Question

Griseofulvin (Gris-PEG) is prescribed for a child with tinea capitis. The nurse provides instructions to the family regarding administration of the medication. Which statement by the mother indicates a need for further instructions?

a) I will give the medication with a fatty meal.
b) I will administer the medication with a glass of milk.
c) I will crush the tablets and mix them with yogurt.
d) I will use sunscreen on my child's skin.

Answer 1

The mother's statement that she will crush the Griseofulvin tablets and mix them with yogurt indicates a need for further instructions because Griseofulvin tablets should not typically be crushed. Proper administration is crucial due to the potential hepatotoxicity of the medication.

Step-by-step explanation:

Griseofulvin (Gris-PEG) is a antifungal medication prescribed for conditions like tinea capitis, a dermatophyte infection of the scalp. The effectiveness of this medication can be increased when taken with a fatty meal as it enhances absorption. In the scenario provided, the mother makes several statements about how she will administer the medication to her child. Most of the statements indicate an understanding of the instructions, but one reveals a need for clarification.

The statement "I will crush the tablets and mix them with yogurt" indicates a need for further instruction. Griseofulvin tablets should not be crushed unless they are formulated to be crushable or unless specifically instructed by a healthcare provider. Instead, they should typically be taken whole to ensure proper dosage and efficacy.

It is important that caregivers follow the correct directions when administering medication to ensure its effectiveness and to prevent potential complications. As griseofulvin can be hepatotoxic, it is essential to adhere to the prescribed dosage and follow up with healthcare professionals as needed.