Name of drug Azithromycin Brand name: Zithromax

Mode of Action Binds to ribosomal receptor sites of susceptible organisms. It inhibits protein synthesis.

Dosage 500mg tab. Po, OD

Indication Used for the treatment of mild to moderate infections of upper respiratory tract and lower respiratory tract infections.

Contraindicatio n Hypersensitivity to azithromyin, erythromycin, or any macrolide Pregnant, lactation

Adverse effect o Superinfecti ons o Acute intestinal nephritis

Nursing Consideration o Question for history of hepatitis, allergies to azithromycin or erythromycin. o May give tablets without regard to food. o Check for GI discomfort, nausea, and vomiting. o Determine pattern of bowel activity ans stool consistency. o Monitor hepatic function tests, assess for hepatotoxicity: malaise, fever, abdominal pain, and GI disturbances. o Evaluate for superinfection: genital/anal pruritus, sore mouth or tongue, moderate to severe diarrhea. o Direct sunlight (UV) exposure should be minimized during therapy with drug. o Continue therapy for full length of treatment. o Doses should be evenly spaced. o Take oral medication with 8 oz water at least 1 hour before or 2 hours after food or beverage.

Side Effect o Nausea o Vomiting o Diarrhea o Abdominal pain o Headache o Dizziness o Allergic Reaction

Objectives
General: This study aims to present fact about chronic obstructive disease and how this may affect every person in the community using cigarrete. Furthermore the researcher wants to explore, investigate, and analyze a comprehensive study regarding the case of the patient. And how it is being treated. Specific: To established a good ang therapeutic relationship with the patient to gather her personal data and present condition throigh interview. To conduct a thorough physical assessement as a part of baseline data gathering. To study anatomy and physiology of the affected system of the patients current condition. To trace the pathophysiology of the disease process. To formulate nursing care plan and health teaxhing that are appropriate for the patients problem.