MEDICATION/ MECHANISM INDICATIONS/ POSSIBLE SIDE NURSING

CONTRAINDICATION
DRUGS OF ACTION DRUG RATIONALE EFFECTS CONSIDERATIONS

GENERIC Lower respiratory Contraindicated with CNS: Headache,  Before: Do skin testing into
NAME: infections caused by allergy to dizziness, lethargy intradermal area
Bactricidal: Streptococcus cephalosporins or  Protect drug from light
CETRAIAXONE inhibits synthesis pneumonia, peniicillins. Use GI- Nausea,  Do not mix ceftriaxone wih
of bacterial cell Staphylococcus cautiously with renal Vomitting,
BRAND NAME: other anticrobial drug.
wall causig cell aureus, failure. Diarrhea, anorexia,  During:Have vitamin K
(Rocephin) death Haemophillus psuedomembranou ready available inase of
influenza, E.coli, s colitis. hypothrombinemia occurs.
 
ebteribactaerogenes  After: Discontinue if
CLASSIFICATION:  Hematologic: Bone hypersensitivy occurs. ( late
ABX marrow reaction)
Intra –abdominal depression-  Monitor blood levels in
  decrease WBC,
infection caused by patient taking this drug.
E.coli, Klebsiella platelets, Hct.
DOSE/ ROUTE/
FREQUENCY: pneumoniae.
Local: Pain
2grams TIV q inflammation of IV
12hours site.

Others:
Superinfection
disulfiram- like
reaction with
alcohol
MEDICATION/ MECHANISM INDICATIONS/ CONTRAINDICATION POSSIBLE SIDE NURSING
 DRUGS OF ACTION DRUG RATIONALE EFFECTS CONSIDERATIONS

GENERIC Inhibits the Particularly useful Treatmet of potentially Common side Be sure to teach the patient
NAME: second stage of in staphylococcal life threathening effects ototoxixity, the following about this
cell wall infections, including infections when less hypotension, medication:
VANCOMYCIN synthesis of endocarditis, toxic anti-infectives are nausea and Repost signs of
BRAND NAME: susceptible meningitis, contraindicated. vomiting, hypersensitivity,tinitus,
bacteria. There is osteomyelitis, nephrotoxicity: vertigo, or hearing loss,
 VANCOCIN also evidence that pneumonia rashes: Report if there is no
vancomycin septicicemia, Soft eosinophillia; Improvement in a few days.
CLASSIFICATION: 
atlers the tissue infection in Leukopenia;
ANTI- INFECTIVES
permiability of patients who have phlebitis; back and
  the cell allergies to penicillin neck;
membrane and or it’s derivatives hypersensitivity
DOSE/ ROUTE/ selective inhibits reactions including
FREQUENCY: ribonucleic acid anaphylaxis; chills;
synthesis fever; red-man
1 gm slow IVP in 30
syndrome.
mins q12H

GENERIC NAME: Increase Osmotic Adjunt int the -Hypersensitivity CNS: Confusion, Before:
pressure of the treatment of headache -Check VS and urine output
Mannitol glomerular -Anuria EENT: Blured Assess signs of dehydration
– acute oliguric vision, rhinitis
Brand Name: filtrate, thereby -dehydration and muscle weakness
renal failure CV: Transient
inhibiting volume - monitor Neurologic status
Osmitrol reasbsoption of -edema -active intracranial expansion, chest and intracranial pressure.
water and bleeding pain, CHF During:
  electrolytes. -increased Pulmonary - ADMINISTER OVER 30
intracranial or edema,
CLASSIFICATION:  Cause excretion intraoccular pressure tachycardia
MINS
Diuretics of water, sodium, - - Monitor Urine output
potassium, -toxic overdose. GI: Nausea, and refer in accordance
  chloride, calcium, Thrist, Vomiting. with parameters set by
urea, uric acid. physicain.
DOSE/ ROUTE/ GU: renal - Ensure safety and report
FREQUENCY: failure, Urinary
Mobalization of signs of electrolytes
retention.
100 cc q8h excess fluid in imbalance.
oliguric renal After:
failure or edema. - Check effectiveness of
therapy
Reduction of - Continously monitor
intracular of neurologi status and
intracranial Urine output.
pressure. - Reassess signs and
symptoms of dehydration
Increase urinary - Watch out of abnormal
exxcretion of responses.
toxic matterials.

Decreased
hemolysis when
used as an
irrigant after
transurethral
prostatic
resection.