LUNAR, JACQUELINE MARIE Drug Study OPTHA/ENT WARD

NR32, GROUP 3C

DRUG NAME CLASSI MECHANISM OF INDICATION CONTRA ADVERSE ACTION NURSING

FICATION ACTION INDICATION RESPONSIBILITIES

Generic Name Quinolone Antibiotics - Levofloxacin is a - Bacterial - contraindicated in patients - The primary adverse ASSESSMENT
Levofloxacin - broad-spectrum bactericidal conjunctivitis with documented effects of levofloxacin - Levofloxacin can cause serious
antibiotics that are antibiotic of the (Ophthalmic hypersensitivity to the drug include photosensitivity, side effects, assess for the
Brand Name active against both fluoroquinolone formulation): eye or excipients, as cases of nausea, diarrhea, headache, following:
Gram-positive and drug class that solution used to anaphylaxis have been tendinitis, tendon rupture, o tendon problems, side effects
Oftaquix 1.5%
Gram-negative directly inhibits treat bacterial reported. hyper-hypoglycemia, on your nerves (which may
bacteria, including bacterial DNA infections. - It is recommended to avoid seizures, prolonged QT cause permanent nerve
Dosage synthesis. Levofloxacin is a levofloxacin and other interval, and peripheral damage)
mycobacteria, and
- 15mg/ml anaerobes. Levofloxacin safe and effective fluoroquinolone antibiotics neuropathy o serious mood or behavior
Route promotes the medicine on the in patients with myasthenia - Research has determined changes (after just one dose)
- Eye solution breakage of DNA World Health gravis due to an increased prolonged levofloxacin is o low blood sugar (which can
Frequency strands by Organization's risk of exacerbation of associated with an lead to coma)
- Q1 (as per inhibiting DNA- essential medicines existing muscle weakness increased risk of fungal or PATIENT/FAMILY EDUCATION
doctor’s order) gyrase in list bacterial superinfection - if medication is ordered bed side,
susceptible (e.g., pseudomembranous instruct the patient to strictly
organisms, which colitis) follow the frequency ordered
inhibits the
relaxation of
supercoiled DNA
 DRUG NAME CLASSI MECHANISM OF INDICATION CONTRA ADVERSE ACTION NURSING
FICATION ACTION INDICATION RESPONSIBILITIES

Generic Name - Natamycin is a - Natamycin is a tetraene - Natamycin - Natamycin ophthalmic - Natamycin ophthalmic Natamycin is for topical
Natamycin macrolide polyene antibiotic ophthalmic suspension 5% is suspension 5%, or a administration to the eyes only; do
antifungal used derived from suspension 5% is contraindicated in combination of these NOT inject parenterally.
Brand Name to treat fungal Streptomyces natalensis. indicated for the individuals with a history factors include: allergic - Instruct patient on proper
infections of the It possesses in vitro treatment of fungal of hypersensitivity to any reaction, change in instillation of eye suspension (see
Natacyn
activity against a variety vision, chest pain, Patient Information).
eye. blepharitis, of its components.
of yeast and filamentous - Instruct patient not to wear contact
Dosage conjunctivitis, and corneal opacity, dyspnea,
fungi, including lenses if signs or symptoms of an
- 5ml keratitis caused by eye discomfort, eye
Candida, Aspergillus, ocular infection are present.
Route Cephalosporium, susceptible organisms edema, eye hyperemia,
- Eye solution Fusarium and including Fusarium eye irritation, eye pain, To prevent contamination
Penicillium. The solani keratitis. As in foreign body sensation, - Do not touch the tip of the dropper
Frequency
mechanism of action other forms of parethesia, and tearing. to the eye, fingertips, or other
- Q1 (as per
doctor’s order) appears to be through suppurative keratitis, surface
binding of the molecule initial and sustained - Shake well before using.
to the sterol moiety of therapy of fungal - Wash hands before and after use.
the fungal cell keratitis should be - Tilt the head back slightly and pull
membrane. The determined by the the lower eyelid down with the
polyenesterol complex index finger to form a pouch.
clinical diagnosis,
alters the permeability Squeeze the prescribed number of
laboratory diagnosis
of the membrane to drops into the pouch. Close eyes to
produce depletion of by smear and culture spread drops.
essential cellular of corneal scrapings - Do not use dropper for more than
constituents. and drug response. one person.
- Amphoteric macrolide
antifungal antibiotic
from Streptomyces
natalensis or S.
chattanoogensis. It is
used for a variety of
fungal infections,
mainly topically.
 DRUG NAME CLASSI MECHANISM OF INDICATION CONTRA ADVERSE ACTION NURSING
FICATION ACTION INDICATION RESPONSIBILITIES

Generic Name - Doxycycline is - Doxycycline is a broad- - Doxycycline has been Pregnancy and Lactation - Doxycycline can cause - Monitor signs of hypersensitivity
Doxycycline a broad- spectrum bacteriostatic approved by the Food - Doxycycline crosses into gastrointestinal upset. Oral reactions or anaphylaxis, including
spectrum antibiotic. It inhibits the and Drug breastmilk. Other doxycycline can cause pill pulmonary symptoms (tightness in
Brand Name antibiotic of the synthesis of bacterial Administration (FDA) tetracycline antibiotics esophagitis, particularly the throat and chest, wheezing,
tetracycline proteins by binding to for the prevention or when it is swallowed cough dyspnea) or skin reactions
Acticlate are contraindicated in
the 30S ribosomal without adequate fluid, or (rash, angioedema, pruritus,
Adoxa CK class used in the treatment of specific pregnancy and up to
subunit, which is only urticaria). Notify physician or
treatment of conditions within each eight years of age, due to by persons with difficulty
found in bacteria. This nursing staff immediately if these
Dosage infections of the following the potential for swallowing or impaired
prevents the binding of reactions occur.
- 100 mg caused by transfer RNA to categories: rickettsial disrupting bone and mobility. Doxycycline is
Route bacteria and messenger RNA at the infections, sexually tooth development. They less likely than other
- Po certain parasites ribosomal subunit transmitted infections, include a class warning antibiotic drugs to cause
meaning amino acids respiratory tract about staining of teeth Clostridium difficile colitis.
Frequency
cannot be added to infections, bacterial and decreased
- BID
polypeptide chains and infections, Lyme development of dental
new proteins cannot be disease, ophthalmic enamel in children
made. This stops infections exposed to tetracyclines
bacterial growth giving in utero, during
the immune system time
breastfeeding or during
to kill and remove the
bacteria. young childhood.
 LUNAR, JACQUELINE MARIE Nursing Care Plan OPTHA/ENT WARD
NR32/GROUP 3C
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective Risk for injury related - The patient will be free of - Ensure the room - Provides a safe environment to - After immediate nursing
“Hindi na ako to decreased vision injury and will be able to environment is safe with reduce the potential for injury. intervention the patient will
nakakakita dito (OD) perform activities within adequate lighting and - Reduced visual acuity puts the be free of injury and will be
aninag na lang” as the parameters of sensory furniture moved toward the patient at risk for injury. able to perform activities
verbalized by the patient limitation. walls. Remove all rugs, and within parameter of
- The patient and/or family sensory limitation. And the
objects that could be
Vital signs will be able to modify the
potentially hazardous. patient/family will be able
environment to ensure
o BP: 120/80 - Instruct the patient and/or to modify a safer
patient safety
mmHg family regarding the need to environment.
o PR: 82bpm maintain a safe environment
o RR: 21bpm
o Temp: 36.6