Here are the common nursing diagnoses that are related to a patient who is
receiving lincosamides.- Altered bowel elimination patterns
- Fluid volume deficits related to nausea and vomiting
- Altered protection related to neutropenia (infection), thrombocytopenia
(bleeding), and loss of normal flora (superinfection)
VANCOMYCIN
Vancomycin is a bactericidal agent used for infections of the bone and joints
and bacterial septicemia caused by Staphylococcus.It is also used to treat
Staphylococcus-causing endocarditis including the methicillin-resistant strains.
Prescribers commonly prescribe vancomycin to patients who are susceptible to
endocarditis in an effort to prevent the infection.
Vancomycin is also used for the treatment of Clostridium difficile and
staphylococcal enterocolitis, which are treated orally or parenterally. However,
parenteral vancomycin is not recommended for treating antibiotic-associated
pseudomenbranous colitis.
Before administering vancomycin, use the same assessment criteria used for
all antibiotic therapy described throughout this chapter. In addition, determine if(^226) CHAPTER 13 Antimicrobials—Fighting Infection
Lincosamides
Pregnancy Category: B
Route Dose Time
Clindamycin (Cleocin, Dalacin) semisynthetic
Protein-Binding: 94%
Half-Life: 2–3 hours
PO/IM/IV 150–300 mg Every 6 hours
Lincomycin (Lincorex)
Protein-Binding: 70–75%
Half-Life: 4-6 hours
PO 500 mg Every 6 to 8
hours Max 8g/d
IM 600 mg Every day
IV Dilute in 100 cc fluid Every day