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Aminoglycoside ototoxicity — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and SafetyAminoglycoside ototoxicityGPhC CRA

A patient recently discharged on gentamicin OPAT reports new tinnitus and balance problems. The nurse asks whether the next dose should proceed. What monitoring is required?

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Correct answer: D — Escalate promptly because ototoxicity is possible and drug levels may need review

Gentamicin can cause ototoxicity and nephrotoxicity, and tinnitus or balance disturbance needs urgent review. Drug levels and renal function monitoring are important. Continuing without assessment may cause permanent harm.

Reference: BNF