A premature infant has apnea of prematurity accompanied by bradycardia and desaturation.The infant was started on caffeine citrate (Cafcit),and the results from a blood level have just now returned.The infant's blood level of Cafcit is 2.3 mg/mL.What action by the nurse is most appropriate?
A) Allow infant to grow out of the current Cafcit dose.
B) Document results; maintain cardiorespiratory monitor.
C) Inform parents that this blood level is therapeutic.
D) Prepare for immediate intubation and ventilation.

Question

Quizplus · Accepted Answer

The therapeutic blood level for caffeine citrate (Cafcit)is 5-20 mg/mL; therefore,this blood level is subtherapeutic.The nurse should document the results and continue monitoring the infant with the cardiorespiratory monitor.The physician should also be informed so the dose can be adjusted if warranted.The child should not be allowed to outgrow the dose for weaning as the apnea and bradycardia episodes continue.The parents should not be informed that the level is therapeutic because it is not.There is no information leading to a conclusion that the infant needs intubation and mechanical ventilation.

A Premature Infant Has Apnea of Prematurity Accompanied by Bradycardia