A patient from Africa is being treated for East African trypanosomiasis. The nurse is preparing to administer a first dose of suramin sodium (Germanin). To prevent serious side effects, which action will the nurse take?

a. Administer a small test dose before giving the drug.
b. Ask the patient to lie flat while the drug is given.
c. Give a high-fat snack with the drug to minimize gastric upset.
d. Suggest to the provider that liver function tests (LFTs) be performed.


ANS: A
Suramin sodium can cause severe side effects, including a shock-like syndrome with IV dosing. A small test dose should be given initially to make sure this is not likely. Patients receiving pentamidine should be supine while receiving that drug. It is not necessary to provide a fatty snack with suramin or to obtain LFTs before administration.

Nursing

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