Copyright 2017 Wolters Kluwer All Rights Reserved Dermatological Reactions

Copyright 2017 wolters kluwer all rights reserved

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Copyright © 2017 Wolters Kluwer • All Rights Reserved Dermatological Reactions Dermatological Reactions Rash/Hives Assessment Abnormalities in the skin, red area, blisters Interventions May need to discontinue the medication in severe cases Stomatitis Assessment Inflammation of the mucous membranes Interventions Frequent mouth care
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Drug-Induced Tissue and Organ Damage Drug-Induced Tissue and Organ Damage Superinfections — Destruction of the body’ s normal flora Assessment Fever, diarrhea, vaginal discharge Interventions Supportive care (mouth and skin care), administer antifungal medications as needed, may also need to stop drug responsible for the superinfection Blood Dyscrasia — Bone marrow suppression Assessment Fever, chills, weakness Interventions Monitor blood counts, protective isolation
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Toxicity Toxicity Affecting the body in a very noxious or toxic way Liver- Assessment Fever, nausea, jaundice, change in color of urine or stool, elevated liver enzymes Interventions Discontinue medication Kidney- Assessment Change in urinary pattern, elevated BUN and creatinine Intervention Notify physician, may need to stop medication or decrease the dosage
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Poisoning Poisoning Poisoning occurs when an overdose of a drug damages multiple body systems. Damage to multiple systems can lead to a fatal reaction. Treatment varies accordingly with drug
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Altered Glucose Metabolism Altered Glucose Metabolism Hypoglycemia Assessment Finding: Low serum blood glucose level Intervention: Restore glucose to the body Hyperglycemia Assessment Finding: High serum glucose level Intervention: Administer medications to decrease glucose level
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Electrolyte Imbalance Electrolyte Imbalance Hypokalemia Assessment Finding: Decrease in serum potassium levels Interventions: Replace serum potassium (IV or oral supplement) and monitor serum levels of potassium Hyperkalemia Assessment Finding: Increase in serum potassium level Interventions: Decrease the serum potassium concentration (Sodium Polystyrene Sulfonate), monitor serum levels of potassium, and monitor cardiac rhythm
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Sensory Effects Sensory Effects Ocular Toxicity Assessment Findings: Visual changes Interventions: Monitor for any visual changes when giving any medication that is known to cause ocular damage; discontinue medication as appropriate.
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