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Vancomycin & Aminoglycosides

The document provides an overview of Vancomycin, a glycopeptide antibiotic used to treat serious infections like MRSA and C. diff, highlighting key nursing considerations such as monitoring for toxicity and infusion rates. It also briefly discusses aminoglycosides like Tobramycin and Gentamicin, emphasizing their use in cystic fibrosis and the importance of monitoring kidney function. Key NCLEX tips include recognizing signs of toxicity and understanding the implications of drug interactions.

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23 views1 page

Vancomycin & Aminoglycosides

The document provides an overview of Vancomycin, a glycopeptide antibiotic used to treat serious infections like MRSA and C. diff, highlighting key nursing considerations such as monitoring for toxicity and infusion rates. It also briefly discusses aminoglycosides like Tobramycin and Gentamicin, emphasizing their use in cystic fibrosis and the importance of monitoring kidney function. Key NCLEX tips include recognizing signs of toxicity and understanding the implications of drug interactions.

Uploaded by

primemovies004
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Vancomycin

GLYCOPEPTIDES CLASS &


AMINOGLYCOSIDE CLASS

Glycopeptides Class Key NCLEX Tips: Aminoglycosides Class

Vancomycin Tobramycin
KEY Words: Gentamicin Cystic Fibrosis

Indication: REPORT Signs of Toxicity


Neomycin
MRSA C DIFF

Given for serious infections like: Ear Damage “Ototoxicity”


MRSA & C Diff in the gut NCLEX TIP - Vertigo (loss of balance) Indication:
NCLEX TIP - Tinnitus (ringing of the ears)

Treat infections in cystic fibrosis


MOA: Kidney Damage “Nephrotoxic”

MOA:
Inhibits cell wall synthesis REPORT / NOTIFY HCP

Creatinine Blocks protein synthesis of the


OVER 1.3 = Bad Kidney
bacteria to STOP bacterial
KEY Words: growth but the NCLEX
BUN Over 20
PEAK & Trough does not focus on this, but
Urine output 30ml/hr rather on the way this drug
Check 15 – 30 minutes BEFORE
“next dose” or “administration”
or LESS = Kidney Distress can HARM THE PATIENT
Draw & review levels

REPORT and HOLD NCLEX


Over 20 = Vancomycin
KEY POINT:
Draw & Review levels
Assess site every 30 minutes for: KEY POINT:
pain, redness & swelling BUN/Creatinine

Very Toxic in combo with


Red mans Syndrome Vancomycin
KEY Words:
Rapid infusion
***Notify HCP of Increas-
Sudden onset of severe: Monitor BP
ing
Infuse SLOWLY at least BUN/Creatinine!
Hypotension
over 60 minutes
Flushing & pruritis “itching” (<10mg/min)

Red rash on face, neck,


chest & extremities Common NCLEX Question
120/80 A patient in sepsis is prescribed
90/60
several antibiotics during their
80/50
hospital stay. What patient teaching
should be included?
(see exhibit for list of meds)
Levofloxacin
Doxycycline
ANAPHYLAXIS Vancomycin
Azithromycin

Hive 1. Avoid direct sun exposure


Wheezing 2. Oral birth control ineffective

IMMEDIATELY 3. Take until symptoms subside


STOP infusion & administer 4. Monitor QT interval
Epinephrine!
5. Suppliment with vitamin B6
E – Edema “Angioedema”
P – Pruritis & Hives 6. Monitor creatinine and BUN
I – Insp. / Exp. “Wheezes”

Notes

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