Question

PN 200 Fundamentals of Nursing II Wound Infection - Amikacin JN, a 46-year-old woman, has a wound infection. The culture report stated that the infection was caused by Pseudomonas aeruginosa. JN's temperature was 102F at the time of the culture. Amikacin sulfate is to be administered IV in 100mL of D5/W over 45 minutes every 8 hours. The dosage is 15mg/kg/day in three divided doses, JN weighs 165 pounds.

Answer 1

5 WHEN TO COLLECT WOUND SAAMPLE FOR IDENTIFYING AGENT- .When you have signs and symptoms of a wound infection, such as a wound that is tender, red, swollen, draining fluid or pus, and slow to heal

WHEN TO COLLECT SAMPLE FOR IDENTIFYING AGENT- When the wound is healing , treatment is showing response for the healing of the wound.

6.it is antimicrobial drugs

. it act in both gram negative and gram positive bacteria

.it also act on bacterial cell wall

7.no, we should not prefered one aminoglycoside over another other wise it will lead to drug resistance.

8. amikacin cause ototoxicity. test should be done-

1. Nanoduck sweat test-
2. .pure-tone audiometry (PTA)
3. weber test
4. renne test

10. renal function tests are-

• blood urea
• sr. creatinine
• sr. sodium
• Urine RE
• BUN

11.Serum samples for peak concentrationsshould be collected within 60 minutes after IV injection and 60–90 minutes IM injection. sample for  trough concentrationsshould be collected within 30 min of the next dose.