ANTIBIOTICS

>antibiotics may cause diarrhea due to disruption of normal flora.


Major side effects
Nursing Interventions
penicillins
allergic reactions:
-maculopapular rash
-anaphylactic shock
-watch for rash, fever and chills
-be prepared to treat anaphylaxis.

cephalosporins
allergic reactions
-check patient history: avoid in patients with known penicillin allergy

sulfonamides
renal toxicity
-best absorbed on empty stomach
-increase fluid intake

aminoglycosides
renal toxicity
ototoxicity
-increase fluid intake
-watch for tinnitus, vertigo or hearing loss

tetracyclines
bind with calcium
-give at least 2 hours before or after ingesting milk.
-dont give in 2nd half of pregnancy or to children <8years
(->tooth discoloration)

isoniazid
(antitubercular)
hepatotoxicity
peripheral neuropathy
-watch for loss of appetite, jaundice, dark urine
-monitor liver function test
-avoid alcohol

rifampicin
(antitubercular)
hepatotoxicity
orange color urine
-teach client that orange urine coloration is normal effect

ethambutol
(antitubercular)
impaired vision
-evaluate clients vision and color discrimination

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