Generic: Action: Assessment:

Azithromycin Binds to the P site of  Assess for signs

50S bacterial and symptoms of
Brand Name: ribisomal subunits infection: fever,
Azyth thereby inhibiting drainage, sore
Zithromax protein synthesis; throat increased
Zmax bactericidal or WBC count,
bacteriostatic positive specimen
Classification: depending on culture
Anti-infectives concentration with  Perform culture
much greater and sensitivity
spectrum of activity determinations
than erythromycin before and after
therapy
Indication:  Assess for
Adult: Treatment of previous and
infections of the potential
respiratory tract, allergies/allergic
chronic obstructive reactions
pulmonary  Assess for
disease(COPD), superinfection:
community acquired candidiasis,
pneumonia, diarrhea,
Mycobacterium anogenital
avium, pelvic pruritus
inflammatory pseudomembrano
disease, skin and skin us colitis
structure, and  Assess possible
sexually-transmitted adverse
diseases caused by effect/toxicities:
susceptible liver:AST, ALT,
organisms; bilirubin, alkaline
community-acquired phosphatase;
pneumonia, kidney: input-
treatment of output ratio,
pharyngitis/tonsilitis urinalysis, oliguria
caused by or hematuria
Streptococcus
pyogenes in patients Patient/Family
who cannot use first- Education:
line therapy.  Teach patient
complete
dosage
regimen, to
 continue
taking
prescribed
medication
even if he feels
better and to
notify
physician if
symptoms
persist
 Inform patient
that
aluminum/
magnesium-
containing
antacids or
food taken
simultaneously
with this drug
will decrease
its blood level
 If sore throat,
black furry
tongue, fever,
loose foul-
smelling stool,
vaginal itching,
discharge or
fatigue occurs,
which may
indicate
superinfection,
instruct
patient to
report to
physician
 Inform patient
that
cholestatic
jaundice is a
severe adverse
reaction,
notify
physician of
 diarrhea, pale
stools, dark
urine, yellow
discoloration
of eyes or skin,
severe
abdominal
pain
 Instruct
patient to
notify
physicain if
pregnancy is
suspected
 Advise patient
to wear
protective
clothing and
sunscreen to
decrease risk
of
photosensitivit
y reaction