Which of the following medications usually is given to a client with leukemia as prophylaxis against P. carinii pneumonia?
A. Vincristine (Oncovin)
B. Prednisone (Deltasone)
C. Oral nystatin suspension
D. Sulfamethoxazole and trimethoprim (Bactrim)
Correct Answer: D. Sulfamethoxazole and trimethoprim (Bactrim)
Option D: The most frequent cause of death from leukemia is an overwhelming infection. P. carinii infection is lethal to a child with leukemia. As prophylaxis against P. carinii pneumonia, continuous low doses of co-trimoxazole (Bactrim) are frequently prescribed.
Option A: Vincristine, an antineoplastic agent is used in the treatment for leukemia but is not used as a prophylaxis against pneumonia.
Option B: Prednisone isn’t an antibiotic and increases susceptibility to infection.
Option C: Oral nystatin suspension would be indicated for the treatment of thrush.
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