MENDEZ, REIGN HEART T.

Clinical Instructor: Kharissa Mae Launico Ugaban

2BSN-09

DRUG STUDY FOR CEFUROXIME

Patient’s Name: Bulatao, Charlene Gagarin Chief complaint: Oligohydramnios

Age: 23 Admitting diagnosis: G2P0
Sex: F Oligohydramnios
Physician: Dr. C. Cuison Final diagnosis: PO, 39 4/7 week AOG
Medication: Cefuroxime 750mg via IVF delivered alive baby girl
Room no. 208 (AS 7/9 WT 3.3 grams) by
LTCS G2P1 (1011)
Oligohydramnios

Name of Drug Mechanism of Action Contraindications Side Effects Adverse Effects Nursing Responsibilities

GENERIC NAME: ● Cefuroxime is ● Patients with ● Vomiting Assessment:

● Cefuroxime, a bactericidal known allergy
Cefuroxime agent that acts to the ● GI History:
axetil, by inhibition of cephalosporin disturbances ● Hepatic and
Cefuroxime bacterial cell group of ● Swelling, renal impairment,
sodium wall synthesis. antibiotics redness, ● Colitis lactation,
pain, or pregnancy
BRAND NAME: soreness at ● Vaginitis
● Cefuroxime ● Patients with
● Zinacef, Ceftin the injection including ● Previous use or
has activity in renal site
the presence impairment or vaginal reaction to
CLASSIFICATION: ● Loss of candidiasis penicillin or
of some beta- renal failure
● Antibiotic, appetite cephalosporins
lactamases,
Cephalosporins ● Toxic
both ● Geriatric ● Nausea
nephropathy
(second ● Signs and
generation)
penicillinases patients ● Vomiting symptoms of
and ● Hepatic
● Diarrhea infection
INDICATION: cephalosporina ● Pregnant and dysfunction Monitoring:
● Zinacef is a ses, of Gram- lactating ● Irritability including
prescription negative and women cholestasis, ● Side effects
medicine used to ● Headache aplastic ● Evaluate for the
Gram-positive
treat the bacteria. anemia, therapeutic
symptoms of hemolytic response
various bacterial anemia,
infections such hemorrhage. Client education:
as
Pharyngitis/Tonsi ● Drug is specific
lli-tis, Acute for infections
Bacterial - should
Maxillary not be
Sinusitis, Acute used to
Bacterial self-treat
Exacerbations of other
Chronic problems
Bronchitis,
Secondary ● Take the drug
Bacterial with food
Infections of - client
Acute Bronchitis, should
Pneumonia, Skin not crush
Infections, the tablet
Urinary Tract and
Infections, Lyme
swallow it
Disease and
to
Gonorrhea.
enhance
● Zinacef may be
absorptio
used alone or
n
with other
medications.
● Remind the
client about the
side effects they
may experience:
stomach upset
DOSAGE/ or diarrhea
FREQUENCY:
● Avoid alcohol
● PO
- Uncomplicated ● Report if any of
UTI: 125 mg the following
twice daily. occurs: severe
diarrhea,
- Respiratory tract difficulty
infections: 250- breathing,
500 mg twice unusual
daily. tiredness or
fatigue, pain at
- Uncomplicated injection
gonorrhea W/
oral probenecid:
1 g as a single
dose.

● IV
- Meningitis: 3 g 8
hourly.

● IM
- Gonorrhea W/
oral probenecid:
1.5 g as a single
dose.

● IV/IM
- Surgical
prophylaxis: 1.5 g
IV per-op, then
750 mg IM 8
hourly for up to
24-48 hr.
- Susceptible
infections: 750
mg 8 hourly, up
to 1.5 g 6-8
hourly for severe
infections.