Antimicrobial Padlet by Brianna Hardy

Implication: Lab value-BUN, Creatinine, Kidney-related labs

2024-10-16 18:59:14 UTC

When giving vancomycin, monitor kidney related lab values which may depict any harmful effects of vanco on the kidneys, as the drug can negatively impact this organ

Isoniazid

2024-10-16 18:59:56 UTC

Nursing Implications:

monitor liver enzymes
monitor signs of rash, fever, systematic infections
monitor culture results for determine which medication will work best
monitory for toxicity and overdose ( labs)
administer on empty stomach ( if given PO)
some patients might need vitamin b6 supplest to prevent peripheral neuropathy)
obtain culture before administering med

Patient Teachings:

treatment ( use) of antibiotic for 6 months-2 years,
continue use as prescribed even if symptoms are not present
can cause yellowing eyes/skin ( possible vision changes)
can cause GI Upset
can cause dark urine
avoids foods that contain tyramine (tuna and Swiss cheese)
avoid use with alcohol

C. difficile/vancomycin

2024-10-16 19:00:20 UTC

Nursing implications

C. difficile associated diarrhea: Assess bowel status (bowel sounds, frequency and consistency of stools, presence of blood in stools) throughout therapy.

Vancomycin must be given orally for treatment of C. difficile-associated diarrhea.

Erythromycin

2024-10-16 19:02:09 UTC

Nursing implications

Monitor liver function
Arrythmias
Don't give with loperamide
Monitor for anaphylaxis
Get specimen culture
- Monitor bowel functions
Use cautiously with liver and renal disease
Can be used in Pregnancy
Use cautiously with Myasthenia Gravis
Increase otiosity in Geriatrics

Patient Teaching

Finish drug completely doesn't matter if you feel better
- if missed dose take ASAP or if close with next dose don't double up doses!

1-2 hours before eating -can eat with food if GI is bothered
Causes diarrhea
If Stool contains blood, mucus or pus notify provider

Zidovudine

2024-10-16 19:02:11 UTC

Nursing Implications

Monitor output
Monitor labs (CMP, CBC)
Monitor for bone marrow suppression
Monitor for elevated liver enzymes
Monitor for signs of infection (fever, rash)
Monitor for lactic acidosis

Patient Teaching

Medication Compliance
Not a cure for HIV or AIDS
Encourage rest
Can cause GI upset, headaches, seizures, fatigue, neck/ back pain

Gentamicin

2024-10-16 19:03:05 UTC

Treatment of gram - infections (E coli.) and other infections caused by staphylococci

*When penicillins or other less toxic drugs are contraindicated

Advise adequate fluid intake

Instruct patient to report signs of hypersensitivity, tinnitus, hearing loss, rash, vertigo, etc.

*Evaluate hearing abilities prior to administration

Advise females taking contraceptives of ineffectiveness

Take missed dose as soon as possible, avoid double dosing

New cultures are to be taken if signs/symptoms are not resolved via gentamicin

C. difficile/vancomycin

2024-10-16 19:03:22 UTC

Patient teaching

Advise patients on oral vancomycin to take as directed. Take missed doses as soon as remembered unless almost time for next dose; do not double dose.

Cefazolin

2024-10-16 19:03:42 UTC

Patient Teaching:
- Caution regarding disulfram-like reaction (flushing, headache, nausea, vomiting)
- watch for signs of rash and super infection (such as black furry overgrowth on tongue, vaginal itching or discharge, loose or foul smelling stool)
- caution with breastfeeding
- may alter bowel flora of infant patients
Nursing Implications:
- assess for infection at beginning and during therapy
- before initiating therapy, obtain patient history to determine previous use of and reactions to penicillins or cephalosporins
- persons with a negative history of penicillin sensitivity may still have an allergic response
- observe for anaphylaxis
- monitor bowel function (diarrhea, abdominal cramping, fever, bloody stools - all should be reported to HCP)
- assess patient for skin rash frequently during therapy - discontinue at first signs of rash (may be life threatening)
- Stevens-Johnson Syndrome may develop
- treat symptomatically, may reoccur once treatment is stopped

zuh·dow·vuh·deen

2024-10-16 19:06:36 UTC

Patient Teaching: Therapeutic/Informed Care

2024-10-16 19:06:46 UTC

When administering IV vancomycin, trough/peak levels are typically drawn to maintain a safe and therapeutic drug level within the blood, you may be able to lower patient stress/frustration by informing the patient they can expect blood draws at "x" frequency so they can feel informed and more autonomous in their care

oseltamivir

2024-10-16 19:08:55 UTC

Implications

use correct oral dosing device to avoid dosing errors
start medication as soon as symptoms start or within 2 days of exposure
do not give to patients with end stage renal disease and not receiving dialysis

Teaching

administer with food or milk to reduce adverse GI effects
medication is not a substitution for the flu shot
high alert for pregnancy, potential pregnancy and breastfeeding females
be aware of behavioral changes (hallucinations, abnormal beahvior etc.)
be sure to disclose OTC meds, vitamins, herbs etc. to avoid adverse effects

Vancomycin

2024-10-16 19:10:35 UTC

Use cautiously in pts with renal or hearing impairments; intestinal obstruction or inflammation.

Metronidazole for skin infection

2024-10-16 19:11:05 UTC

Assessment:
- Monitor for infection, neurological symptoms, and GI side effects (nausea, diarrhea). Assess liver and kidney function.
Administration:
- Give with food to reduce GI upset (oral). Administer IV over 30–60 minutes. Ensure proper use for topical/intravaginal forms.
Interactions:
- Avoid alcohol during and for 48 hours after treatment to prevent a disulfiram-like reaction. Monitor interactions with warfarin, phenytoin, and lithium.
Monitoring:
- Check INR if on warfarin. Monitor liver function and WBC counts during prolonged use.
Patient teaching
Take this medication exactly as prescribed by your healthcare provider. complete the entire dose, cause or a superbug (explain) Do not save for later.
reduces birth control
if it cause dizziness, wait to drive or operate machinery
Oral Form: Take with or without food. To avoid an upset stomach, you may take it with a meal.
avoid alcohol
If you miss a dose, take it as soon as you remember. However, if it’s almost time for the next dose, skip the missed dose. Do not double the dose to make up for the missed one.
If you experience severe side effects such as tingling or numbness in your extremities, seizures, or signs of an allergic reaction (rash, swelling, difficulty breathing). stop medication and contact HPC
If symptoms of infection worsen or do not improve after the full course of therapy. contact HPC
Store at room temperature away from moisture, heat, and light.

Vanco- Nursing Implication

2024-10-16 19:13:07 UTC

For orders specific to pregnant or nursing patients, be aware that these patient conditions alter the pharmacokinetics of vancomycin, if adverse reactions arise or if the benefit of administration does not appear to outweigh the risk of administration, contact the provider prior to administering the drug.

2024-10-16 19:18:27 UTC

Given to pregnant women who have HIV to prevent spreading to baby

2024-10-16 19:21:08 UTC

May decrease the therapeutic effect of influenza virus, avoid use 2 days prior to and 2 wk after vaccine administration.
always monitor flu symptoms