A patient is receiving intravenous vancomycin for the treatment of Clostridium difficile. Why should the nurse assess the patient for flushing, tachycardia, and hypotension during the infusion of this medication?
1. to identify red man syndrome
2. to recognize the ototoxicity effect
3. to prevent a superinfection
4. to begin treatment for hives
Correct Answer: 1
Vancomycin inhibits cell wall synthesis and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid "red man" syndrome, which is characterized by erythematous rash, flushing, tachycardia, and hypotension. Vancomycin is not associated with ototoxicity, superinfection, or hives.
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