INDEX Generic Name azithromycin Trade Name Zithromax

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency agents for atypical mycobacterium, 250mg PO daily/four or more days anti-infectives Duration 24 hour For IV meds, compatability with IV drips and/or solutions

Peak Onset 2.5-3.2hour rapid Why is your patient taking this medication?

Mechanism of action and indications Upper respiratory tract infections; including strep pharyngitis; acute bacterial exacerbations of chronic bronchitis and tonsillitis; lower respiratory tract infections, including bronchitis and pneumonia. Acute otitis media; skin and skin structure infections; gonorrhea; treatment of cysitc fibrosis lun disease.

Nursing Implications (what to focus on) Contraindications/warnings/interactions hypersensitivity to azithromycin; erthromycin; or other macorlide anti-infectives. Severe liver impairment severe renal impairment; lactation.

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) Aluminum and magnesium-containing antacids; digoxin; theophylline; ergotamine; dihydroergotamine; triazolam; carbamazepine; cyclosporine; tacrolimus; phenytoin.

Common side effects dizziness; seizures; drowsiness; fatigue; headache; chest pain; hyptension; palpitations; pseudomembranous colitis; abdominal pain; diarrhea nausea; cholestatic jaundice; elevated liver enzymes; dyspepsia; flatulence; melena; oral candidiasis; nephritis; vaginitis; anemia; leukopenia; thrombocytopenia photosensitivity; Stevens-Johnson; rashes; ototoxicity; hyperkalemia; angioedema. Lab value alterations caused by medicine

Be sure to teach the patient the following about this medication Sharing of medication may be dangerous; do not take with food or antacids; use sunscreen; report symptoms of chest pain; palpitations; yellowing of skin or eyes; or sings of superinfection; call doctore if fecer and diarrhea develop especially if stool contains blood, pus, or mucus. Evaluation Check after giving Resolution of signs and symptoms of infection length of time for complete resolution depends on the organism and site of infection.

Nursing Process - Assessment (Pre-administration assessment Vital signs; allergy; appearance of woond, sputum; urine, and stool; WBC; observe for signs and symptoms of anaphylaxis (rash, pruritus, larngeal edema and wheezing

Assessment Why would you hold or not give this med? allergy anaphylaxis

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