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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”).