What should I assess before giving cefepime?
Examination and Evaluation
- Watch for seizures; notify physician immediately if patient develops or increases seizure activity.
- Monitor signs of pseudomembranous colitis, including diarrhea, abdominal pain, fever, pus or mucus in stools, and other severe or prolonged GI problems (nausea, vomiting, heartburn).
What is cefepime HCL used for?
Cefepime injection is used to treat certain infections caused by bacteria including pneumonia, and skin, urinary tract, and kidney infections. Cefepime injection is used in combination with metronidazole (Flagyl) to treat abdominal (stomach area) infections.
How do you administer IV cefepime?
Dosage for Adults For P. aeruginosa, use 2 g IV every 8 hours. or until resolution of neutropenia. In patients whose fever resolves but who remain neutropenic for more than 7 days, the need for continued antimicrobial therapy should be re-evaluated frequently.
Can cefepime be IV pushed?
Cefepime Administered by IV Push Associated With Increased Risk of Neutropenia. More than 2 weeks of treatment with cefepime administered by intravenous (IV) push significantly increases the risk of cefepime-induced neutropenia.
Can you take cefepime with penicillin allergy?
You should not use cefepime if you are allergic to penicillin antibiotics, including: amoxicillin (Augmentin);
What nursing considerations are essential when giving vancomycin?
Some considerations for nurses administering vancomycin include ensuring a patent IV line, planning for administration of the preoperative dose as much as two hours before the initial incision is made, and including information about the dose and timing of preoperative vancomycin administration in the surgical time out …
Does cefepime cover MRSA?
Comparison of the 3 broadest spectrum beta-lactams: Cefepime, Zosyn, and Carbapenems (non-Ertapenem) have activity against both Gram positive (MSSA, Strep) and Gram negative including Pseudomonas. They do NOT cover: MRSA, VRE, Atypicals, among others.
What is the dosing for cefepime?
| Site and Type of Infection | Dose | Frequency |
|---|---|---|
| Moderate to Severe Pneumonia§ | 1 to 2 g IV | Every 8 to 12 hours |
| Empiric therapy for febrile neutropenic patients | 2 g IV | Every 8 hours |
| Mild to Moderate Uncomplicated or Complicated Urinary Tract Infections, including pyelonephritis | 0.5 to 1 g IV/IM** | Every 12 hours |
What happens if you give IV antibiotics too fast?
IV medications, if given too quickly or incorrectly, can cause significant harm or death. Doses of short-acting medication can be titrated according to patient responses to drug therapy. Medication can be prepared quickly and given over a shorter period of time compared to the IV piggyback route.
Can I take cefpodoxime if I am allergic to penicillin?
The American Academy of Pediatrics (7) supports the use of cefuroxime, cefpodoxime and cefdinir in penicillin-allergic patients for the treatment of sinusitis provided that the penicillin allergy does not involve a type I (immunoglobulin E [IgE]-mediated) reaction.
Can you give levofloxacin if allergic to penicillin?
Conclusions. Cefuroxime, levofloxacin, esomeprazole, and bismuth achieved decent efficacy, safety and compliance as first-line antimicrobial regimen in patients with Helicobacter pylori and penicillin allergy.