A patient is receiving tobramycin for a lower respiratory tract infection. The nurse monitors for potential side effects, paying close attention to serum:


•The most common side effects of tobramycin are nephrotoxicity, neurotoxicity, and ototoxicity. It is imperative that the nurse monitors the patient's creatinine closely for signs of nephrotoxicity.

•Changes in hemoglobin, ph, and neutrophil count are rare.

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