Question

A 9-month-old infant weighing 20 pounds comes to the emergency department with a 3-day history of vomiting, fever greater than 102.5 F, and significant pain. Physical assessment reveals acute otitis media, for which the doctor prescribed amoxicillin 500 mg three times a day for 5 days and ibuprofen 2.5 ml every 6 hours. 1) Prior to administration of amoxicillin, what must the nurse assess for?

Answer 1

Assessment needed before administering the amoxicillin:

• Decide past excessive touchiness responses to penicillins, cephalosporins, and different allergens preceding treatment.
• Lab tests: Baseline C&S tests before start of treatment, begin tranquilize pending outcomes; intermittent evaluations of renal, hepatic, and hematologic capacities ought to be made amid delayed treatment.
• Screen for S&S of a urticarial rash (for the most part happening inside a couple of days after begin of medication) suggestive of an excessive touchiness response. On the off chance that it happens, search for different indications of extreme touchiness (fever, wheezing, summed up tingling, dyspnea), and answer to doctor promptly.
• Report beginning of summed up, erythematous, maculopapular rash (ampicillin rash) to doctor. Ampicillin rash isn't because of excessive touchiness; be that as it may, extreme touchiness ought to be precluded.
• Nearly screen the runs to preclude pseudomembranous colitis.

Family Education

• Take tranquilize all day and all night, don't miss a dosage, and proceed with treatment until the point that all solution is taken, unless generally coordinated by doctor.
• Report beginning of looseness of the bowels and other conceivable side effects of superinfection to doctor
• Try not to bosom bolster while taking this medication without counseling doctor.