A patient is receiving an intraperitoneal aminoglycoside during surgery. To prevent a serious side effect of this drug, the nurse expects to administer which agent?
a. Amphotericin B
b. Calcium gluconate
c. Neuromuscular blocker
d. Vancomycin
ANS: B
Aminoglycosides can inhibit neuromuscular transmission, especially during intraperitoneal or intrapleural instillation, and this risk is increased when neuromuscular blocking agents and general anesthetics are given. Calcium can reverse neuromuscular blockade. Amphotericin B, additional neuromuscular blockers, and vancomycin are not indicated.
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