NAME OF ROUTE, MECHANISM INDICATIO CONTRAINDICAT SIDE NURSING

THE DRUG DOSAGE OF ACTION N ION EFFECTS RESPONSIBILITIES

AND
FREQUENC
Y

Generic name: IM 250-500 mg All penicillin Severe Contraindicated with GI: Nausea, Reduce dosage with hepatic or
Penicillin in doses OD q6 derivatives infections hypersensitivity to vomiting, renal failure.
produce their caused by penicillin’s diarrhea Assess for hypersensitivity to
Brand name: bactericidal sensitive Renal dysfunction Neuro: drug.
Penicillin G effects by organisms Hallucinations, Assess for any contraindications
inhibition of (streptococci) myoclonus to the drug.
Therapeutic bacterial cell seizures
class: wall synthesis. Hema: Advise client to take penicillin
Penicillin Penicillin’s Hemolytic with meals to reduce GI
prevent bacteria anemia, discomfort
Pharmacologic from using a leucopenia, Instruct to report difficulty
class: substance that is thrombocytopen breathing, rashes, severe pain at
Antibiotic necessary for the ia injection site, mouth sores,
maintenance of CV: cardiac unusual bleeding or bruising
Pregnancy the bacteria’s arrest, Instruct to take medication as
category: outer cell wall. hypotension, directed for the full course of
Category B Unable to use tachycardia, therapy, even if feeling better
this substance for palpitations Drug is not for IV use. Do not
cell wall inject or mix with other IV
maintenance, the solutions.
bacteria swell, Give IM injection in upper outer
rupture, assume quadrant of the buttock.
unusual shapes, Avoid contact with the needle.
and finally die. Withdraw needle as quickly as
possible to avoid discomfort.

Stay with patient throughout

whole duration of administration
 NAME OF ROUTE, MECHANISM INDICATION CONTRAINDICATI SIDE NURSING
THE DRUG DOSAGE OF ACTION ON EFFECTS RESPONSIBILITIES
AND
FREQUENC
Y
Administer oral erythromycin
Generic name: Adult: PO Macrolide Pneumococcal Hypersensitivity to GI: Nausea, base or stearate on an empty
Erythromycin 250–500 mg antibiotic pneumonia, erythromycins. vomiting, stomach, 1 hr before or 2–3 hr
q6h; 333 mg produced by a Mycoplasma Estolate: History of abdominal after meals, with a full glass of
q8h strain of pneumoniae erythromycin- cramping, water (oral erythromycin
Brand name: Streptomyces (primary associated hepatitis; diarrhea, estolate, ethylsuccinate, and
 Erythrocin erythreus. atypical liver dysfunction; heartburn, certain enteric-coated tablets [see
Bacteriostatic or pneumonia), treatment of skin anorexia. Body manufacturer’s instructions] may
Therapeutic bactericidal, disorders such as acne as a Whole: be given without regard to
class: Anti- depending on or furunculosis; Fever, meals).
ineffective nature of prophylaxis of eosinophilia, Report onset of GI symptoms
organism and rheumatic fever. urticaria, skin after PO administration to
Pharmacologic drug eruptions, fixed physician. These are dose
class: concentration drug eruption, related; if symptoms persist after
macrolide used. anaphylaxis. dosage reduction, physician may
antibiotic Superinfections prescribe drug to be given with
by meals in spite of impaired
Pregnancy nonsusceptible absorption.
category: bacteria, yeasts, Monitor for S&S of
Category B or fungi. hepatotoxicity. Premonitory S&S
Special Senses: include: Abdominal pain,
Ototoxicity: nausea, vomiting, fever,
reversible leukocytosis, and eosinophilia;
bilateral jaundice may or may not be
hearing loss, present.
tinnitus, Administer around the clock to
vertigo. maximize effect; adjust schedule
Digestive: to minimize sleep disruption.
(Estolate)
Cholestatic
hepatitis
syndrome.
Skin: (topical
use) Erythema,
desquamation,
burning,
tenderness,
dryness or
oiliness,
pruritus.