ACTIVE LEARNING TEMPLATE: Medication Nystatin MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Anti-Fungals CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Inhibits bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins. Therapeutic Use Oral suspension is used for the treatment of candidiasis in the oral cavity, topical cream is used for treatment of cutaneous or mucocutaneous mycotic infections caused by Candida albicans and other susceptible Candida species Complications - mouth irritation - upset stomach, nausea, vomiting, diarrhea; or skin rash. Medication Administration - applied to affected areas twice daily - oral suspension is used four times a day Contraindications/Precautions Contraindications: hypersensitivity Precautions: not to be used for the treatment of systemic, intravaginal or ophthalmic infections Interactions n/a Nursing Interventions - if irritation or sensitization develops, treatment should be discontinued and appropriate measures taken as indicated - if there is a lack of therapeutic response, KOH smears, cultures, or other diagnostic methods should be repeated Client Education Evaluation of Medication Effectiveness - Improvement of findings of superficial infections, such as clear mucus membranes, clear nails, intact skin - use as directed - complete the prescribed course of antimicrobial therapy, even though symptoms may resolve before the full course is completed - report to your provider if you have fast heart rate, trouble breathing, or severe skin reaction and discontinue treatment