Author Question: A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV ... (Read 11 times)

rlane42 · **on:** Jul 23, 2018

A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV fluconazole as a first-line treatment. When administering this medication, the nurse should

A) administer the drug with lactated Ringer's.
B) infuse the drug no faster than 200 mg/h.
C) avoid administering the drug through a peripheral IV.
D) administer prophylactic heparin prior to the fluconazole.

Question 2

A patient is diagnosed with B. fragilis, an anaerobic organism resistant to most drugs. What is the drug of choice to treat this microorganism?

A) Cefaclor (Ceclor)
B) Cefamandole nafate (Mandol)
C) Cefoxitin (Mefoxin)
D) Cefuroxime sodium (Zinacef)

javimendoza7 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Continuous infusion of fluconazole occurs at a maximum rate of 200 mg/h. The drug is not administered with lactated Ringer's or heparin. A peripheral IV may be used.

Answer to Question 2

C
Feedback:
Cefoxitin (Mefoxin) is active against B. fragilis, an anaerobic organism resistant to most drugs. Cefaclor, cefamandole nafate, and cefuroxime sodium are all second-generation cephalosporins but not the drug of choice for B. fragilis.