
(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 status 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 following medications.
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 for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.
(2)
To explain:
Which medication 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 status 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 following medications.
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 for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.
(3)
To determine:
What concerns or drug interaction will the nurse 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 status 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 following medications.
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 for blood culture from two different sites 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 status 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 following medications.
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 for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.

Want to see the full answer?
Check out a sample textbook solution
Chapter 38 Solutions
Pharmacology and the Nursing Process, 8e
- what is health assessment?arrow_forwardwhat is health assessment in nursing?arrow_forwardClassroom Learning Objectives: Analyze the basic concept of nutrition (MPO 1.1) Discuss factors that affect food choice (MPO 1.2) Define nutrients and classify nutrients according to their work in the body (MPO 1.2) List the functions of water in the body (MPO 1.1) Describe the best practices for assessing a patient’s nutritional needs (MPO 1.2) Identify lab testing that may be completed to assess a patient’s nutritional status (MPO 1.2) Identify select alterations in nutrition with associated manifestations. Describe the multisystem effects of undernutrition (MPO 1.1) Discern when diet modifications may be warranted (MPO 2.3) Apply therapeutic nursing interventions when an alteration in nutritional status is identified. Explain the basic aspects of reading a food label (MPO 1.2) Describe pharmacological treatments of nutritional needs (MPO 1.3)arrow_forward
- Is this sinus arrest,sinus tachycardia,sinus bradycardia,normal sinus ?arrow_forwardRelated research design to answer the clinical question “How registered nurses accurately measure respiratory rates in performing vital sign assessments in hospital?” Provide article title, purpose/aim, methods and key findingarrow_forwardAnything else I should add to this slide and notes? Can you also put the notes into paragraphs with the changes?arrow_forward
- How are the nervous and musculoskeletal systems interrelated? How do central nervous system abnormalities and damage to the musculoskeletal system affect mobility? Please cite in text source and list referencesarrow_forwardAnything else I should add to this slide and notes? Can you also put the notes into paragraphs with the changes?arrow_forwardAnything else I should add to this slide and notes? Can you also put the notes into paragraphs with the changes?arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning





