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DRUG DATA CLASSIFICATION MECHANISM OF INDICATIONS CONTRAINDICATIONS SIDE EFFECTS NURSING RESPONSIBILITIES
ACTION
Generic Name Functional Class Interferes with protein Pulmonary Contraindicated in CNS: confusion, Before
Streptomycin Antitubercular/ synthesis in bacterial tuberculosis, as an patients with depression, numbness, Assess:
Antiinfective cell by binding to adjunct hypersensitivity, tremors, seizures, Weight before treatment;
Trade Name ribosomal 30 S, Streptococcal severe renal disease, muscle twitching, calculation of dosage is usually
Streptomycin Chemical Class causing inaccurate endocarditis Pregnancy D neurotoxicity, dizziness based on ideal body weight
Aminoglycoside peptide sequence to Enterococcal CV: hypotension, I & O ratio, U/A daily for
Patient’s Dose form in protein chain, endocacrditis Precautions myocarditis, palpitations proteinuria, cells, casts
Pregnancy Category causing bacterial death Neonates, mild renal EENT: ototoxicity, Deafness by audiometric testing,
D disease, myasthenia deafness, visual ringing, roaring in ears
gravis, lactation, disturbances, tinnitus C&S before starting treatment to
Minimum Dose Patient’s Indications hearing deficit, GI: abdominal distress, identify infecting organism
15 mg/kg daily IM x 2-3 Pharmacokinetics geriatric, Parkinson’s anorexia, nausea, Vestibular dysfunction; nausea,
mos disease, hepatic vomiting, increased vomiting, dizziness, headache
IM, Onset rapid, Peak disease AST, ALT,
Maximum Dose 1-2 hr, plasma half-life hepatomegaly, hepatic During
1 g/kg daily IM x 2-3 2 ½ hr; not Interactions necrosis, Administer:
mos metabolized, excreted Increase: ototoxicity, sploenomegaly IM inj in large muscle mass, rotate
unchanged in urine, nerotoxicity, GU: oliguria, hematuria, inj sites
Availability crosses placental neprotoxicity- other renal damage, Drug in evenly spaced doses to
Tabs 100, 400 mg barrier, poor aminoglycosides, azotemia, renal failure, maintain blood level
penetration into CSF, amphotericin B, nephrotoxicity Antiemetic if vomiting occurs
small amounts enter cephalosporins, INTEG: dermatitis, Adequate fluids of 2-3 L/day unless
breast milk mannitol, furosemide pruritus, rash, burning, contraindicated to prevent irritation
Increase: alopecia of tubules
streptomycin effects- HEMA:
nondepolarizing agranulocytosis, After:
muscle relaxants, thrombocytopenia, Teach/Tell patient/SO to:
succinylcholine, leucopenia, Serum peak 20-30 min after IM inj,
warfarin, NSAIDs eosinophilia, anemia trough level drawn 8 hr; acceptable
levels- peak 5-25 mcg/ml, trough
Treatment of should not be >5 mcg/ml
Overdose To report headache, dizziness,
Hemodialysis; monitor renal impairment
serum levels of drug To report loss of hearing, ringing,
roaring in ears, fullness in head