Chapter 38, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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.