
(1)
To determine:
The purpose of acetaminophen and antihistamine.
Case summary:
A.B. is 63 years old. He has been admitted for respiratory disease and identified with severe systemic fungal infection. An infusion of amphotericin B will be started in a few days. Before administering this drug, kidney and liver function tests and complete blood count are examined by the nurse. After verifying the potency of the intravenous line, a single dosage of acetaminophen (Tylenol) and antihistamine are given to the patient by the staff, before the infusion process.
(2)
To explain:
The staff nurse stays with the patient for the first 15 minutes of the infusion as well as monitor his vital signs. The rationale for these nursing actions.
Case summary:
A.B. is 63 years old. He has been admitted for respiratory disease and identified with severe systemic fungal infection. An infusion of amphotericin B will be started in a few days. Before administering this drug, kidney and liver function tests and complete blood count are examined by the nurse. After verifying the potency of the intravenous line, a single dosage of acetaminophen (Tylenol) and antihistamine are given to the patient by the staff before the infusion process.
(3)
To determine:
A.B. calls the staff nurse and tells her that he is experiencing nausea, chills and hot after one hour of infusion. What would be the priority action taken by the nurse?
Case summary:
A.B. is 63 years old. He has been admitted for respiratory disease and identified with severe systemic fungal infection. An infusion of amphotericin B will be started in a few days. Before administering this drug, kidney and liver function tests and complete blood count are examined by the nurse. After verifying the potency of the intravenous line, a single dosage of acetaminophen (Tylenol) and antihistamine are given to the patient by the staff before the infusion process.
(4)
To determine:
A.B. continues to feel the (severe) symptoms remaining of the night, and the next day morning prescriber Doctor. F. changes the medication order to liposomal amphotericin B (AmBisome). The reason for which the physician continues the antifungal medication and change the medication order.
Case summary:
A.B. is 63 years old. He has been admitted for respiratory disease and identified with severe systemic fungal infection. An infusion of amphotericin B will be started in a few days. Before administering this drug, kidney and liver function tests and complete blood count are examined by the nurse. After verifying the potency of the intravenous line, a single dosage of acetaminophen (Tylenol) and antihistamine are given to the patient by the staff before the infusion process.

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Chapter 42 Solutions
Pharmacology and the Nursing Process, 8e
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