Nursing Info Tip: Aminoglycosides

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NURSING INFO TIP:

MORE INFO AMINOGLYCOSIDES:

EXAMPLE MEDICATIONS: (end in -cin)

  • Gentamicin

  • Streptomycin

  • Tobramycin

  • Neomycin

  • Note: Azithromycin does not belong to this class

POTENTIAL ADVERSE REACTIONS:

  • Ototoxicity

  • Nephrotoxicity

  • Neurotoxicity

  • Stevens-Johnson Syndrome

  • C. difficile associated diarrhea

  • Seizures

 

FACTS:

  • This class is typically poorly absorbed orally thus often given in IV form(1)

  • These antibiotics are typically not used alone(1)

  • This class treats gram negative bacterial infections such as pseudomonas aeruginosa (1)

 

NURSING TIPS:

  • Kidney function may likely need to be monitored (Cr, BUN, GFR)

  • Important to monitor the peak  and trough

  • Remember ototoxicity & nephrotoxicity- so think hearing and urine out

 

TYPE OF NURSING QUESTIONS:

  • May ask for labs to monitor

  • May ask if the given renal labs are normal

  • May ask which diagnosis could be flared by this class (example: myasthenia gravis)

  • May get a question on which cranial nerve could be affected (8th cranial nerve)

REFERENCES:

  1. Merck Manual

 

DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information. This post may also contain affiliate links.

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