Question

In: Nursing

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.

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 2 years ago

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