U.S government Case Study 2 Antimicrobial Drugs
Overview: Gerald Lake, 33 years old, endocarditis an infection he acquired from IV drug use. Vancomycin 1gm IV q6h set to infuse over 1 hour, after 15 minute, half of the antibiotic has been infused. Vancomycin is used only when the other antibiotics fail to resolve an infection. Vancomycin brand name is Vancovin. It is in a class of medication called glycopetide antibiotics. Biological half-life 4h to 11 h for adult.
Action: The medication acts by inhibits cell wall synthesis. It is an alternative drug for staphylococcal and streptococcal infections, including endocarditis when allergies prelude the use of penicillin and cephalosporin
Indication for Use: Potentially life threatening serious infections that include bone, skin, lower respiratory tract, and c. difficile
Therapeutics Dosage: Vancomycin can be administering orally or intravenously. It is usually taken 3-4 time a day for 7-10 daysThe dosage is based on the patient m medical condition and response to treatment. It must be administered over 1 to 2 hours intravenously. Iv sites must be rotate, patient must be monitored for drug interactions, monitor blood pressure for hypotension and
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However, the flushing of the face, neck, and upper torso in addition to the shakiness with chills, and the blood pressure 84/56, which conclude red man syndrome or demonstrated possible adverse effects from the drug. It is most likely to occur as the dose of vancomycin was infused too rapidly. The first action is to stop the vancomycin infusion. Administer antihistamine medications like Benadryl if the patient is not allergic to it before restart the drug. If vancomycin will be administered in the future, it is important to avoid Red man syndrome, by are-treating the patient with antipyretic and antihistamine medications like Tylenol and Benadryl and infused the drug at a slower