Question

PN 200 Fundamentals of Nursing II UTI- trimethoprim-sulfamethoxazole RM, a 46-year-old woman, has a severe urinary tract infection. She takes trimethoprim- sulfamethoxazole (Bactrim) 160mg/800mg every 6 hours. i. Is the dose within the recommended drug dose and dosing interval? What is the nurse's responsibility? 2. What are the similarities and differences between trimethoprim-sulfamethoxazole and 3. What are the signs of thrombocytopenia, hemolytic anemia, and agranulocytosis for sulfadiazine? patients who take high doses of sulfonamides? Explain the assessment and nursing interventions regarding these severe adverse reactions to sulfonamides 4. 5. Patient teaching is an important part of nursing interventions. Explain the nurse's role regarding patient teaching concerning the following: A what is the required amount of daily fluid intake? B What are the cross-sensitive effects if a patient is allergic to other sulfonamides preparations? What allergic reactions may occur? C What time of the day should sulfonamides be taken? D Why should bruising and bleeding be reported? E What protective measures should be taken to prevent a possible photosensitivity? RM takes the anticoagulant Coumadin 7.5mg daily 6. What effect does Bactrim have on warfarin (Coumadin)? 7. Should RM's coumadin dosage be increased or decreased? Explain you answer. Reviewed 9/18

Answer 1

Answer: Sulfamethoxazole and trimethoprim is an antibiotic used to treat acute or chronic bronchitis, urinary tract infection etc.

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