Mrs. Jones is a 46 yesrs old was admitted with a diagnosis of ulcerative colitis. she...

Mrs. Jones is a 46 yesrs old was admitted with a diagnosis of ulcerative colitis. she is to receive vancomycin 500 mg IV piggyback every 6 hours.

Describe the nursing implications when patients receive vancomycin. Explain peak and through.

Solutions

Expert Solution

Vancomycin is an antibiotic group of drug. It is a branched tricyclic glycopeptide. It binda with D - Ala - transfetase if growing peptide chain during cell wall synthesis and inhibits transpeptidase and prevent farther elongation of cross linkage of the Peptidoglycan mattrix and inhibits cell wall synthesis. It has some CNS, GI, Hematologycal, ENT, etc systemic side effects.

Here Mrs. Jobes, age 46 yrs. recives Vancomycin of 500 mg IV every 6 hrs. interval. When patient recives the medicine the nursing implications will be =

Assessment =

i. Monitor the intake output ratio of the client.

ii. Check if Oliguria, nephrotoxicity if occurs.

iii. Assess auditory function in regular intervals.

iv. Check the vital signs of the client.

v. Cardiac assessment has to be done.

Intervention =

Before procedure =

- asks the patient that if he has any nausea, vomiting, or headache if present.

- check the site of injection. Assess the skin around the site of injection.

- Describe the client about the medicine she is getting, it's moade oaf action, side effects and why it is indicated for her.

During administration =

Drow the medicine as per prescribed amount. Admiminister the medicine by following the 16 R's if medicine administration (Some of them are right patient, right site, right route, right disease, right time, right interval etc.)

After administration =

- teach them the patient and her family members about the side effects of the medicine.

- advice them for regular cardio pulmonary checkup, urinary system check up, ENT check up.

- advice them to report sore throat, fever, super infection, UTI (Urinary Track Infection) etc.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

TM is a 38 year old male with ulcerative colitis admitted to the medical unit at...

TM is a 38 year old male with ulcerative colitis admitted to the medical unit at the hospital for acute exacerbation of the disease. This is his second admission in the last six months. TM says he is frustrated with this disease. In the last week TM has had 15-20 diarrhea episodes a day. He needs to hurry to the bathroom often throughout the day and night. He reports sleeping only an hour at a time at night and trouble...

Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on...

Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extubated and then transferred to a medical-surgical unit. The medication regimen is adjusted during the hospitalization. Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital. (Learning Objectives 3 and 6) Describe the quality performance tools...

James a 44 year old male client with a history of ulcerative colitis had a total...

James a 44 year old male client with a history of ulcerative colitis had a total colectamy and a continent ileostomy (lock pouch). the client is postoperative day 1 and the atoms is bright red amd shiny in appearance. the retention catheter insterted into the nipple valve is in place to continuous drainage to the collection bag and the nurse monitors the intake and output closely and the lab values for any electrolyte imbalances. the client ask the lvn if...

The nurse is assigned to a 56-year-old Hispanic female, Mrs. G, admitted with the diagnosis of...

The nurse is assigned to a 56-year-old Hispanic female, Mrs. G, admitted with the diagnosis of end-stage renal disease. She has a 30-year history of type 1 DM. She is scheduled to have hemodialysis this AM. The night nurse indicates that she has a 2-cm dry, ulcerated circular area on the lateral outer aspect of her right great toe and an AV fistula on the right forearm. She has an order for NPH Insulin 15 units Sub-Q q AM and...

Edna Jones, a 56-year-old patient, is admitted to the burn unit with the diagnosis of toxic...

Edna Jones, a 56-year-old patient, is admitted to the burn unit with the diagnosis of toxic epidermal necrolysis. The patient developed the rapid onset of skin erythema and mucous membranes with large sheets of epidermis being shed, leaving the dermis exposed and painful. There are several painful lesions in her mouth. Her fingernails and toenails fell off as the skin sloughed. The patient had received a sulfonamide and had this reaction. The sulfonamide has been discontinued a. What assessment should...

A 42-year-old patient with history of ulcerative colitis (UC) and anemia, went to the ED. While...

A 42-year-old patient with history of ulcerative colitis (UC) and anemia, went to the ED. While at the emergency room, he complaints of abdominal pain/swelling alongside blood in her stool which is watery which has been going on for some days now. Vital signs are (BP) of 90/56, heart rate (HR) 115 bpm, respiratory rate (RR) of 32, temperature of 101.9°F, oxygen saturation (O2 sat.) of 98% on room air, and a pain of 8/10 (using the verbal numeric pain...

A 67-year-old retired businessman has a history of gastric ulcers and ulcerative colitis. He reports eating...

A 67-year-old retired businessman has a history of gastric ulcers and ulcerative colitis. He reports eating a well-balanced “mostly vegetarian” diet. He states he dislikes taking prescription drugs and prefers natural herbal remedies because they are “not toxic like drugs.” He takes a variety of herbal preparations to relieve his gastrointestinal problems although he admits he has not experienced any significant relief in symptoms. His doctor prescribed a proton pump inhibitor and sulfasalazine, which he states he takes “reluctantly.” He...

Mr. Jones, a 50 year old man, has been admitted to your hospital unit with a diagnosis of gastrointestinal bleeding.

Mr. Jones, a 50 year old man, has been admitted to your hospital unit with a diagnosis of gastrointestinal bleeding. He drove himself to the emergency department after vomiting bright red blood twice within 6 hours. The emergency department staff reported that he arrived on the unit oriented times three but is anxious, slurring his words, and smells of alcohol. He was not able to provide a full history upon admission, but admits to drinking a "few" drinks that...

Mrs Lee is a 80-year-old lady who was admitted to hospital yesterday because of fever. She...

Mrs Lee is a 80-year-old lady who was admitted to hospital yesterday because of fever. She was paralysed after a stroke attack two years ago and had double incontinence. She developed an infected pressure sore at the sacral region last week and daily dressing was prescribed. Explain the components to be included when assessing pressure sore.

Mrs. Angstrom is an 83-year-old patient who was admitted to the hospital after she fell outside...

Mrs. Angstrom is an 83-year-old patient who was admitted to the hospital after she fell outside her home and broke her hip. She has been living alone in her apartment since her husband died 4 years ago. Mrs. Angstrom has no long-term history of mental illness, but she has recently shown signs of cognitive impairment and dementia, according to her neighbor Jeanine Finch, 63, who called 911 after Mrs. Angstrom’s fall. “She wanders around outside sometimes and doesn’t always know...

Subjects