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Chapter 34: Problem 67

A client has vancomycin (Vancocin) ordered every 12 hours. The client has one IV access and it currently has dopamine (Intropin) infusing to maintain blood pressure. Prior to the administration of the vancomycin (Vancocin) the nurse should: A. obtain another IV access. B. check for patency of the existing IV site. C. discontinue the Dopamine. D. check for compatibility of Dopamine and Vancomycin.

Short Answer

Expert verified
The nurse should check for compatibility of dopamine and vancomycin (Option D).

Step by step solution

01

- Understand the Medications

Vancomycin is an antibiotic, and dopamine is a vasopressor used to maintain blood pressure. It鈥檚 essential to understand what each medication does and why they're being used.
02

- Identify the Problem

The client has one IV access currently being used for dopamine infusion. We need to administer vancomycin, so the issue is determining the best course of action to safely administer both medications.
03

- Analyze the Options

Option A suggests obtaining another IV access, B checking IV site patency, C discontinuing dopamine, and D checking for compatibility. Discontinuing dopamine is not safe for the client. Obtaining another IV access can be an option, but it may not always be immediately feasible.
04

- Determine Compatibility

Checking for compatibility between dopamine and vancomycin is crucial. This will determine if both medications can be administered through the same IV line without compromising their effectiveness or causing harm.
05

- Conclusion

Based on the analysis, the nurse should check for compatibility between dopamine and vancomycin. This ensures that both medications can be administered safely without interrupting the dopamine infusion.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Vancomycin
Vancomycin is a powerful antibiotic used to treat serious bacterial infections. It is especially effective against gram-positive bacteria and is often reserved for treating infections that do not respond to other antibiotics.

It works by inhibiting cell wall synthesis, which is crucial for bacterial survival.
Side effects may include kidney damage and hearing loss, so patients are closely monitored during therapy.

Vancomycin is typically administered via IV infusion, especially for severe infections, to ensure it reaches therapeutic levels quickly.
Dopamine
Dopamine is a vasopressor used to treat low blood pressure, heart failure, and certain types of shock. It works by stimulating dopamine receptors and other adrenergic receptors, which increases cardiac output and raises blood pressure.

Commonly administered via IV, it requires careful monitoring of the patient鈥檚 heart rate and blood pressure to avoid adverse effects.

Adjusting dopamine dosage is a delicate process that must be managed closely to maintain the balance between therapeutic benefits and side effects like arrhythmias or increased heart workload.
IV Compatibility Check
IV compatibility checks are vital when administering multiple medications through the same line to ensure they do not react negatively with one another.

Incompatibilities can lead to reduced effectiveness, precipitation, or even harmful side effects.

Nurses use compatibility charts and online databases to determine if two medications can be safely mixed in the same IV line or if separate lines are required.

For vancomycin and dopamine, checking compatibility would involve verifying that these drugs do not chemically react and that their therapeutic effects remain intact when used together.
Patient Safety
Patient safety is paramount when administering medications, particularly via IV. Ensuring compatibility not only protects the patient from adverse reactions but also maintains the efficacy of the drugs being administered.

Continuous monitoring of the patient鈥檚 vital signs, awareness of potential side effects, and readiness to respond to any complications are essential aspects of patient care.

In this scenario, failing to check compatibility could compromise patient safety by potentially disrupting the dopamine therapy which is crucial for maintaining blood pressure.
Nursing Procedures
Nursing procedures involve a series of steps to ensure proper medication administration and patient care.

Steps include verifying medication orders, assessing the patient鈥檚 current condition, and monitoring for any changes during and after medication administration.

In this exercise, the nurse must ensure that they have all necessary information before proceeding, including drug compatibility.

Proper documentation and communication with healthcare team members are also crucial components. Effective nursing procedures enhance patient safety and improve treatment outcomes by providing structured and reliable care practices.

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Most popular questions from this chapter

A nurse is working in the labor and delivery unit. The nurse assesses all the laboring clients and notes that one has a small baby in breech position, one has a large baby who is engaged, one has an average sized infant in a transverse lie, and the last has an average sized infant with a floating head. Which client will the nurse definitely have to prepare for a cesarean delivery? The client with the A. small baby in breech position B. large baby who is engaged C. average sized infant in transverse lie D. average sized infant with a floating head

An elderly client in an extended care facility hollers from her bed 鈥淣urse, help me. They are throwing dishes at me.鈥� Which is the best response on the part of the nurse? A. 鈥淲hat kind of dishes is someone throwing at you?鈥� B. 鈥淗ave a drink of water and by then it will be over.鈥� C. 鈥淚 don鈥檛 see anyone throwing dishes but it must be scary for you; you are safe here.鈥� D. 鈥淲hy do you think anyone would want to throw dishes at you? You have never hurt anyone have you?

A 24-year-old post partum client is transferred to the ICU after developing disseminated intravascular coagulation (DIC). The nurse develops a care plan in collaboration with the physician knowing that the care of a client with a bleeding(clotting disorder usually includes: A. Monitoring core body temperature B. Initiating heparin therapy C. Administering blood D. Restricting dairy products in the diet

A client is transferred from the operating room to the postpartum unit following a cesarean section for fetal distress. When the nurse performs the postpartum assessment, the client complains of pain and asks the nurse not to palpate the fundus. Which is the appropriate nursing action? A. Ask a more experienced nurse to palpate the fundus. B. Palpate the fundus anyway while avoiding the incision area. C. Avoid palpating the fundus as long as the vital signs are stable. D. Explain the need for fundal palpation and then palpate the fundus from the side.

The nurse is comparing laboratory results on admission with laboratory results following treatment of a client with DIC. Which change in laboratory values from admission indicates a positive response to therapy? A. Decrease in platelet count B. Increase in fibrinogen level C. D-dimer assay increase D. Decreased bleeding time
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