Questions and Answers
What is the name of the drug?
Vancocin
What is the official or generic name of vancomycin?
vancomycin
What is the classification of vancomycin?
Ther.Class.anti-infectives
What are the chief actions of vancomycin?
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What are the uses of vancomycin?
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What is the usual administration method for vancomycin?
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What are some toxic manifestations or untoward effects of vancomycin?
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What is the pregnancy category of vancomycin?
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What is important patient teaching regarding vancomycin?
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What are key nursing assessments for vancomycin?
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Study Notes
Vancomycin Overview
- Brand Name: Vancocin
- Generic Name: vancomycin
Classifications
- Therapeutic Class: Anti-infectives
Mechanism of Action
- Binds to bacterial cell walls, leading to cell death.
- Exhibits bactericidal action against a range of susceptible organisms.
Spectrum of Activity
- Effective against several gram-positive pathogens, including:
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Group A beta-hemolytic streptococci
- Streptococcus pneumoniae
- Corynebacterium
- Clostridium difficile
- Enterococcus faecalis
Indications for Use
- IV administration for life-threatening infections when safer alternatives are not suitable.
- Particularly beneficial for:
- Staphylococcal infections (e.g., endocarditis, meningitis, osteomyelitis)
- Pneumonia
- Septicemia
- Soft-tissue infections in penicillin-allergic patients
- Used for endocarditis prophylaxis in high-risk patients allergic to penicillin.
Administration
- Administered via IV route.
Adverse Effects
- EENT: Risk of ototoxicity.
- Cardiovascular: May cause hypotension.
- Gastrointestinal: Possible nausea and vomiting.
- Genitourinary: Risk of nephrotoxicity.
- Dermatological: Can cause rashes.
- Hematological: May lead to eosinophilia and leukopenia.
- Local: Risk of phlebitis at injection site.
- Musculoskeletal: May cause back and neck pain.
- Miscellaneous: Hypersensitivity reactions, including anaphylaxis, chills, fever, and "red man" syndrome during rapid infusion.
Important Classifications
- Pregnancy Category: Category C
Patient Education
- Advise patients on proper oral vancomycin dosage and to take missed doses unless close to next dose.
- Instruct reporting of any hypersensitivity signs, tinnitus, vertigo, or hearing loss.
- Advise notifying healthcare provider if no improvement occurs within a few days.
- Educate patients with a history of rheumatic heart disease or valve replacement on the importance of antimicrobial prophylaxis before invasive procedures.
Nursing Assessments
- (No specific details provided, leaving this section open for additional information.)
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Description
This quiz focuses on vancomycin, a critical antibiotic used to treat serious bacterial infections. Explore essential terminology, classifications, and mechanisms of action related to this important drug. Test your knowledge of its pharmacological properties and therapeutic effects.
