Question

Question 5 & 6

PN 105 Fundamentals of Nursing I Otitis Media - Amoxicillin SA, age 6 years, has otitis media. The health care provider ordered amoxicillin 250 mg. every 8 hours. The nurse asks SA's parent if SA is allergic to any drugs, and the parent says that SA is allergic to penicillin. 1. What are the similarities and differences in penicillin and amoxicillin? Explain your answer. 2. What nursing actions should the nurse take and why? The health care provider changed the amoxicin order to cefaclor (Ceclor) 250 mg every 8 hours The therapeutic dose for children is 20-40mg/kg/dose in three divided doses. The child weighs 40 pounds 3. What are the similarities and differences in amoxicillin and cefaclor? Explain your answer. 4. Is the prescribed cefaclor dosage for SA within safe parameters? Explain your answer. 5. Explain the significance of the nurse asking about allergies to antibiotics such as penicillin. What is the relationship of penicillin and cefaclor in regard to allergies? 6. What should the nurse include in patient teaching for SA and her parents regarding cefaclor?

Answer 1

5.Penicillin comprises of major classifications of antibiotics under it. Amoxicillin belongs to the class of penicillin, so this drug cannot be administered to a patient who has penicillin allergies.

Cefaclor belongs to cephalosporin group of antibiotics. Patient allergic to penicillin has a 10% cross interactions or adverse reaction if cephalosporin are administered. The recent study have revealed that this rate is less than 0.001% and patient can be administered cephalosporin.Another reason is the earlier cephalosporin drugs contained a very minimal amount of penicillin which when administer can cause severe reactions in allergic patients.

6.The following patiwnt education has to be given to the patient and parents regarding cefaclor administration

• Administer drug only as prescribed (do not overdose or undergoes the child )
• Monitor for any adverse reactions and report immediately (dyspnea, wheezing,diarrhoea, abdominal pain,hives,rash,bleeding)
• Complete the antibiotic course ,discontinuing may aggravate and relapse of symptoms
• Do not administer any vaccination (typhoid vaccine) because this may not work
• No OTC drugs or herbal supplements
• Monitor for urine output as this drug can cause kidney problems because the drug is eliminated via renal system.