Vancomycin – Nursing Pharmacology

Vancomycin (that’s right you get your own special category cause you’re bad ass)
Severe Gram (+) Infections

Vancomycin ADVERSE REACTIONS
Ototoxic and Nephrotoxic, GI disturbance, skin rash, fever, chills, confusion, seizures, “Red Man Syndrome” (a syndrome of flushing, hypotension, and tachycardia)

Vancomycin Nursing Implications
*Get a baseline hearing test, BUN, and creatinine
*Monitor drug serum levels

Vancomycin Administration Considerations
Infuse over 60 MINS on an infusion pump and monitor BP and HR during administration d/t risk of hypotension

What MOA class is vancomycin? Cell Wall Synthesis Inhibitor Is vancomycin bactericidal or bacteriostatic? Bactericidal WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample What types of organisms and infections …

albumin Nursing Implications Monitor vital signs, central venous pressure, intake and output. Assess for signs of vascular overload before and after administration. Monitor serum sodium levels; may cause an increase in concentrations. Monitor hemoglobin and hematocrit levels; these values may …

Aminoglycosides gentamicin, streptomycin, tobramycin, neomycin, kanamycin, amikacin (BE CAREFUL WITH THESE “mycins”. They’re not macrolides) Aminoglycosides – gram (-) Bactericidal Aminoglycosides *treat aerobic bacteria such as escherichia coli and klebsiella species *they inhibit protein synthesis in bacteria and compromise the …

Aminoglycosides Class Name an antibiotic class that you would worry about nephrotoxicity and ototoxicity? Sulfonamides, Tetracyclines, Fluoroquinolones Name 3 antibiotic classes that have an the adverse effect, photosensitivity? WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR …

Seven aspects of drug therapy 1) pre-administration assessment 2) dosage and administration 3) evaluating and promoting therapeutic effects 4) minimizing adverse effects 5) minimizing adverse interactions 6) making PRN decisions 7) managing toxicity Three goals of ASSESSMENT 1) collecting baseline …

White blood cell count (WBC) 4,500 – 10,000 mm3 Function: Total leukocyte count. Subdivided into 5 types in differential Determines the presence of infection Nursing Implications Check VS, note if temp and pulse increased Assess for s/sx of infection Red …

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