A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?
Epinephrine



Answer :

Epinephrine is the first drug the nurse should provide after stopping the pharmaceutical infusion.

Most likely, the cefazolin is causing this child’s anaphylactic reaction. The nurse should initially provide epinephrine to treat the anaphylaxis, as recommended by evidence-based practice. A beta-adrenergic agonist, epinephrine stimulates the heart, narrows blood vessels in the skin and mucous membranes, and produces bronchodilation in the lungs.

A first-generation broad-spectrum cephalosporin antibiotic is cefazolin. It has been widely utilized as a prophylactic antibiotic before carrying out a variety of surgical procedures as well as for the treatment of severe gram-positive and gram-negative infections. This medication is known to occasionally cause moderate side effects including temporary neutropenia, urticaria, skin reactions, diarrhea, and vomiting. Additionally, there are certain severe adverse effects such as breathing problems, headaches, vertigo, overactive reflexes, Stevens-Johnson syndrome, and facial pain or swelling.

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