Diagnosed with bacterial meningitis

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Reference no: EM133850590

Question

The nurse is preparing a patient care plan for D.S., a 20-year-old college student who has been diagnosed with bacterial meningitis. Her symptoms before admission included a significant headache, photophobia, nausea, a stiff neck, and vertigo. A spinal tap was performed, and culture and sensitivity was ordered. While waiting for the results, the physician has ordered gentamicin intravenous piggyback (IVPB) 120 mg every 8 hours. Gentamicin trough levels are ordered every 8 hours, to be taken 30 minutes before administration of the next dose.

1. What is the purpose of obtaining the trough level?

2. What trough level would be considered a normal concentration?

3. What side effects of gentamicin will the nurse monitor for in D.S.?

4. A nursing home resident, K.W., had a hip knee replacement 6 months ago and consequently developed an infection with methicillin-resistant Staphylococcus aureus and then osteomyelitis. He has a history of diabetes.

K.W. receives vancomycin IVPB ordered at 15 mg/kg/day. K.W. weighs 220 lb. What daily dose would the nurse administer?

5. What nursing considerations are essential when giving this medication?

Reference no: EM133850590

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