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Name of Drug Method of Mechanism of Action Adverse Reaction Special Nursing Rationale

Administration Consideration Responsibilities


Generic Name: Route: -Inhibits cell-wall -Pseudomembranous -Modify dosage in -Assess for previous -There’s possibility of
synthesis, promoting colitis, hypersensi- patients with history of reactions to cross-sensitivity with
Cefuroxime IV osmotic instability; tivity, reactions, serum severe renal other cephalosporin other beta-lactam
usually bactericidal. sickness, anaphylaxis. impairment. or penicillin. antibiotics.
Prolonged use
Brand Name: Timing: may result in
super infection. A
Zinacef low incidence of
cross-
Side Effects: hypersensitivity to
Classification: Dosage: Indications: -Diarrhea, mausea, penicillin’s exist.
-Injectable form is vomiting, rash, pain,
Second Generation used for treatment of temperature elevation, Contraindications:
Cephalosporin serious infections of tissue sloughing at IM -Hypersensitivity
the lower respiratory injection site. to cefuroxime, any
Availability: Frequency: tracts. component. Or
other
Injection cephalosporin.
Name of Drug Method of Mechanism of Action Adverse Reaction Special Nursing Rationale
Administration Consideration Responsibilities
Generic Name: Route: -A macrolide anti-biotic that -anaphylaxis, -Moderate-to-severe -Monitor patient for -Drug may cause
is a derivative of nephritis pneumonia in super infection. overgrowth of none
Azithromycin PO erythromycin. Binds to the patients for whom susceptible bacteria
50s subunit of bacterial outpatient oral or fungi.
ribosomes blocking protein therapy is
Brand Name: Timing: synthesis. inappropriate. -Instruct patient to -To avoid reaction of
take medication as the drug and to
Zithromax 12 Indications: Side Effects: Contraindications: prescribed even if he ensure its effectivity.
-Acute bacterial exacerbation -nausea and -Contraindicated in feels better.
of COPD caused by vomiting, patients
Classification: Dosage: Haemophilus influenzae, headache, hypersensitive to -Instruct patient that -To avoid further
Moroxella catarrhalis, or dizziness, fatigue, erythromycin or if hypersensitivity complication
Anti-infective 500mg Streptococcus pneumoniae; diarrhea, other macrolides. occurs during the
uncomplicated skin and skin- dyspepsia, medication
Availability: Frequency: structure infection caused by abdominal pain, immediately notify
Staphylococcus aureus, anorexia the physician.
Capsule OD Streptococcus pyogenes, or S.
agalactiae; second line
therapy of pharyngitis or
tonsillitis caused by S.
pyogenes.
Name of Drug Method of Mechanism of Action Adverse Reaction Special Nursing Rationale
Administration Consideration Responsibilities
Generic Name: Route: -Inhibits bacterial cell -Leukopenia, serum -Use with caution in -Instruct patient to -To avoid averse
wall synthesis, sickness, anaphylaxis. patients with history take medication as reaction of the drug
Ceftriaxone IV rendering cell wall of gastrointestinal prescribed for the and to ensure its
osmotically unstable, disease. length of time effectivity.
Brand Name: Timing: leading to cell death Nephrotoxicity has ordered even if he
Side Effects: been reported feels better.
Rocephin 8-6 Indications: -Phlebitis, rash, following
-Treatment of LRIT diarrhea, vomiting. concomitant -Teach patient to -To indicate blood
(e.g. bronchitis, administration with report sore throat, dyscrasia.
Classification: Dosage: pneumonia, aminoglycosides. bruising, bleeding
bronchopneumonia, and joint pain.
Antimicrobial and 1gram emphysema, lung Contraindications:
Antiparasitic abscess), skin and -Hypersensitivity to -Advise patient to -This may indicate
soft tissue infections. cephalosporins and watch out for perineal super infection.
Availability: Frequency: Pre-operative penicillins, lidocaine itching, fever, malaise,
prophylaxis to reduce or any other local redness, pain,
Injection and Infusion BID chance of post- anaesthetic product swelling, rash
operative surgical of the amide type. diarrhea.
infections.
Filamer Christian College
College of Nursing
Roxas City

DRUG STUDY

Name of Patient: L. M. Age/Sex: 78 years old , male Attending Physician: Dr. B______________
Area/Bed No.: _____________________________ Impression: _______________ Date: April 22, 2008_______________

Name of Drug Method of Mechanism of Action Adverse Reaction Special Nursing Rationale
Administtration Consideration Responsibilities
Generic Name: Route: -Decrease -Tachycardia, tremor, -Use cautiously on -Give IM injection -To prevent muscle
inflammation mainly petechiae patient with deep into gluteal atrophy.
Hydrocortisone IV by stabilizing tuberculosis. muscle rotate
leukocyte lysosomal -For better results injection site.
membranes. Also and less toxicity, give
Brand Name: Timing: suppresses the Side Effects: a once daily dose in -Warn patient of -It is a common side
immune response, -Headache, weakness, the morning. drowsiness. effect of at start of
Cortizan 12-6-12-6 stimulates bone nausea, drowsiness. -Always adjust to therapy.
marrow, and lowest effective dose,
influences protein fat as ordered.
Classification: Dosage: and carbohydrate -Elderly patient may
metabolism be more susceptible
Glucocorticoid 100mg to osteoporosis with
Indications: prolonged use.
Availability: Frequency: -treatment of primary
or secondary adrenal Contraindications:
Tablet Q6H cortex in sufficiency, -Contraindicated in
Injection rheumatic disorders, patient with
Enema collagen diseases, hypersensitivity to
dermatologic disease, drug or its
allergic states, allergic ingredients.
and inflammatory
ophthalmic processes
respiratory disease,
hematologic
disorders, neoplastic
disease, edematous
states, multiple
sclerosis, tuberculous
meningitis,
myocardial
involvement.