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).