The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports dizziness along with numbness and tingling of the hands and feet. The nurse will perform which action?
a. Administer the drug since these are harmless side effects.
b. Hold the drug and notify the provider of these adverse reactions.
c. Obtain an order for an oral form of this medication.
d. Request an order for serum electrolytes.
ANS: B
Polymyxins can cause nephrotoxicity and neurotoxicity. This patient has signs of neurotoxicity, so the nurse should notify the provider. These effects are generally reversible when the drug is discontinued. It is not correct to administer the drug when these symptoms are present. Polymyxins are not absorbed orally. Serum electrolytes are not indicated.
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