Mindanao State University – Iligan Institute of Technology Student: Ancog, Justin Lowel A Block: 263

COLLEGE OF NURSING

PHARMACOLOGICAL MANAGEMENT

DRUG STUDY

Brand Name: Daxbia, Keflex Generic Name: Cephalexin Drug Classification: Cephalosporin (first generation)

Dosage, Route & Frequency Drug-Drug & Drug- Side Effects Adverse Reactions
Drug Action Indications Contraindications
Recommended Prescribed Food Interactions (By System) (By System)
Usual Adult Dose for Cephalexin 500mg 1 Cephalosporins are Drug: Infections of the Diarrhea from an CNS: Headache, GI: Diarrhea, nausea,
skin or Soft Tissue cap BID PO for 14 chemically and lungs, skin, soft infection with Dizziness, vomiting, dyspepsia,
Infection: day pharmacologically Administration of tissue, bones, joints, Clostridium difficile nervousness, gastritis and
similar to penicillin; KEFLEX with urinary and bacteria restlessness abdominal pain.
250 to  333 mg orally they act by inhibiting metformin results in respiratory tracts,
every 6 hours OR 500 bacterial cell-wall increased plasma blood, abdomen, and Inflammation of the Skin: blistering, Skin: Rash, erythema
mg orally every 12 synthesis, causing metformin heart. large intestine peeling, or loosening multiforme, stevens
hours for 7 to 14 days rapid cell destruction. concentrations and of the skin and yellow Johnson syndrome.
decreased renal Infections that Chronic kidney eyes or skin.
clearance of develop after surgical disease stage 4 Genitourinary:
metformin. procedures classified (severe) GI: Diarrhea, loss of Genital pruritus,
as contaminated or appetite, abdominal or genital candidiasis
C0-administartion of potentially Chronic kidney stomach pain, and vaginal
probenecid with contaminated disease stage 5 indigestion and upset discharge.
KEFLEX is not (failure) stomach.
recommended CNS: Seizure,
Kidney disease with dizziness and
likely reduction in headache.
kidney function

Responsibilities in the Nursing Process (ADPIE) Responsibilities in the Nursing Process (ADPIE)
Assessment: Implementation:
 Assess patient for any history of allergic reaction, side effects, adverse reactions for this
drug.  Do not Confuse Keflex with Keppra
 Monitor for Manifestations of hypersensitivity.
 Assess patient’s laboratory data for elevation of the WBC count.  PO: Administer around the clock. May be administered on full or empty stomach.
Administration with food may minimize GI irritation. Shake oral suspension well before
administering. Refrigerate oral suspensions.
 Evaluation:
Diagnosis:
 Risk for infection Evaluate the effectiveness of drug therapy by confirming that patient goals and expected
outcomes have been met.
 Diarrhea
 Deficient knowledge, related to medication regimen  Resolution of signs and symptoms of infection. Length of time for complete 
Planning:
The patient will: resolution depends on the organism and site of infection.
 Report signs of superinfection (furry overgrowth on the tongue, vaginal itching or
discharge, loose or foul-smelling stools) and allergy.
Notify health care professional if fever and diarrhea develop, especially if diarrhea contains
blood, mucus, or pus. Advise patient     not to treat diarrhea without consulting health care
professional.