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Jason is a 7-year-old who has been admitted to the general pediatric unit for IV

ID: 240817 • Letter: J

Question

Jason is a 7-year-old who has been admitted to the general pediatric unit for IV antibiotics because of a severe spider bite that has become infected despite treatment at home with oral antibiotics. His mother is very upset that Jason has to be in the hospital. She voices frustration that the antibiotics have not worked and questions why he needs a different drug.

a) What actions would you expect to take as the nurse to ensure that Jason receives the antibiotic to treat his infection? This answer should include suggestions for addressing the mother’s concerns.

b) What are the most common adverse reactions of antibiotic treatment that Jason may experience, and what nursing actions should be implemented to help address these effects? Please address the reactions in separate answers.

Explanation / Answer

Proper edcation regarding the drug, its action and adverse effects.

Educate the mother that the clinical improvement started showing only after 72 hours of antibiotic initiation.

Educate about the antibiotic resistance

Educate about the possibility of associated viral infections in case of clinical improvement doesn't occur.

Provide reassurance

Adverse reactions:

Most of the antibiotics cause gastrointestinal side effects: it may include nausea, vomitting, cramps, diarrhoea. other adverse effects include photosensitivity, fever, tooth discolouration, allergic reactions, blood reactions, seizures.

Nurses Actions:

Monitoring vital signs

Monitor for hypersensitivity reaction

Instruction for discontinuation of drug if any adverse reactions occur.

Explain about possible side effects of drug

Explain about the taking of drug on time

Explain the importance of completeness of drug regimen

Advice regarding consultation with their physician, if any other drug going to have.

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