A patient is receiving IV caspofungin (Cancidas).Which assessments are most important for the nurse to perform daily?

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Echinocandins can increase the rate of clot formation,which increases the risk for deep vein thrombosis (DVT).DVT is most likely to occur in the veins of the lower legs and in the pelvis.Symptoms of DVT in an extremity include swelling,warmth,and pain or discomfort.All the systemic antifungal agents can cause renal insufficiency.Anyone prescribed these drugs must have renal function monitored.Any intravenous antifungal drug can irritate veins and cause phlebitis.Skin irritation and rashes can occur with systemic antifungal therapy.Rashes may be severe with many types of lesions (Stevens-Johnson syndrome).If the rashes become widespread with crusting,fever,and tissue necrosis,the condition can be life-threatening.Echinocandins do not affect intestinal motility or capillary refill.They also do not directly affect bone marrow production of white blood cells.

A Patient Is Receiving IV Caspofungin (Cancidas)