Question

prior to administering the cef

Case Study L Labra is a 05 year old male patient who presented to the local Emergency Department with increased shortness of breath, cough, and a low-grade fever. His current medications are warfarin (Coumadin) mg taken as directed and metoprolol Omg twice daily. He is admitted to the hospital and the physician writes an order for Mi Labra to receive ceftriaxone (Rocephin) 1 g every 12 hours via IV infusion Prior to administering the ceftriaxone to the patient, what information should the nurse obtain from the patient He reports experiencing an upset stomach after having taken penicillin a long time ago. Is this a true allery and should Mr. Labra not receive ceftriaxone? Case Study: Jessica Landry is a 24 year old female patient who is 2 years status post-kidney transplant. Her current medications include: prednisone 5 mg daily. Prograf Ime iwice daily, Celloop sou mg 2 capsules twice daily, wartaru mg daily enalapril 10 mg daily, simvastatin 10 mg daily, Ortho Novum 777 daily. Advait 250/50 inhalation twice daily and Proventil HFA 2 puffs every 4-6 hrs PRN wheezing and SOB. She presents today complaining o rtion and sorene in her mouth and throat. Which of Ms Landry's medications or medical conditions put her at risk format infection The physician diagnoses Ms. Landry with oral candidiasis and presentes nystatin suspension 1 teaspoontol for times daily for 7 days. As part of the nurse's teaching plan. How should be counsel Ms. Landry to use the suspension?

Answer 1

check patient about previous hypersensitivity reactions to penicillin, beta-lactam agent and cephalosporine. It avoids fatal hypersensitivity reactions.
no, Upset stomach not because of penicillin reaction. the penicillin-allergic reaction includes skin rash, hives, fever, itching, shortness of breath, wheezing and runny nose.
Prednisone medication is a corticosteroid. long term use of corticosteroid increases fungal infection by weakening the immune system. It disturbs the natural microorganism in our body and increases the risk of oral candidiasis.
Teach the patient to use the dropper for measuring the dose. administer one half of the dose in both side of the mouth and make it retain for several minutes before swallowing, it stops the growth of fungus and treats the fungal infection.
advise the patient not to take prednisone for a longer time than recommended. Advice her to take medicine with food and not to crush, or break the tablet and take a whole medicine.