Patient’s name: XX Date of admission:

Age: Chief Complaint:

Attending Physician: Dr. L Room: #:
Generic Name Brand Classification Mechanism of Indication Adverse effects/ Side effects Nursing Consideration
Name action
Azithromycin Pharmacological Binds to 50S Azithromycin  Nausea, diarrhea, vomiting, stomach pain, Before:
500mg, PO, OD Class: Antibiotic ribosomal subunit exhibited a headache  History: Check
of susceptible synergistic  Irregular heartbeat, dizziness, fainting, rash for
Class of microorganisms antiviral with or without a fever. Hypersensitivity
medication: and blocks effect against  yellowing of the skin or eyes to azithromycin,
macrolide dissociation of SARS-CoV-2   extreme tiredness erythromycin, or
antibiotics peptidyl tRNA any macrolide
 unusual bleeding or bruising
from ribosomes,  lack of energy antibiotic and
Therapeutic effect: causing RNA- Renal
Bacteriostatic  loss of appetite
dependent protein impairments.
 pain in the upper right part of the stomach
synthesis to arrest;  Obtain vital signs
does not affect  dark-colored urine
before
nucleic acid  unusual muscle weakness or difficulty with
administration.
synthesis muscle control
 pink and swollen eyes During and After:
 Monitor patient’s
vital signs after
giving the
medication.
 Administer on an
empty stomach 1
hour before or 2
-3 hours after
meal. Foods
affects the
absorption of this
drugs.
  Assess for
hepatoxicity such
as malaise, fever,
and abdominal
pain.
 Check for GI
discomfort,
nausea and
vomiting.
 Monitor daily
pattern bowel
activity and stool
consistency.
 Instruct patient to
report severe or
watery diarrhea,
severe nausea and
vomiting, rash or
itching and mouth
sores.

Patient and family

education
 Instruct the
patient to
continue therapy
to full length of
treatment.
 Avoid concurrent
administration of
aluminum or
magnesium
containing
 antacids.

Reference:

Azithromycin for COVID-19: More Than Just an Antimicrobial? (n.d.). PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290142

Saunders Nursing Drug Handbook 2019

Davis Drug Guide for Nurses 10th Edition