What are nursing implications for vancomycin?
Monitor signs of hypersensitivity reactions and anaphylaxis, including pulmonary symptoms (tightness in the throat and chest, wheezing, cough dyspnea) or skin reactions (rash, pruritus, urticaria). Notify physician or nursing staff immediately if these reactions occur.
What medications affect vancomycin?
Most frequently checked interactions
- Bactrim (sulfamethoxazole / trimethoprim)
- Benadryl (diphenhydramine)
- Cipro (ciprofloxacin)
- Cymbalta (duloxetine)
- Flagyl (metronidazole)
- Lantus (insulin glargine)
- Lasix (furosemide)
- Lipitor (atorvastatin)
Which adverse effects are possible with oral vancomycin?
Side Effects
- Bladder pain.
- bloating or swelling of the face, arms, hands, lower legs, or feet.
- bloody or cloudy urine.
- decreased urine.
- difficult, burning, or painful urination.
- frequent urge to urinate.
- increased thirst.
- irregular heartbeat.
What are the indications of vancomycin?
INDICATIONS AND USAGE Vancomycin is indicated for the treatment of serious or severe infections caused by susceptible strains of methicillin-resistant (beta-lactam-resistant) staphylococci.
When should you not use vancomycin?
Most reactions resolve within 20 minutes; however, some may persist for several hours. May not be suitable for some people including those with inflammatory bowel disease (including Crohn’s disease or ulcerative colitis), kidney disease, or hearing loss.
What is vancomycin not compatible with?
Vancomycin 10 mg/mL was incompatible with piperacillin-tazobactam 40, 80, and 100 mg/mL. Incompatibilities formed a white precipitate immediately on mixing.
Who should not take vancomycin?
Vancomycin (Vancocin) can cause kidney damage, including kidney failure. Your risk of this is higher if you have or have had kidney problems, if you’re over 65 years old, or if you take medications that are tough on the kidneys (NSAIDs, certain blood pressure medications, water pills).
What should you assess before giving 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 vancomycin raise blood pressure?
Rapid infusion of Vancomycin may also cause flushing of the upper body (called “red neck” or “red man syndrome”), dizziness, low blood pressure, or. pain and muscle spasm of the chest and back.
Which IV fluids is vancomycin compatible with and how is it administered?
Reconstituted solutions containing 1g vancomycin must be diluted with at least 200ml diluent. 0.9% sodium chloride intravenous infusion or 5% dextrose intravenous infusion are suitable diluents. The desired dose should be given by intravenous infusion over a period of at least 60 minutes.
What should I know about donepezil before taking it?
Precautions. Taking donepezil together with certain medicines that are used during surgery or dental or emergency treatments may increase the effects of those medicines and cause unwanted effects. This medicine may cause some people to become dizzy or drowsy, to have blurred vision, or to have problems with clumsiness or unsteadiness.
What are the nursing implications of vancomycin in neonates?
Nursing Implications. Monitor serial tests of vancomycin blood levels (peak and trough) in patients with borderline kidney function, in infants and neonates, and in patients >60 y. Assess hearing. Drug may cause damage to auditory branch (not vestibular branch) of eighth cranial nerve, with consequent deafness, which may be permanent.
What are the contraindications for the use of vancomycin?
Contraindications. Known hypersensitivity to vancomycin, allergy to corn or corn products, previous hearing loss, concurrent or sequential use of other ototoxic or nephrotoxic agents, IM administration.
How much donedonepezil should I take for Alzheimer’s disease?
Donepezil dosing information Usual Adult Dose for Alzheimer’s Disease: Initial dose: 5 mg orally once a day, in the evening prior to retiring Mild to moderate Alzheimer’s disease: