Gentamicin

ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.

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Infectious DiseaseRespiratoryRenal / Urinary / Electrolytesneeds review

Gentamicin

ATI class: Aminoglycoside antibiotic

Action

  • ATI/source-folder candidate for Gentamicin; verify mechanism against the source table before validation.

Therapeutic use

  • Review under Antibacterials medication safety.

Nursing assessment

  • Check renal function, urine output, ordered peak/trough levels, and baseline hearing or vestibular symptoms.
  • Assess infection findings and culture timing before first dose when ordered.
  • Monitor for tinnitus, vertigo, decreased hearing, and rising creatinine.

Administration

  • Verify route against the order and source table.

Side effects

  • Verify common side effects against the source table.

Adverse effects

  • Nephrotoxicity
  • Ototoxicity
  • Neuromuscular blockade or respiratory weakness
  • Injection or infusion reaction

Interactions

  • Loop diuretics can increase ototoxicity risk.
  • Other nephrotoxic medications increase kidney injury risk.
  • Neuromuscular blockers can increase respiratory weakness risk.

Contraindications

  • See source-specific contraindications and precautions before administration.

Precautions

  • Aminoglycoside allergy
  • Renal impairment
  • Preexisting hearing or vestibular impairment
  • Myasthenia gravis or neuromuscular disorders

Client teaching

  • Report ringing in ears, hearing changes, dizziness, decreased urine output, or breathing weakness.
  • Keep scheduled lab monitoring appointments.
  • Maintain hydration if allowed.

Medication outcomes

  • Therapeutic response with no priority adverse effects.

Antidote / rescue

  • No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.

NCLEX priority cues

  • Aminoglycoside trough and toxicity are source-highlighted targets.
  • Decreased urine output or hearing change requires prompt review.
  • Respiratory weakness is an urgent cue.

Medication classes

Antibiotics by class

Source attribution

Google Drive source topic: Antibacterials
google-drive
Sentinel pharmacology API reference
sentinel-api
Manual ATI-format NCLEX candidate normalization
manual-seed

Related study cards

Shows the medication class, ATI cues, source references, and connected study cards for this drug.

12 study links
Med classmedication class
Antibiotics by class

Targets bacterial growth or cell structures; exact teaching depends on the antibiotic class.

ATI cuePrecaution
Aminoglycoside allergy

ATI medication precaution concept.

ATI cueClass
Aminoglycoside antibiotic

ATI medication class concept.

ATI cueNCLEX Priority Cue
Aminoglycoside trough and toxicity are source-highlighted targets.

ATI medication nclex priority cue concept.

ATI cueNursing Assessment
Assess infection findings and culture timing before first dose when ordered.

ATI medication nursing assessment concept.

ATI cueMechanism of Action
ATI/source-folder candidate for Gentamicin; verify mechanism against the source table before validation.

ATI medication mechanism of action concept.

ATI cueNursing Assessment
Check renal function, urine output, ordered peak/trough levels, and baseline hearing or vestibular symptoms.

ATI medication nursing assessment concept.

ATI cueNCLEX Priority Cue
Decreased urine output or hearing change requires prompt review.

ATI medication nclex priority cue concept.

ATI cueAdverse Effect
Injection or infusion reaction

ATI medication adverse effect concept.

ATI cueClient Teaching
Keep scheduled lab monitoring appointments.

ATI medication client teaching concept.

ATI cueInteraction
Loop diuretics can increase ototoxicity risk.

ATI medication interaction concept.

ATI cueClient Teaching
Maintain hydration if allowed.

ATI medication client teaching concept.