Name of Patient: Attending Physician: _____________________________ Age:

Ward/Bed Number: Impression / Diagnosis: ___________________________

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Binds to bacterial cell membranes, Treatment of susceptible Antibiotic-associated colitis, Pregnancy/Lactation: Readily Question for history of allergies, particularly
inhibits infections in biliary other superinfections crosses cephalosporins, penicillins.
Cefazolin 1g cell wall synthesis. Therapeutic tract, bone and joint, genital, (abdominal cramps, severe placenta; distributed in breast
Effect: respiratory watery diarrhea, fever) may result milk. Assess oral cavity for white
Bactericidal. tract, skin/skin structure, from Pregnancy Category B. patches on mucous membranes, tongue
Brand: Route: UTIs, endocarditis. In this altered bacterial balance. (thrush). Monitor daily pattern of bowel
case it is used as Nephrotoxicity Children: Noagerelated activity, stool consistency. Mild GI effects
Ancef IVTT perioperative prophylaxis, may occur, esp. in pts with precautions noted. may be tolerable (increasing severity may
septicemia. preexisting indicate onset of antibiotic-associated
renal disease. Pts with a history of Elderly: Agerelated colitis). Monitor I&O, renal function tests
allergies, renal impairment may require for nephrotoxicity. Be alert for superinfection:
esp. to penicillin, are at increased reduced dosage. fever, vomiting, diarrhea, anal/
risk for developing severe genital pruritus, oral mucosal changes
hypersensitivity (ulceration, pain, erythema).
Frequency: reaction (severe pruritus,
angioedema,
ANST 1 hour bronchospasm, anaphylaxis).
Classification PTOR Contraindications Side Effects

Student’s Name: __________________________________________

Clinical Instructor: _________________________________________
Functional: History of hypersensitivity/ Discomfort with IM
anaphylactic reaction to administration,
Antibiotic cephalosporins. oral candidiasis (thrush), mild
diarrhea, mild abdominal
cramping,
Timing: vaginal candidiasis.
Chemical:
First-generation
cephalosporin.

REFERENCE:

Hodgson, B. B., & Kizior, R. J. (2014). Saunders nursing drug handbook 2014. St. Louis, MO: Elsevier.

Student’s Name: __________________________________________

Clinical Instructor: _________________________________________