University:
Emporia State University
Course:
CH 126 | Chemistry Ii
Academic year:

2019
Views:

495

Pages:

1
Author:

Kolten Khan

DRUG CARD Therapeutic class of drug: Anti-infectives. Pharmacologic class of drug: Cell Wall Synthesis Inhibitors MEDICATION (GENERIC name): Vancomycin (BRAND name): Vancocin/ Firvanq. MECHANISM OF ACTION: Bactericidal-destroys bacterial cell wall. INDICATIONS: Streptococcal infections, MRSA, Endocarditis prophylaxis (IV); Staphylococcal enterocolitis/C. diff diarrhea (PO) CONTRAINDICATIONS:Hypersensitivity PERTINENT LABS TO MONITOR: CBC, BUN, Creatinine, Urine specific gravity, Urine gram, Vancomycin trough. ROUTES: PO, IV RECOMMENDED DOSAGE RANGE: 500mg q 6hr Max 4g/day (IV), 2g/day (PO). Common side-effects Life-threatening side effects Infusion rxn (Rodman syndrome) - phlebitis, rash, itching, severe hypotension, tachycardia, flushing Ototoxicity/tinnitus – hearing loss Renal toxicity Nursing Implications/Patient and family teaching: Assess pt for infection (VS,WBC, appearance of wound, urine, stool) Obtain specimens for culture prior to initiating therapy Observe for ss of anaphylaxis & stop if it occurs Notify PCP if pregnancy is planned or suspected Take as directed & don’t double dose, Report hearing loss Monitor vancomycin trough levels Hypersensitivity reactions What focused assessment should be performed prior to administration to ensure the medication is safe to give? BP, Allergy WHY? Risk of Redman syndrome (severe hypotension) & anaphylaxis Interactions: Addictive ototoxicity & nephrotoxicity with aspirin, cyclosporine, cisplatin, loop diuretics Increase risk of histamine flush when used with general anesthesia in children Antidote/Reversal agents: For IV fluids & IVP or IVPB medications, fill out the sections below: IV flow rate (e.g. ml/hr) Rate of administration (minutes) Over 60min or 90min for doses >1g IV site (Y-site) compatibility Dilution (typically only needed for IVP) 50mg/mL