The 2-year-old patient who has a history of drug-induced hemolysis, anemia, and hyperbilirubinemia presents to the clinic complaining of urinary urgency and dysuria. The patient has a fever and the urinalysis is positive for leukocyte esterase as well white blood cell casts. Which medications, if prescribed for the patient, prompt the nurse to clarify with the provider prior to administering them? Select all that apply.

Amoxicillin, Nitrofurantoin, Phenazopyridine. The child who has a history of drug-induced hemolytic anemia may have glucose-6-phosphate dehydrogenase (G6PD) deficiency. Nitrofurantoin, an antibiotic used to treat urinary tract infection (UTI), and phenazopyridine, a bladder analgesic used to treat the pain associated with a UTI, can both trigger hemolysis in the patient with G6PD deficiency and should be avoided. Amoxicillin alone is not used to treat UTIs because of growing resistance. Ciprofloxacin and cefixime are appropriate antibiotic choices for this child.

The 2-year-old patient who has a history of drug-induced hemolysi...

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Pharmacological and Parenteral Therapies
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Category: Pharmacological and Parenteral Therapies
Difficulty: 10

Topics: Communication & Documentation Gastrointestinal Genetics Hematology/Oncology Infection Laboratory Studies Medication and Blood Products

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