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? 2) If the dose of amoxicillin for a child under the age of 2 is 80 mg/kg/day in divided doses, is the prescribed dose safe? How do you know? 3) How will you instruct the family member to safely administer the drugs?

Answer 1

1. Prior to administration of amoxicillin, what must the nurse assess for?

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.

2) If the dose of amoxicillin for a child under the age of 2 is 80 mg/kg/day in divided doses, is the prescribed dose safe? How do you know?

• Children and babies more seasoned than 3 months of age weighing under 40 kg—Dose depends on body weight and should be controlled by your specialist. The standard dosage is 20 to 40 milligrams (mg) per kilogram (kg) of body weight every day, isolated and given at regular intervals, or 25 to 45 mg for each kg of body weight every day, partitioned and given like clockwork.
• Infants 3 months of age and more youthful—Dose depends on body weight and should be dictated by your specialist. The standard dosage is 30 mg for each kg of body weight every day, separated and given at regular intervals.

3) How will you instruct the family member to safely administer the drugs?

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.