DRUG NAME MECHANISM OF INDICATION / ADVERSE NURSING RESPONSIBILITIES

ACTION CONTRAINDICATION EFFECT

GENERIC:  Inhibits protein INDICATIONS: minor eye ir Nursing Diagnosis:
Erythromycin synthesis in Treatment of superficial ritations, Risk for conjunctivitis related to passage thru the
susceptible ocular infections caused stinging, vaginal canal upon delivery of the newborn
BRAND: organisms by by susceptible strains of
burning,
Ilotycin binding to 50S microorganisms; Allergy to erythromycin, hepatic impairment,
ophthalmic ribosomal subunits, prophylaxis of redness, lactation; viral, fungal, mycobacterial infections of
Romycin thereby inhibiting ophthalmia neonatorum temporary the eye (ophthalmologic),
ophthalmic translocation of caused by N. blurred vision, and
aminoacyl transfer- gonorrhoeae or C. hypersensiti Intervention and Rationale:
PHARMACOLOGI RNA and inhibiting trachomatis vity reactions. Culture site before beginning therapy.
C CLASS: polypeptide Rationale: to rationalize choice of antimicrobial
Macrolide synthesis Source: Source:
ophthalmic Exerts effect only https://www.rnpedia.com https://www.googl Cover the affected area with a sterile bandage if
against multiplying /nursing- e.com/search? needed (topical)
THERAPEUTIC organisms; notes/pharmacology- q=side+effects+er Rationale: to prevent keratoconjunctivitis
CLASS: penetrates cell wall drug-study- ythromycin+ophth
Anti-bacterial of gram-positive notes/erythromycin/ almic+ointment&o Client Education:
bacteria more q=side+effects+er Pull the lower eyelid down gently and squeeze a
DOSAGE AND readily than that of CONTRAINDICATION: ythromycin+ophth one-half–inch ribbon of the ointment into the sac,
ROUTE: For gram-negative hypersensitivity to almic+oint&aqs=c avoid touching the eye or lid. A mirror may be
prophylaxis of bacteria, and thus, erythromycin hrome.0 helpful. Gently close the eye, and roll the eyeball in
neonatal gram-positive all directions.
gonococcal or organisms may DRUG INTERACTION: Drug may cause temporary blurring of vision,
chlamydial accumulate 100 Concomitant use of stinging, or itching.
conjunctivitis, a times more warfarin or clindamycin is
ribbon of erythromycin than generally not Outcomes Evaluation:
ointment gram-negative recommended Family and health care team members note
approximately 1 organisms do absence of localized eye swelling and redness after
cm in length Source: a few days post-instillation of the ophthalmic
(0.5% ) should be Source: https://www.mayoclinic.o ointment
instilled into each https://reference.m rg/drugs-
lower conjunctival edscape.com/drug/i supplements/erythromyci Physician reports to family of a negative culture
sac. lotycin-ophthalmic- n-ophthalmic- result after 7-10 days of C and S studies.
erythromycin- route/before-using/drg-
ophthalmic-343573 20068673