Interactions and contraindications
Interactions and contraindications ( 5 Questions)
A nurse is caring for a client who is receiving vancomycin for a severe infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client also takes furosemide for heart failure.
Which of the following adverse effects should the nurse monitor for in this client? (Select all that apply.).
Hearing loss and nephrotoxicity are possible adverse effects of vancomycin, especially when used with other drugs that can affect the kidneys or ears, such as furosemide. The nurse should monitor the client’s renal function tests, serum vancomycin levels, and hearing acuity while receiving this combination of drugs.
Hearing loss and nephrotoxicity are possible adverse effects of vancomycin, especially when used with other drugs that can affect the kidneys or ears, such as furosemide. The nurse should monitor the client’s renal function tests, serum vancomycin levels, and hearing acuity while receiving this combination of drugs.
Choice C, red man syndrome, is a hypersensitivity reaction to vancomycin that causes flushing, itching, and rash on the face, neck, and upper body. It is not related to furosemide use and can be prevented by slowing the infusion rate of vancomycin.
Choice D, hypokalemia, is a low level of potassium in the blood that can be caused by furosemide, a loop diuretic that increases the excretion of potassium. However, vancomycin does not affect potassium levels and does not increase the risk of hypokalemia.
Choice E, thrombocytopenia, is a low level of platelets in the blood that can cause bleeding problems.
It is a rare side effect of vancomycin that occurs in less than 1% of patients. It is not related to furosemide use and does not occur more frequently with this combination of drugs.
Hearing loss and nephrotoxicity are possible adverse effects of vancomycin, especially when used with other drugs that can affect the kidneys or ears, such as furosemide. The nurse should monitor the client’s renal function tests, serum vancomycin levels, and hearing acuity while receiving this combination of drugs.
Choice C, red man syndrome, is a hypersensitivity reaction to vancomycin that causes flushing, itching, and rash on the face, neck, and upper body. It is not related to furosemide use and can be prevented by slowing the infusion rate of vancomycin.
Choice D, hypokalemia, is a low level of potassium in the blood that can be caused by furosemide, a loop diuretic that increases the excretion of potassium. However, vancomycin does not affect potassium levels and does not increase the risk of hypokalemia.
Choice E, thrombocytopenia, is a low level of platelets in the blood that can cause bleeding problems.
It is a rare side effect of vancomycin that occurs in less than 1% of patients. It is not related to furosemide use and does not occur more frequently with this combination of drugs.