Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

You're watching a preview. 300,000+ students are watching the full lesson.
Kara Tarr
BSN,RN
Master
To Master a topic you must score > 80% on the lesson quiz.

Included In This Lesson

Study Tools For Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Blank Drug Card Template (Cheatsheet)
Drug Card Sulfamethoxazole (Bactrim) (Cheatsheet)
NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Generic Name

trimethoprim/sulfamethoxazole

Trade Name

Bactrim/TMP-SMZ

Indication

bronchitis, UTI, diarrhea, pneumonia, multiple types of infection

Action

bacteriacidal by preventing metabolism of folic acid

Therapeutic Class

anti-infectives, antiprotozoals

Pharmacologic Class

folate antagonists, sulfonamides

Nursing Considerations

• may cause renal damage, Steven Johnsons Syndrome – rash, pseudomembranous colitis, nausea,
vomiting, diarrhea, rash, agranulocytosis, aplastic anemia, phlebitis
• contraindicated with sulfa allergies
• monitor CBC
• obtain cultures prior to initiating therapy
• monitor intake and output
• instruct patient to complete dose
• drink 8-10 glasses of water

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

Hey guys, this one is a mouthful. Let’s talk about trimethoprim sulfur methodol also known as TRO. This is an oral medication at, as you can see here, and it also comes in an IV form. The therapeutic class of trimethoprim sulfamethoxazole is an anti-infective agent and also an an protozoal agent, the pharmacologic class or its chem chemical effect in the body is a folate antagonist, a as well as a sulfide trimethoprim Ulfa meth meth all is a Tal agent preventing the metabolism of folic acid. We use this medication for bronchitis, for UTIs diarrhea, pneumonia, and for multiple types of infections. 

Some other side effects that we see with Bactrum can cause things like rash, nausea, vomiting, and diarrhea, a few nursing considerations for trimethoprim sulfamethoxazole or Bactrum monitor your patients intake and output as well as their seed C obtain cultures prior to the SAR of therapy, if they are needed. This drug is contraindicated in patients who have a sulfur allergy, and it may cause renal damage Stevens Johnson syndrome, a Grani low cytosis aplastic anemia, flub, and pseudo me colitis, make sure the patient knows that they have to complete the entire dose, even if they’re feeling better. And also they should drink eight to 10 glasses of water a day while on this medication. So guys with BA there is a risk of sudden death with pain patients taking BA with an ARB or ACE inhibitor. The mechanism is not very clear, but on patients who are on an anti-hypertensive medication, like an ARB or ACE inhibitor, it may be in the best interest to hold this hypertensive medication. If they absolutely need to be on Bru and use the shortest course of this, anti-infective possible, that’s it for tri Metre Ulfa meth ol or Bru now go out and be your best self today. And as always happy nursing.

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

🎉 Special Offer 🎉

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

Med surg 3 exam

Concepts Covered:

  • Acute & Chronic Renal Disorders
  • Oncology Disorders
  • Urinary Disorders
  • Renal Disorders
  • Noninfectious Respiratory Disorder
  • Central Nervous System Disorders – Brain
  • Upper GI Disorders
  • Disorders of Pancreas
  • Male Reproductive Disorders
  • Cardiac Disorders
  • Vascular Disorders
  • Immunological Disorders
  • Shock

Study Plan Lessons

Acute Kidney Injury Case Study (60 min)
Acute Renal (Kidney) Module Intro
Alkaline Phosphatase (ALK PHOS) Lab Values
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Chronic Renal (Kidney) Module Intro
Continuous Renal Replacement Therapy (CRRT, dialysis)
Dialysis & Other Renal Points
Disease Specific Medications
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Enteral & Parenteral Nutrition (Diet, TPN)
Hemodialysis (Renal Dialysis)
Hypertonic Solutions (IV solutions)
Intake and Output (I&O)
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Kidney Cancer
Levofloxacin (Levaquin) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Case Study for Acute Kidney Injury
Nutrition (Diet) in Disease
Phenazopyridine (Pyridium) Nursing Considerations
Protein in Urine Lab Values
Renal (Kidney) Failure Labs
Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Urinary Retention for Certified Emergency Nursing (CEN)
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Vasopressin (Pitressin) Nursing Considerations