Questions and Answers
What is the administration route for Vancomycin?
What is the expected action of Vancomycin?
Destroys bacterial cell walls, causing destruction of micro-organisms
Which of the following are therapeutic uses of Vancomycin? (Select all that apply)
Ototoxicity is a common side effect of Vancomycin.
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What are some side effects of Vancomycin? (Select all that apply)
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What should be monitored as a nursing intervention when administering Vancomycin?
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Patients taking Vancomycin should report changes in ______.
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Patients with a previous allergy to Vancomycin can safely take Vancomycin again.
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Who should use Vancomycin cautiously?
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What indicates successful evaluation of Vancomycin treatment? (Select all that apply)
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Study Notes
Administration
- Administered either orally or via intravenous (IV) method.
Expected Action
- Mechanism involves the destruction of bacterial cell walls, leading to the elimination of micro-organisms.
Therapeutic Uses
- Effective against staphylococcal infections that lead to colon and intestinal inflammation.
- Treats Clostridium difficile infections, which can result in severe diarrhea, including watery and bloody forms.
Side Effects
- Ototoxicity is rare but reversible.
- Infusion reactions can manifest as red man syndrome.
- Intramuscular (IM) and IV administration may cause site pain and thrombophlebitis.
- Risk of renal toxicity associated with usage.
Interactions
- Co-administration with other ototoxic medications, such as loop diuretics or aminoglycoside antibiotics, heightens the risk of ototoxicity.
Nursing Interventions
- Regular assessment for hearing loss is critical.
- Monitor vancomycin plasma levels to ensure therapeutic effectiveness.
- Keep a close watch on the infusion site for signs of swelling or inflammation.
- Evaluate intake and output alongside kidney function tests to monitor renal health.
Patient Education
- Advise patients to inform their healthcare provider about any hearing changes.
- Encourage reporting of symptoms like flushing, fainting, pain, or swelling at the IV administration site.
Contraindications
- Not suitable for individuals allergic to corn products or with a history of vancomycin allergies.
Precautions
- Use with caution in elderly patients, individuals with renal impairment, or those with pre-existing hearing loss.
Evaluation
- Monitor for reduction in fever, pain, inflammation, and abnormal breath sounds as indicators of therapeutic progress.
- Confirm resolution of the infection as an outcome of treatment.
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Description
This quiz covers the administration, expected action, therapeutic uses, side effects, interactions, and nursing interventions related to vancomycin. Understand the mechanisms behind its effectiveness against bacterial infections and the necessary precautions to take during its use.
