Question

Lori Jenkins is a 6-year-old Caucasian girl. She presents to the physician’s office today with bilateral ear pain, nasal congestion, cough, and a low-grade fever.

Her mother reports she is not taking any medications and has no allergies that she is aware of at this point.

The physician writes a prescription for amoxicillin 325 mg twice a day for 10 days. The amount available is 5mL/250mg.

1. Lori’s mother is concerned that Lori may have an allergic reaction to the amoxicillin. What signs or symptoms should the nurse tell Lori’s mother to look for that may indicate an allergic reaction has occurred?

2. Is amoxicillin a broad-spectrum or narrow-spectrum antibiotic? Define broad-spectrum and narrow-spectrum antibiotics.

3. What should the nurse tell Lori’s mother about the prevention of anti-infective resistance?

4. How much amoxicillin should the client receive per dose? How much should the client receive in a day?

Answer 1

1. Most common side effects are - abnormal taste sense, headache, digestive problems, skin rash, vaginal infections.

In case of allergic reaction - itching, swelling of face, lips, breathing problem , trouble sleeping, dizziness all these can occur.

So, nurse will inform Lori's mother about these signs and symptoms and will advice her to consult doctor immediately if any one of these occur .

2. Amoxicillin is broad spectrum antibiotic.

Broad spectrum antibiotic : Those which are effective Against a wide range of bacteria or those can acts on both gram- positive and gram - negative bacteria, are called Broad spectrum antibiotic.

Narrow spectrum antibiotic : Those which are effective against only a few types of Bacteris.

3. Nurse will advice Lora's mother -

To Complete prescribed course of treatment exactly as instructed by healthcare provider.

To maintain good hygiene.

not to take someone else's antibiotics .

4. 6.5 ml amoxicillin client should receive per dose.

Client should receive 13ml per day.