Take the dose as soon as it is remembered. If it is almost time for the next dose, then just wait and take the scheduled dose. It is not recommended to take extra medication if a dose is missed.

Overview

Acyclovir suspension medication should be shaken thoroughly before a dose is measured to be sure the medicine is adequately mixed.

Explanation

Learning Outcomes

Suspension medications are liquids that must be thoroughly shaken prior to measuring the dosage. This is to make sure the medication is adequately mixed so the correct dosage can be given. Acyclovir is available in a suspension for easier administration to children. After thorough shaking, the oral suspension liquid can be measured with a dosing syringe or special dose-measuring spoon or medication cup. This can be obtained from the pharmacist. A household spoon should not be used since consistent, accurate measurement is not possible with just a household spoon.

Test Taking Tip

Watch carefully for sound-alike and look-alike drugs on exams as well as real life nursing.

Video Rationale