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Gentamicin monitoring — GPhC CRA MCQ

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HardInfectionsGentamicin monitoringGPhC CRA

A hospital outpatient is prescribed once-daily gentamicin. The nurse asks which monitoring is important because the patient has reduced renal function and is also taking furosemide. What monitoring is required?

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Correct answer: E — Monitor renal function, gentamicin levels and hearing or balance symptoms

Gentamicin is nephrotoxic and ototoxic, and risk is increased in renal impairment and with other ototoxic or nephrotoxic medicines such as loop diuretics. Therapeutic drug monitoring and renal function monitoring guide safe dosing. Hearing, tinnitus and balance symptoms should be checked.

Reference: BNF