Hypokalemia causing increased digoxin toxcitity risk Phenytoin phenobarbital

Hypokalemia causing increased digoxin toxcitity risk

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Hypokalemia causing increased digoxin toxcitity risk Phenytoin, phenobarbital, rifampin decreased effectiveness of med o Intervention: Monitor I&Os, daily weight, guaiac stool test, serum electrolytes Assess for adrenal insuffiency Hypotension Anorexia Lethargy Weight loss n/v weakness confusion o Education: Admin in morning Do not abruptly stop Avoid infectious people Avoid vaccines without consult Avoid alcohol o Effectiveness: 12
Decreases symptoms/minimal side effects Suppression of inflammatory/immune response in autoimmune disorders Penicillin G – anti-infective/penicillin o Therapeutic: bactericidal action against susceptible bacteria o Pharmacological: bind to bacterial cell wall resulting in cell death o Med Administration: IM, IV – shake vial before injection o Complications: o Allergies/anaphylaxis o Renal impairment o Hyperkalemia o Dysrhythmias o Hypernatremia o Contraindications/Precautions: o Penicillin/cephalosporin allergy o Renal insufficiency o Kidney dysfunction o Interactions: o Aminoglycoside/penicillin inactivate aminoglycoside (don’t mix in same IV solution) o Probenecid delays penicillin excretion o Interventions: o Interview for allergy prior o Observe for 30 minutes following administration o Assess for infection/electrolytes/kidney function/I&Os/vitals o Education: o Use nonhormonal contraceptive method o Report allergy signs (dyspnea/skin rash/itching/hives) o Effectiveness: o Resolution of signs/symptoms of infection Vancomycin (vancocin) – anti-infective o Therapeutic: serious infections (MRSA/c-dif) o Pharmacological: bactericidal o Med Administration: PO, IV – slowly over 60 minutes, ASSESS FOR CORN ALLERGY o Complications: o Ototoxicity o nephrotoxicity o RED MAN SYNDROME – infusion reaction Rashes – stop if red Flushing – slow down when first appears Tachycardia Hypotension o Contraindications/Precautions: 13
o Renal impairment o Hearing impairment o Interactions: o Ototoxic increased risk with other ototoxic meds = loop diuretics/aminoglycosides o Interventions: o Assess for corn allergy/hearing loss o Monitor vancomycin levels/I&Os/thrombophlebitis – redness, swelling, inflammation o Rotate injection sites o Education: o Report hearing loss o Notify if rash o Effectiveness: o Resolution of infection o Reduction in fever, pain, inflammation, adventitious LS Gentamicin (garamycin) – aminoglycoside, anti-infective o Therapeutic: e. coli, proteus, staphylococcus aureus, aerobes o Pharmacological: destroys bacteria by disrupting protein synthesis o Med Adminiatration: IM o Complications: o Ototoxicity – cochlear damage/vestibular damage o Nephrotoxicity o Intense neuromuscular blockade: resp depression/muscle weakness o Hypersensitivity Rash Pruritus Paresthesia of hands/feet Urticaria o Contraindications/Precautions: o Kidney impairment o Hearing loss o Myasthenia gravis o Vancomycin increases nephrotoxicity o Interactions: o

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