Question

Case Study: AB is a 55-year-old woman with a wound infection to her right leg. A C&S was obtained and found the infection is to Pseudomonas aeruginosa. Her temp is elevated at this time to 103.8. Amikacin sulfate is to be administered IV in 100 mL of 5% dextrose in water (D5W) over 45 minutes every 8 hours. The dosage is 15 mg/kg/day in three divided doses. AB weighs 165 pounds.

Why should a hearing assessment be included? Explain in detail. AB’s urine output in the last 8 hours was 125 mL. Explain the possible cause for the amount of urine output. What is your first initial nursing action? What laboratory tests monitors renal function? What does this lab test tell us? The health care provider requests peak and trough serum amikacin levels. When should the blood samples to determine peak serum level and trough serum level be drawn?

Answer 1

steering assessment should be included as ototoxiciter is adverse reaction associated with the use of aminoglycoside se anckacin e * Causes of decreased urine eetput:- Aminoglycoside nephrotoxicity Decreased water intake - Aminal lycoside demage unticel nephrons and tabulare donge. As they interfere with frostaglandin production in kidneys so reduces glomerater filteration rate. & Initial nursing action include informing the physician about decreased wrine output Measuring feek & trough serum level of amikelin Labtests to monitor Kenal function:- Serum creaturine wine osnelerity * serum creatinine will increase a wrine osmolarity also the rease suggesting accute kidney injury Scher Simple for fook concentration are collected e Camschon na after start of IV infusion. cover las Sumple for fook Schum Scanned with /

Sample for trough concentration to be taken within 30 min of hept dose. Scanned with CamScanner