Score: _________ Grade: ___________

DRUG SUMMARY

Name of Drug Date Classification Dose Mechanism Specific Side Effects Nursing Implications
Generic Ordered Frequency of Action Indication
(Brand) Route

BEFORE:
Gentamycin April 29, Anti-infectives 37.5mg Inhibits Treatment of EENT: ototoxicity ~ Assess child for infection (vital
(Garamycin) 07 IVTT od protein serious gram- (vestibular and signs, wound appearance,
sputum, urine, stool, WBC) at
ANST (-) synthesis in negative cochlear). beginning of and throughout
bacteria at bacillary GU: therapy.
level of 30S infections and nephrotoxicity. ~ Obtain specimens for culture
and sensitivity before initiating
ribosome, infections F and E: therapy. First dose may be given
bactericidal caused by hypomagnesemia. before receiving results.
action. staphylococci ~ Monitor intake and output and
daily weight to assess hydration
when MS: muscle status and renal function.
penicillins or paralysis (high ~ Assess child for signs of
other less toxic parenteral doses). superinfection (fever, upper
respiratory infection, vaginal
drugs are Misc: itching or discharge, increasing
contraindicated hypersensitivity malaise, diarrhea).
reactions.
DURING:
~ Advise child of the importance
of drinking plenty of liquids.
~ Missed doses should be taken
as soon as possible if not almost
time for next dose; do not double
doses.

AFTER:
~ Instruct child’s mother to take
as directed for full course of
therapy.
~ Mother should assess skin and
inform health care professional if
skin irritation develops or
infection worsens.

Reference: DAVIS DRUG GUIDE FOR NURSES 8th EDITION___