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QUESTION
2 REPLIES TO DISCUSSION POST
Initial PostMr. Y is receiving penicillin for the first time. He was diagnosed with gonorrhea. He is to receive the parenteral form of the drug penicillin G. You are the nurse responsible for his care.
Mr. Y states that he has never received penicillin before. Is he at risk of developing a reaction with this first dose?
Mr. Y asks why he needs an injection. He would like the PO form because he does not want to have an injection. How should you respond?
Peer post 1As the nurse responsible for his care I would explain to Mr. Y that he has been diagnosed to Gonorrhea. I would explain to Mr. Y that Gonorrhea is an infection caused by a sexually transmitted bacterium and in most cases the infection does not cause any symptoms but they often affect the genital tract causing painful urination pain or swelling in one testicle etc... (Mayo Clinic, 2019). I would also inform Mr. Y that Penicillin is an antibiotic that fights bacteria in the body (Drugs.com, 2018). Since Mr. Y has never taken Penicillin he may develop headache, diarrhea, easy bruising severe skin rash, black or hairy tongue, pain, swelling,bruising, or irritation around the IV needle (Drugs.Com, 2018). I would also advise the patient to get a skin test to determine if there is an allergy to penicillin (Burchum & Rosenthal, 2019). I would educate the patient by advising that Penicillin G is usually given by injection but can order a PO form if he prefers. I would instruct the patient to take penicillin with a full glass of water 1 hour before meals or 2 hours after also advise to make sure he takes the complete prescribed amount even though symptoms may abate before the full course is over (Burchum & Rosenthal, 2019).References:
Burchum, J.R. and Rosenthal, L.D. (2019). Lehne's Pharmacology for Nursing Care ( 10th edition). St. Louis, Missouri: Elsevier Inc.
Drugs.Com. Penicillin G potassium Uses, Side Effects & Warnings. (2018). Retrieved November 04, 2020, from https://www.drugs.com/mtm/penicillin-g-potassium.html
Peer post 2 As a nurse I would explain to the patient that he has an sexual transmitted disease called gonorrhea. Then I would ask the patient do he know what gonorrhea is? I would explain to the patient that gonorrhea is caused by an bacteria called Neisseria gonorrhoeae (Mayo Clinic, 2019). This bacteria is passed from person to person during sexual contact (Mayo Clinic, 2019). Many doctor's first choice of drug to prescribe is a antibiotic called Penicillin G (benzylpenicillin) (Burchum, & Rosenthal, 2019). I would ask the patient do he have any allergy to Penicillin, then I would go into explaining what Penicillin G (benzylpenicillin) is (Burchum & Rosenthal, 2019). Penicillin G (benzylpenicillin) is a gram positive and a gram negative bacteria that has a narrow spectrum agent that only attack few amount of bacteria (Burchum & Rosenthal, 2019). Penicillin has been replaced by Penicillin G as a third generation cephalosporins as a primary treatment (Burchum & Rosenthal, 2019). Also, letting the patient know that all medication have some type of risk factors, but if he have any of these side effects like neuropathy, heart problems, dizziness, fatigue, weakness and others contact the doctors office immediately (Ogbru, 2019).
I would tell the patient that I know a lot of patient do not like needles, and would rather have oral medication to take instead of an injection. but Penicillin G (benzylpenicillin) has a poor solubility which releases and absorb slowly that allows more prolonged duration for the drug to work in the body system for a longer period of time (Ogbru, 2019).
Burchum, J.R. and Rosenthal, L.D. (2019). Lehne's Pharmacology for Nursing Care ( 10th edition). St. Louis, Missouri: Elsevier Inc.
Mayo Clinic. (2019). Gonorrhea. Https://www.mayoclinic.org/disease-conditions/gonorrhea/symptoms-causes/syc-20351774
Ogbru, O. (2019). Medicine Net. Penicillin G Benzathine (Bacillin L-A). https://www.medicine.com/penicillin_g_benzathine-injection/article.htm#what_is_penicillin_g_benathineA minimum of one (1) reference is required per peer reply. *Each peer reply must be a minimum of 125 words.
in text citation must be provided, If not it takes away from the validity of the content provided.FA2020 - RNSG 1301 Discussion Board Grading Rubric 20 Points
10 Points
5 Points
0 Points
Points Earned
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. Initial posting contains at least 2 references.
