Chapter 38, Problem 1CS

(1)

Summary Introduction

To determine:

The rationale behind the use of tazobactum with piperacillin in Zosyn.

Case summary:

Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular status are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.

The physician orders for the following medications.

Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.

Theophylline-300 mg every twelve hours; Maalox 30 mL prn (Gastrointestinal upset); and ibuprofen (oral) 400 mg prn for pain.

The physician orders for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.

(2)

Summary Introduction

To explain:

Which medication will be first implemented by the nurse?

Case summary:

Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular status are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.

The physician orders for the following medications.

Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.

Theophylline-300 mg every twelve hours; Maalox 30 mL prn (Gastrointestinal upset); and ibuprofen (oral) 400 mg prn for pain.

The physician orders for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.

(3)

Summary Introduction

To determine:

What concerns or drug interaction will the nurse be aware of with the use of Zosyn and other medications prescribed for Mr.G?

Case summary:

Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular status are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.

The physician orders for the following medications.

Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.

Theophylline-300 mg every twelve hours; Maalox 30 mL prn (Gastrointestinal upset); and ibuprofen (oral) 400 mg prn for pain.

The physician orders for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.

(4)

Summary Introduction

To describe:

The parameters that will be monitored by the staff nurse to determine the effectiveness of Zosyn.

Case summary:

Mr.G. has been hospitalized for 5 years as he is experiencing a left-sided stroke. His cardiovascular and cerebrovascular status are normal. He experiences productive cough and a low-grade fever for two days. After the physical evaluation and chest X-ray examination, the physician diagnoses pneumonia (lungs-left lobe). Mr.G. is taking warfarin 2 mg (trade name is Coumadin) daily in the evening.

The physician orders for the following medications.

Piperacillin/tazobactum (Zosyn)–Intravenous (IV) 2.25g every eight hours.

Theophylline-300 mg every twelve hours; Maalox 30 mL prn (Gastrointestinal upset); and ibuprofen (oral) 400 mg prn for pain.

The physician orders for blood culture from two different sites and informs the staff nurse to begin the antibiotic regimen as soon as possible.