A patient is receiving an aminoglycoside. Which findings should the nurse immediately report?
Select all that apply.
1. history of allergy to penicillins
2. weight gain of 5 kg in 2 days
3. symptoms of vertigo
4. fluid intake below 2,000 mL/day
5. new order for IV furosemide (Lasix)
Correct Answer: 2, 3, 5
Aminoglycosides are nephrotoxic. A sudden weight gain indicates possible kidney damage and should be immediately reported. Aminoglycosides are also ototoxic, especially combined with other drugs that can cause ototoxicity such as furosemide and ethacrynic acid. A history of allergy to penicillin would apply to cephalosporins. A patient on fluoroquinolones or sulfonamides must maintain a fluid intake of 2,000 to 3,000 mL/day.
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Fill in the blank(s) with the appropriate word(s).
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