*Initial post must be aminimum of 150 words.
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. Initial posting contains less than 2 references.
*Initial post must be aminimum of 150 words.
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. No references included.
*Initial post must be aminimum of 150 words.
No initial posting by Wednesday (11:59 pm CST) or posting is less than the minimum of 150 words.
/20
Initial posting is rich in content full of thought, insight, and analysis.
Initial posting has substantial information. Thought, insight, and analysis have taken place.
Initial posting is generally competent. Information is thin and commonplace.
Initial posting is not relevant or no subject matter knowledge is evident.
/20
30 Points
20 Points
10 Point
0 Points
Points Earned
Provides a minimum of two substantive peer replies with reference by the end of the week (Sunday 11:59 pm). A minimum of one (1) reference is required per peer reply.
*Each peer reply must be aminimum of 125 words.
Provides replies to two peers with simple comments and/or reference(s) not provided. A minimum of one (1) reference is required for each peer reply. *Each peer reply must be a minimum of 125 words.
Provides only one peer reply by the end of the week (Sunday 11:59 pm). Appropriate references are not included on both peer responses.
*Each peer reply must be aminimum of 125 words.
No replies to peer postings or postings are less than the minimum of 125 words.
/30
15 Points
10 Points
5 Point
0 Points
Points Earned
Correct APA format of in-text citations (within the body of the posting) and references (in the list). Both are required to earn any points.
Less than 2 APA errors.
3-4 APA errors.
No use of APA format or 5+ errors.
/15
5 Points
3.5 Points
2 Points
0 Points
Points Earned
Spelling, grammar, punctuation, mechanics and word usage are correct and consistent with Standard American English.
Spelling, grammar, punctuation, mechanics, and word usage are adequate and consistent with Standard American English; errors do not interfere with meaning or understanding.
Spelling, grammar, punctuation, mechanics, and word usage are distracting and could interfere with meaning or understanding.
Spelling, grammar, punctuation, mechanics and/or word usage interfere with understanding and do not reflect scholarly writing.
/5
All references are relevant, scholarly, and less than 10 years old.
Some references are not relevant, scholarly, or less than 10 years old.
No use of references.
/5
5 Points
2.5 Points
0 Points
Points Earned
Posts indicate respect and consideration for peers and instructor and are written using scholarly language.
Posts indicate respect and consideration for peers and instructor but are not written using scholarly language.
No use of professionalism & netiquette.
/5
Total Points
/100
N
| Subject | Nursing | Pages | 6 | Style | APA |
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Answer
Response to Discussion Posts
The response taken is quite effective because it is always important to communicate any lab results with the patient before proceeding to administer medication. In this post, the patient is educated on the disease and how it is transmitted. Also, the fact that it may not show any symptoms is also stated so that the patient is not doubtful of the service he is about to receive. I agree that before administering penicillin, it is imperative that the patient undergoes a skin test to check for any adverse reactions. It is an important step that will prevent the patient from experiencing other forms of discomfort that could have been avoided (Burchum & Rosenthal, 2019). However, since it is the patient’s first time using penicillin, the possible side effects should be communicated to ensure that they know what to look out for. An area that I do not completely agree with relates to the advice on the use of oral penicillin. The nurse should first educate the patient on the effectiveness of the injection form as compared to the oral version. Only then should the patient be allowed to make an informed decision on which intervention to consider.
Reply to Peer Post 2
Patient education is important before any interventions are considered. Hence, I agree with the approach of educating the patient on gonorrhoea and how it is transmitted. It is also important to check if the patient has an allergy to penicillin. However, since it is the first time using the antibiotic, asking the patient does not seem like the best option in this situation. Rather, conducting a skin test will be more effective. Educating the patient on the side effects that may be experienced is also essential as it will keep them aware of what they should be looking out for (Burchum & Rosenthal, 2019). I also agree with the decision to educate the patient on the various benefits of the penicillin injection, and disadvantages of taking it orally.
References
Burchum, J.R. & Rosenthal, L.D. (2019). Lehne's Pharmacology for Nursing Care ( 10th edition). St. Louis, Missouri: Elsevier Inc.