A patient prescribed vancomycin (Vancocin) has developed redness on the face, neck, chest, back, and arms. The family asks the nurse if the drug should be stopped because of this response. What is the nurse's best answer?
a. "Yes, these problems indicate an allergic reaction."
b. "Yes, these side effects eventually lead to difficulty breathing."
c. "No, these uncomfortable problems are an expected drug side effect."
d. "No, the problems are caused by the presence of the infection and are not related to the drug."
C
Vancomycin is a powerful antibacterial drug that has many side effects, including "red man syn-drome." This problem is caused by a histamine release that dilates blood vessels, giving a red appearance to the face, neck, chest, back, and arms. Sometimes this reaction can be reduced by slowing the infusion rate; however, it is not an indication to stop the drug.
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