NURSING NR 291 Pharmacology 1
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Write My Essay For MeVancomycin Case StudyGerald Lake, 33 years old, is hospitalized with endocarditis, an infection he acquired from IV drug abuse. He is in a special isolation room because he has MRSA (methicillin-resistant Staphylococcus aureus infection). You are careful to use gloves when you work around him and do not leave his room without discarding gloves in a proper receptacle. You hung his IV antibiotic of vancomycin and set the IV pump to infuse the medication over 1 hour. When you return 15 minutes later to check on him, you find half of the medication has already been infused. The key information from the nursing assessment includes the following: His face, chest, arms, and back are diffusely red. He is shaking and reports that he feels chilled. Vital signs: temperature, 100.6°F; pulse, 120; respirations, 24; blood pressure, 84/56 The patient is currently on vancomycin, 1 gm IV q6h. Case Study Questions 1.Provide the rationale for why Mr. Lake is taking vancomycin. (5 pts) Vancomycin is an antibiotic used to treat infections caused by bacteria. The patient islikely taking vancomycin because he has MRSA. Vancomycin works by inhibiting bacterial cell wall synthesis, which stops the bacteria from growing and dividing. 2.What contraindications or precautions would eliminate the use of vancomycin for Mr. Lake? (5 pts) Some contraindications that would eliminate the use of vancomycin for Mr. Lake include renal impairment, hearing impairment, intestinal inflammation, and concurrent use ofnephrotoxic agents or ototoxic agents. In addition, before taking vancomycin it is important to ensure that Mr. Lake does not have any allergies to it. Furthermore, it is important to ensure that Mr. Lake’s doctor is aware of any kidney problems, hearing problems, or intestinal problems before he takes this drug because any of these issues may prevent vancomycin to be prescribed for this patien
NURSING NR 291 Pharmacology 1
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