The patient is getting neomycin for treatment of hepatic encephalopathy. While the patient is receiving this medication, it is especially important that the nurse:
a. evaluate renal function studies daily.
b. give the medication every 12 hours.
c. evaluate liver studies for signs of neomycin-induced damage.
d. obtain stool guaiac tests to ensure that pathogens are being destroyed.
A
Neomycin is a broad-spectrum antibiotic that destroys normal bacteria found in the bowel, thereby decreasing protein breakdown and ammonia production. Neomycin is given orally every 4 to 6 hours. This drug is toxic to the kidneys (not liver) and therefore cannot be given to patients with renal failure. Daily renal function studies are monitored when neomycin is administered. Guaiac tests are used to detect occult bleeding.
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