Vancomycin Med Temp PDF

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Summary

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ACTIVE LEARNING TEMPLATE:

Medication

Mcbean STUDENT NAME Alliyah _____________________________________ MEDICATION Vancomycin __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS Anti-infective ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action It binds to bacterial cell wall which results in cell death

Therapeutic Use Bactericidal action against susceptible organisms Used to treat patients with severe infections MRSA Infections in patients with an allergy to penicillin

Complications Otoxocity, hypotension, nausea, vomiting, nephrotoxicity, rashes, leukopenia, phlebitis, back and neck pain

Medication Administration IV and by mouth [PO] PO for colitis Give IV for all other infections. -Administer slowly and follow recommendations for dilution -Infuse separately, if possible (incompatible in solution with many other IV drugs)

Contraindications/Precautions Hypersensitivity Renal insufficiency (reduce dosage) Impaired hearing Colitis

Interactions

Nursing Interventions Assess for infection Obtain specimen for culture and sensitivity before initiating therapy. Monitor IV site closely Monitor BP throughout IV fusion May cause additive otoxicity and nephrotocity with other otoxic and nephrotoxic drugs May enhance neuromuscular blockade fron nondepolarizing neuromusucular blocking agents

Metformin may cause an increased risk for lactic acidosis Drugs that are toxis to hearing or kidney increase the risk for ototoxicity or nephrocity Incompatible in a solution with multiple other IV drugs Client Education Evaluation of Medication Effectiveness Resolution of signs and symptoms of infection Length of time for complete resolution depends on organism and site of infection

ACTIVE LEARNING TEMPLATES

Report flushing and feelings of faintness during IV infusion Instruct patients to report tinnitus or perceived loss of hearing Report hearing loss to provider Instruct patients to report an increase or decrease in urine output Report pain, swelling and redness at IV site immediately...