
(1)
To determine:
The rationale behind the use of tazobactum with piperacillin in Zosyn.
Case summary:
Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular statuses are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.
The physician orders for the medications as follows:
Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.
Theophylline-300 mg every twelve hours, Maalox 30 mL prn (Gastrointestinal upset), and ibuprofen (oral) 400 mg prn for pain.
The physician orders that a sputum specimen be obtained and informs the staff nurse to begin the antibiotic regimen as soon as possible.
(2)
To explain:
The order that will be first implemented by the nurse.
Case summary:
Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular statuses are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.
The physician orders for the medications as follows:
Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.
Theophylline-300 mg every twelve hours, Maalox 30 mL prn (Gastrointestinal upset), and ibuprofen (oral) 400 mg prn for pain.
The physician orders that a sputum specimen be obtained and informs the staff nurse to begin the antibiotic regimen as soon as possible.
(3)
To determine:
The concerns or drug interaction that the nurse will be aware of with the use of Zosyn and other medications prescribed for Mr.G.
Case summary:
Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular statuses are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.
The physician orders for the medications as follows:
Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.
Theophylline-300 mg every twelve hours, Maalox 30 mL prn (Gastrointestinal upset), and ibuprofen (oral) 400 mg prn for pain.
The physician orders that a sputum specimen be obtained and informs the staff nurse to begin the antibiotic regimen as soon as possible.
(4)
To describe:
The parameters that will be monitored by the staff nurse to determine the effectiveness of Zosyn.
Case summary:
Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular statuses are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.
The physician orders for the medications as follows:
Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.
Theophylline-300 mg every twelve hours, Maalox 30 mL prn (Gastrointestinal upset), and ibuprofen (oral) 400 mg prn for pain.
The physician orders that a sputum specimen be obtained and informs the staff nurse to begin the antibiotic regimen as soon as possible.

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Chapter 38 Solutions
Pharmacology and the Nursing Process
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