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Aminoglycosides (cont.)
•
Contraindications
–
Known allergies, renal or hepatic disease, hearing
loss
•
Adverse Effects
–
Ototoxicity and nephrotoxicity are the most
significant
•
Drug-to-Drug Interactions
–
Diuretics, neuromuscular blockers
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Tell whether the following statement is true or false.
Because of the adverse effects of the aminoclycosides, it is
important to teach the patient to restrict fluids and eat 6
small meals daily.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
False
Rationale: Provide the following patient teaching: Try to
drink a lot of fluids and to maintain nutrition (very
important) even though nausea, vomiting, and diarrhea
may occur.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Patients
Receiving Aminoglycosides
•
Assessment: History and Examination
•
Nursing Diagnoses
•
Implementation With Rationale
•
Evaluation
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Summary:
Gentamicin
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Carbapenems
•
Therapeutic Actions and Indications
•
Pharmacokinetics
•
Contraindications and Cautions
•
Adverse Effects
•
Clinically Important Drug
–
Drug Interactions
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Patients
Receiving Carbapenems
•
Assessment: History and Examination
•
Nursing Diagnoses
•
Implementation With Rationale
•
Evaluation
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Summary:
Ertapenem
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Cephalosporins
•
Similar to penicillin in structure and activity
•
Action
–
Interfere with the cell wall
–
building ability of bacteria
when they divide
•
Indications
–
Treatment of infections caused by susceptible bacteria
•
Pharmacokinetics
–
Well absorbed from the GI tract
–
Metabolized in the liver, excreted in the urine
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cephalosporins (cont.)
•
Contraindications
–
Allergies to cephalosporins or penicillin
•
Adverse Effects
–
GI track
•
Drug-to-Drug Interactions
–
Aminoglycosides, oral anticoagulants, ETOH
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Patients
Receiving Cephalosporins
•
Assessment: History and Examination
•
Nursing Diagnoses
•
Implementation With Rationale
•
Evaluation
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Summary:
Cefaclor
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
You are writing a plan of care for a patient receiving
Cefaclor. What would be an appropriate nursing diagnosis
for this patient?
