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Chapter 6: Problem 63

Fill in the blank: Prior to administering the cefepime (Maxipime), the nurse should be certain that Wanda does not have a history of serious allergic reactions to cephalosporins and what other class of anti-infectives?

Short Answer

Expert verified
Penicillins is the other class of anti-infectives where there could be serious allergic reactions.

Step by step solution

01

Recognize the Medication

Cefepime, widely known as Maxipime, is a used to combat bacterial infections. It belongs to the family of medications known as cephalosporins.
02

Identify the Relevant Allergic Reactions

Given that cefepime is a cephalosporin, it is important to be aware of any allergic reactions to drugs in the same class. Also, individuals who are allergic to cephalosporins may also be allergic to another class of antibiotics.
03

Identify the Other Class of Antibiotics

The other class of antibiotics that patients may demonstrate allergies towards is penicillins. Some patients can have cross-sensitivity between both classes of antibiotics due to similarity in their chemical structure.

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Key Concepts

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

Cephalosporin Allergy
Understanding potential allergic reactions to cephalosporins like cefepime is crucial in medical practice. These antibiotics are widely used to treat a range of bacterial infections. Allergies to cephalosporins can vary from mild skin rashes to severe, life-threatening conditions such as anaphylaxis.
Allergic Reactions in Nursing
Nurses play a pivotal role in identifying and managing allergic reactions. When a patient is prescribed an antibiotic such as cefepime, it is the nurse's responsibility to review the patient's medical history for allergies.
Penicillin Cross-Sensitivity
Cefepime, a cephalosporin, has a chemical structure similar to that of penicillins. This structural likeness is the reason behind the phenomenon known as 'cross-sensitivity' or 'cross-reactivity'.

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Most popular questions from this chapter

Multiple-choice question: Wanda is also receiving IV furosemide (Lasix) when the vancomycin (Vancocin) is added to her medication profile. Which of the following symptoms should the nurse advise Wanda to report immediately? A. Urinary urgency B. Tinnitus C. Diarrhea D. Chills

Fill in the blank: What change in the appearance of her stools should Wanda be instructed to expect while taking bismuth subsalicylate (Pepto Bismol)?

Multiple-choice question: Shortly aft er being reassured, Wanda complains of feeling dizzy and light- headed. Her blood pressure is 70/30, heart rate 88, sinus rhythm. Which of the following actions would be the initial priority? A. Place the patient in a supine position. B. Administer a bolus of IV normal saline. C. Stop the nitroglycerin infusion. D. Notify the physician.

Multiple-choice question: Th e nurse understands that the IV sodium nitroprusside (Nitropress) solution must be protected from light with an opaque sleeve to: A. Prevent the medication from being degraded by light. B. Decrease replication of any bacterial contaminants. C. Increase the vasodilatory properties of the medication. D. Prevent the solution from developing crystallized precipitates.

Fill in the blank: Robert鈥檚 initial medication orders include famotidine (Pepcid) 20 mg IV every 12 hours. Th e nurse reviews the medication orders with Robert prior to administering. Robert asks 鈥渨hy am I taking that heartburn medicine? I don鈥檛 have any heartburn and I never had stomach problems.鈥� How should the nurse respond to Robert鈥檚 question?
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