Dr z writes an order for Tobramycin 7 mgkgdose IV once daily

Dr. z writes an order for Tobramycin 7 mg/kg/dose IV once daily for a 16 YO cystic fibrosis patient admitted for pulmonary exacerbation. (patient weight = 41.5 kg, SrCr = 0.35 mg/dl) Please make any recommendations (if any) and write orders accordingly.

Solution

More drugs may harmful so doctors recommended following treatment for cystic fibrosis.

Cystic fibrosis causes nutrient deficiency Vitamin A,D,E,K. Thats why some oral pancreatic enzyme to help you digest fats and protein and obsorb more vitamins.

Mucocolytics such as acetylcysteine is used but not used in high dose beacuse it causes irritation in lings.

DNase such as Pulmozyme also used to thin mucus.

Medicine are harmful so doctors recommended some physical excercise like breathing excercise and physical therapy and cupping therapy.

Bronchodilater can help to relax the muscles of lungs to prevent inflammation.

Saltwater solution (hypertonic saline) also used.