Adverse reactions and

Observing the adverse reactions. The frequency of these observations will depend on die drug administered. The nurse must record all suspected adverse reactions and report them to die primary care provider. The nurse must immediately report serious adverse reactions to the primary care provider. 

Discuss ways to promote an optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of the sulfonamides. 

The expected outcomes of the patient depend on the reason for administration of penicillin but may include an optimal response to drug therapy, management of common adverse reactions, and an understanding of and compliance with the prescribed drug regimen. 

Reviews die possible adverse reactions and die signs and symptoms of a new infection or of a worsening infection, bodi verbally and in writing. 

Monitoring and Managing Adverse Reactions Managing adverse reactions in patients taking antitubercular drug s is an important responsibility of die nurse The nurse must continuously observe for signs of adverse reactions and immediately report them to tlie primary health care provider. Some information specific to die different antitubercular drug s is provided below. 

Instructs the patient about possible adverse reactions and the need to notify prescriber should any occur. 

C. most patients experience severe adverse reaction and must be monitored closely... 

Administration of trimethadione (Tridione) may result in hematologic changes, such as pancytopenia (decrease in all the cellular components of the blood), leukopenia, aplastic anemia, and thrombocytopenia Also reported are various types of skin rashes, diplopia (double vision), vomiting, changes in blood pressure, CNS depression, photosensitivity, and fatal nephrosis. Because these dm have been associated with serious adverse reactions and fetal malformations, they should be used only when other less toxic dm are not effective in controlling seizures. The oxazolidinediones may precipitate a tonic-clonic seizure... 

OXAZOLIDINEDIONES. Drowsiness is the most common adverse reaction and, as with the other anticonvulsants, tends to subside with continued use Visual disturbances may also occur. The patient with a visual disturbance is assisted with ambulation and oriented carefully to the environment. The nurse ensures that the environment is safe The patient may be especially sensitive to bright lights and may want the room light to be kept dim. Because photosensitivity can occur, the nurse must keep the patient out of the sun. The nurse instructs the patient to use sunscreens and protective clothing until the individual effects of the drug are known. 

The patient verbalizes an understanding of the treatment modalities, adverse reactions, and importance of continued follow-up care... 

Tacrine is particularly damaging to the liver and can result in hepatotoxicity. Because tacrine is more likely to cause adverse reactions and drug interactions, it must be administered more frequently (4 times a day) and is rarely used in current therapy. Donepezil has fewer and milder side effects than tacrine It is considered the agent of first choice However, some patients may achieve a better response with one drug than another. Additional adverse reactions are listed in the Summary Drug Table Cholinesterase Inhibitors. 

Reviews the signs and symptoms of possible adverse reactions and impaired respiratory function, including changes in cough, color and amount of sputum, shortness of breath, or difficulty breathing and stresses the need to notify health care provider at once should any occur. 

---