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INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name anti-infectives
vancomycin 500mg IV every 6 hours
1g IV every 12 hr (up to 4g/day)

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
end of infusion rapid 12-24 hr
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Treatment of potentially life-threatening infections when Contraindications/warnings/interactions hypersensitivity, renal impairment;
less toxic anti-infectives are contraindicated. Particularly hearing impairment; intestinal obstruction or inflammation; pregnancy and
useful in staphylococcal infections, including: lactation.
Endocarditis, meningitis, osteomyelitis, pneumonia
septicemia, soft-tissue infections in patients who have
allergies to penicillin or its dirivatives or when sensitivity Common side effects ototoxicity; hypotension; nausea; vomiting;
testing demonstrates resistance to methicillin. nephrotoxicity; rashes; eosinophilia; leukopenia; phlebitis; back and neck
pain; hypersensitivity reactions including anaphylaxis; chills; fever;
red-man syndrome (with rapid infusion); superinfection

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
ototoxic and nephrotoxic drugs (aspirin, aminoglycosides,
cyclosporine, cisplatin, loop diuretics); nondepolarizing
neuromuscular blocking agents; general anesthetics. Be sure to teach the patient the following about this medication
Report signs of hypersensitivity, tinnitus, vertigo, or hearing loss. Report is
there is not improvement in a few days. Heart patients need to be taught
importance of using antimicrobial prophylaxis prior to invasive dental or
medical procedures.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
Assess patient for infection this med? Resolution of signs and symptoms of infection.
Vital signs; appearance of wound, sputum,urine, Allergy Length of time for complete resolution
and stool; WBC and beginning of and throughout depends on organism and site of infection.
therapy. Allergy to medication Endocarditis prophylaxis.
monitor I/O.