Download Nystatin

Nursing Process Focus:
Patients Receiving Nystatin (Mycostatin)
Assessment
Potential Nursing Diagnoses
Prior to administration:
• Risk for Injury (rash), related to adverse
• Obtain complete health history including
effects of drug
allergies, drug history and possible drug
• Imbalanced Nutrition: Less than Body
interactions.
Requirements, related to nausea and
• Obtain a culture and sensitivity test of
vomiting secondary to drug therapy
suspected area of infection to determine
• Deficient Knowledge, related to drug
need for therapy.
therapy and side effects
Planning: Patient Goals and Expected Outcomes
The patient will
• Exhibit a clearing of fungal infection.
• Demonstrate an understanding of the intended effect of drug therapy and the lifestyle
modification necessary for that effect.
• Follow instructions necessary for completion of drug therapy.
Implementation
Interventions and (Rationales)
*Monitor for possible side effects or
hypersensitivity.
*Monitor for proper use of the different
formulations of this medication.
*Observe for proper application of dressings.
(Occlusive dressings increase the moisture in
these areas and encourage development of
additional yeast infections.)
*Strictly follow standard precautions when
applying medication to affected areas (to
decrease spread of infection.)
Patient Education/Discharge Planning
*Instruct patient to report any burning, stinging,
dryness, itching, and local irritation to their
health care provider.
Advise patient:
• to “swish and swallow” the oral suspension.
Make sure patient understands the
importance of coating all mucous
membranes before swallowing medication.
• to allow troche to dissolve completely. Do
not chew or swallow. Inform patient that for
troche it may take 30 minutes for it to
completely dissolve.
• to remove dentures prior to using the oral
suspension.
Instruct patient:
• proper application of dressings.
• to avoid wearing tight fitting undergarments
if using ointment in the vaginal or groin
area.
Teach patient to
• clean affected area daily.
• apply medication with a glove.
• wash hands properly and keep nails clean.
• change socks daily if rash is on feet.
*Instruct patient to avoid alcohol during drug
therapy.
*Monitor for alcohol use. (Increases the risk of
side effects such as nausea vomiting and an
increase in blood pressure with concurrent use.)
*Monitor for effectiveness of medication. (As
Instruct patient:
evidenced by a decrease/elimination of fungus.) • to report spread of affected area.
• to use medication as ordered. May need to
use for several weeks.
Evaluation of Outcome Criteria
Evaluate the effectiveness of drug therapy by confirming that patient goals and expected outcomes
have been met (see “Planning”).