A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the infusion he develops flushing and itching over his face, neck and upper chest. His blood pressure is 124/78 mmHg, heart rate 92/min, respiratory rate 16/min and oxygen saturation 98% on room air; there is no wheeze, stridor, or swelling of the lips or tongue. Which one of the following is the most appropriate next step?
More from Nursing
See allA 24-year-old woman with type 1 diabetes on a basal-bolus insulin regimen is an inpatient awaiting elective surgery scheduled for the afternoon. Mid-morning she…
An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…
A 62-year-old woman is receiving her first unit of packed red blood cells for symptomatic anaemia. Fifteen minutes after commencement her temperature rises from…
A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…
A registered nurse on night shift realises she has written a progress note about one patient in a different patient's paper medical record. The entry is factual…