This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is being treated with amphotericin B Abelcet for a systemic fungal infection. After ... (Read 61 times)

09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
A patient is being treated with amphotericin B Abelcet for a systemic fungal infection. After several weeks of therapy, the provider orders flucytosine Ancobon in addition to the amphote-ricin.
 
  The nurse understands that the rationale for this combination is that it: a. broadens the antifungal spectrum.
  b. improves the effectiveness of the ampho-tericin B.
  c. lowers the dose of amphotericin B and reduces toxicity.
  d. treats fungal central nervous system (CNS) infection.

Question 2

A patient is being treated for a systemic fungal infection with amphotericin B Abelcet and will be discharged home from the hospital to complete every other day infusions of the medication for 6 to 8 weeks.
 
  The nurse provides discharge teaching before dismissal. Which statement by the patient indicates a need for further teaching? a. I may experience headaches and pain in my lower back, legs, and abdomen.
  b. I may need to take potassium supple-ments while taking this drug.
  c. I should take acetaminophen and di-phenhydramine before each infusion.
  d. I will need to have blood drawn for se-rum creatinine and BUN levels every 3 to 4 days.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jamesnevil303

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Amphotericin potentiates the antifungal actions of flucytosine, and combining flucytosine with low-dose amphotericin can produce antifungal effects equivalent to those of high-dose amphote-ricin. By allowing a reduced dose of amphotericin, the combination also reduces the risk of am-photericin-induced toxicity. Flucytosine does not affect the effectiveness of amphotericin. The combination does not broaden the antifungal spectrum or alter the ability to treat CNS infections.

Answer to Question 2

A
Headaches, lower back pain, leg pain, and abdominal pain occur with intrathecal administration of amphotericin B. Patients taking amphotericin may experience hypokalemia and may need po-tassium supplements. Acetaminophen and diphenhydramine should be taken to minimize infusion reaction effects. Renal function should be monitored every 3 to 4 days during treatment.


09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
Reply #2 on: Jul 23, 2018
Thank you!


jamesnevil303

  • Sr. Member
  • ****
  • Posts: 337
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter. Closed urinary drainage system. Urine being measured after it leaves patient’s body via catheter.
Pulmonary and systemic circulations Pulmonary and systemic circulations
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
Cows being raised for beef are often confined to feedlots, where they may be treated with antibiotic Cows being raised for beef are often confined to feedlots, where they may be treated with antibiotic
Systemic Circulation Systemic Circulation
Systemic Circulation Systemic Circulation
Video: Smoking Cessation

For a complete list of videos, visit our video library