You are caring for a patient with chronic obstructive pulmonary disease who has come in with respiratory distress. The patient takes theophylline (Theo-Dur). A therapeutic level is drawn on the patient. You would know the patient needs to be educated on complying with medication if the therapeutic is what?
  1. 10 mcg/mL
  2. 12 mcg/mL
  3. 15 mcg/mL
  4. 18 mcg/mL
Explanation
Answer: A - The patient will need further education on the necessity of taking medications if the theophylline level is 10 mcg/mL. The therapeutic range is 10 to 20 mcg/mL. If the level is low, the patient will experience frequent exacerbations of the disease.
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