NCM 106 - PHARMACOLOGY

CASE STUDY: CLIENT WITH A PSEUDOMONAL INFECTION

DIRECTION: Read and analyze the case. Answer the accompanying questions.

FSH, 46 years old, has a wound infection. The culture report stated that the
infection was due to Pseudomonas aeruginosa. FSH’s temperature was 104 ℉
(40 °C). Amikacin sulfate (Amikin) is to be administered intravenously in 100
mL of Dextrose 5% in Water over 45 minutes every 8 hours. Dosage is 15
mg/kg/day in three divided doses. FSH weighs 165 lb.

1. What is the drug classification of Amikacin? How many

milligrams of Amikacin should FSH receive every 8 hours?
2. What type of intravenous infusion should be used? What
would be the IV flow rate?
3. Why should a wound culture be taken before determining the
antibacterial agent?

The nurse assessed FSH for hearing and urinary function before and during
Amikacin therapy.
4. What should a hearing assessment include?
5. FSH’s urine output in the last 8 hours was 125 mL. Explain the
possible cause for the amount of urine output. What nursing
action should be taken?
6. What laboratory tests indicate renal function?
7. The physician requests peak and trough serum amikacin levels.
When should the peak serum level and trough serum level be
drawn?

NCM 106 - PHARMACOLOGY