An infant is prescribed nystatin (Mycostatin) for treatment of infant oral candidiasis, or thrush. Which information should the nurse provide to the infant's caregiver in regard to this medication?
1. Give the medication right before a feeding.
2. Give the infant a small amount of water prior to administering the medication.
3. Use a cotton swab to place medication in several parts of the infant's mouth.
4. The infant should not breastfeed until this infection is gone.
5. The breastfeeding mother may also require treatment.
2,3,5
Rationale 1: The medication should be given after feeding.
Rationale 2: The medication will be more effective if milk sugars and proteins in the mouth are rinsed away prior to administration.
Rationale 3: The infant cannot "swish and swallow" so syringe cotton swab is used to distribute the medication around the mouth.
Rationale 4: There is no prohibition against breastfeeding.
Rationale 5: This treatment may be necessary to prevent re-transmission.
Global Rationale: The medication will be more effective if milk sugars and proteins in the mouth are rinsed away prior to administration. The infant cannot "swish and swallow" so a cotton swab is used to distribute the medication around the mouth. This treatment may be necessary to prevent re-transmission. The medication should be given after feeding. There is no prohibition against breastfeeding.
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