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2 Cards in this Set
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- Back
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• Monitor for S&S of local inflammatory reaction or thrombosis at injection site, particularly if extravasation occurs.
• Monitor cardiovascular and respiratory status during initial IV therapy. If a test dose (1 mg over 20–30 min) is given, monitor vital signs every 30 min for at least 4 h. Febrile reactions (fever, chills, headache, nausea) occur in 20–90% of patients, usually 1–2 h after beginning infusion, and subside within 4 h after drug is discontinued. The severity of this reaction usually decreases with continued therapy. Keep physician informed. • Report immediately oliguria, any change in I&O ratio and pattern, or appearance of urine [e.g., sediment, pink or cloudy urine (hematuria)], abnormal renal function tests, unusual weight gain or loss. • Report to physician and withhold drug, if BUN exceeds 40 mg/dL or serum creatinine rises above 3 mg/dL. Dosage should be reduced or drug discontinued until renal function improves. • Consult physician about the appearance of mild erythema surrounding topical application to skin lesions. This may be an indication to reduce frequency of topical application. • ototoxicity (i.e., vertigo or hearing loss) Patient & Family Education • Notify physician if improvement does not occur within 1–2 wk or if lesions appear to worsen. Nail infections usually require several months or longer to improve. |
Amphotericin B (Antifungul)
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- a broad spectrum antibiotic
- Don't give if allergic to penicillin. - give empty stomach to increase absorption. - report rash to differentiate a nonallergenic rash - report diarrhea, do not self-medicated. - call dr if no improvement after few days -report superinfection (back hairy tongue, oral lesion or soreness, rectal or vaginal itching, loose, foul-smelling stool, unusual odor to urine. |
Ampicillin (Omnipen)
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