A patient will be discharged home to complete treatment with intravenous cefotetan with the assistance of a home nurse. The home care nurse will include which instruction when teaching the patient about this drug treatment?
a. Abstain from alcohol consumption during therapy.
b. Avoid dairy products while taking this drug.
c. Take an antihistamine if a rash occurs.
d. Use nonsteroidal anti-inflammatory drugs (NSAIDs), not acetaminophen, for pain.
ANS: A
Four cephalosporins, including cefotetan, can induce a state of alcohol intolerance and cause a disulfiram-like reaction when alcohol is consumed; therefore, patients should be advised to avoid alcohol. It is not necessary to avoid dairy products. Patients who experience a rash should report this to their provider. Cefotetan can also promote bleeding, so drugs that inhibit platelet aggregation should be avoided.
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