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

When Times Are Bad, Nursing Looks Good

The weak economy is easing the nursing crunch, the WSJ reports. It’s a welcome side effect from inflationary pressures on families across the country and pinches on employment in other fields.

nursesWhen money is tight many nurses with flexible schedules take on extra shifts, moving from part-time to full-time. Other nurses are postponing retirement or returning to the work force after a hiatus, the WSJ reports.

But the improvement in staffing may last only until the economy picks up. Nursing employment has been a kind of reverse economic indicator in recent decades.

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Philippines: Oversupply of Nurses

Could it be that the Philippines got too excited about the demand for nurses worldwide that today, there are too many nurses than the healthcare institutions can handle.



A report from the University of the Philippines Dean of the College of Nursing revealed that indeed our country has so many nurses that new nursing graduates are finding it hard to find jobs. The competition among nursing graduates is so stiff that local hospitals can now afford to hire nurses for free.



Another proof that we have too many nurses is a report from the President of the Philippine Nurses Association (PNA), Leah Paquiz that the quota requirement for migrant workers in America for this year had been reached.This is not the first time that the Philippines had experienced an oversupply of professionals of a particular field.

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