What nursing implications should you consider when administering antibiotics?
Monitor for signs and symptoms QT prolongation, tendon rupture, and bleeding in elderly and renally impaired clients. Avoid with antacids or multivitamins as these may reduce the efficacy of the antibiotic increasing resistance. Ensure all the medication is taken to discourage resistance.
Who should not take Lovenox?
You should not use Lovenox if you are allergic to enoxaparin, heparin, benzyl alcohol, or pork products, or if you have: active or uncontrolled bleeding; or. if you had decreased platelets in your blood after testing positive for a certain antibody while using Lovenox within the past 100 days.
What nursing considerations are essential when giving vancomycin?
Some considerations for nurses administering vancomycin include ensuring a patent IV line, planning for administration of the preoperative dose as much as two hours before the initial incision is made, and including information about the dose and timing of preoperative vancomycin administration in the surgical time out …
What is the correct method for the nurse to administer probenecid to a patient?
Probenecid comes in a tablet to take by mouth. It usually is taken two times a day when prescribed for chronic gout or gouty arthritis and four times a day when prescribed with antibiotics to make them more effective.
What should you assess before giving Lovenox?
Assess for signs of bleeding and hemorrhage, including bleeding gums, nosebleeds, unusual bruising, black/tarry stools, hematuria, and a fall in hematocrit or blood pressure. Notify physician or nursing staff immediately if enoxaparin causes excessive anticoagulation.
What safety precautions are you aware of regarding Lovenox?
Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Enoxaparin may cause bleeding problems.
What special nursing considerations are pertinent to medication administration?
Prior to the administration of medications, the nurse must check and validate the medication order, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs, client …
What should I assess before vancomycin?
Considerations. Evaluate BUN, creatinine, and CrCl before starting therapy and at intervals, or as needed to monitor renal status thereafter. Each hospital may have different protocols with antibiotic stewardship, vancomycin level monitoring, and treatment duration.
Does probenecid increase blood pressure?
The administration of probenecid (50 mg/kg, ip) induced a significant systolic blood pressure (SBP) decrease, from 167 mmHg to 141 mmHg, within 120 min.
What patient education should be included for a patient receiving enoxaparin?
Make sure your patient recognizes the significance of informing their healthcare providers, including dentists, that they are taking Lovenox. Instruct them to check with their physician if they notice any possible side effects such as: Bruising or bleeding, especially prolonged bleeding. Bloody or black, tarry stools.
How do I educate my patients about Lovenox?
As part of your nursing practice, it is very important to educate your patients about Lovenox as well. When teaching your patient about Lovenox, make sure to stress the importance of informing their healthcare provider about any other medical problems that might affect the actions of Lovenox.
What are the risks of using Lovenox® for anticoagulation and thromboprophylaxis?
Consider the benefits and risks before neuraxial intervention in patients anticoagulated or to be anticoagulated for thromboprophylaxis [see Warnings and Precautions (5.1) and Drug Interactions (7)]. Lovenox ® is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE):
How much Lovenox should I take for unstable angina?
The recommended dose of Lovenox is 1 mg/kg administered subcutaneously every 12 hours in conjunction with oral aspirin therapy (100 to 325 mg once daily) in patients with unstable angina or non–Q-wave myocardial infarction.