Patient’s E, K Age: 3 yrs. old Physician: Dr.

Magallona
Initials:
Room #: 408 Sex: F Dx: Fracture, open II, complete communutes, m/3, femur L,
Fracture, closed, compete, lateral epicopale, humerus R
Sepsis, anemia

Generic Brand Classification Mechanism of Indication Adverse Effect Nursing Management

Name Name Action
cefixime Suprax Pharmacologic: Binds to Prophylaxis CNS: dizziness, 1. Watch for seizures; notify physician
antibiotic bacterial cell headache,
Route: PO Therapeutic: third membranes, seizures immediately if patient develops or
Dose: 4ml generation inhibits cell CV: edema increases seizure activity.
Frequency: cephalosporin wall synthesis RESPI: DOB
BID x 1 GI: indigestions, 2. Monitor signs of pseudomembranous
week stomach pain,
10AM – nausea, vomiting colitis, including diarrhea, abdominal pain,
6PM DERM: erythema fever, pus or mucus in stools, and other
multiforme, facial severe or prolonged GI problems (nausea,
edema, pruritis,
skin rash, stevens- vomiting, heartburn). Notify physician or
johnson syndrome nursing staff immediately of these signs.
GENITOURINARY:
acute renal
3. Monitor signs of allergic reactions and
failure,
candidiasis, anaphylaxis, including pulmonary
genital pruritus, symptoms (tightness in the throat and
transient
chest, wheezing, cough dyspnea) or skin
elevations in BUN
or CREA, vaginitis reactions (rash, pruritus, urticaria). Notify
physician or nursing staff immediately if
these reactions occur.

4. Assess muscle aches and joint pain

(arthralgia) that may be caused by serum
sickness. Notify physician if these
symptoms seem to be drug related rather
 than caused by musculoskeletal injury or if
muscle and joint pain are accompanied by
allergy-like reactions (fever, rashes, etc.)

5. Monitor signs of blood dyscrasias,

including hemolytic anemia (unusual
weakness and fatigue, dizziness, jaundice,
abdominal pain) and thrombocytopenia
(bruising, nose bleeds, bleeding gums,
other unusual bleeding). Report these
signs to the physician.

6. Instruct patient to notify physician

immediately of signs of superinfection,
including black, furry overgrowth on
tongue, vaginal itching or discharge, loose
or foul-smelling stools.
7. Instruct patient and family/caregivers to
report other troublesome side effects such
as severe or prolonged skin problems
(rash, hives) or GI problems (nausea,
vomiting, diarrhea, cramps)
8. Document.

cloxacillin Tegopen Pharmacologic: By binding to Staphylococcal EENT: laryngeal 1. Perform skin testing before administration.
syrup penicillinase- specific infections edema 2. Watch for seizures; notify physician
resistantpenicillins penicillin- Derm: urticaria, immediately if patient develops or
Route: PO Therapeutic: anti- binding skin rash, increases seizure activity.
Dose: 5ml infectives proteins exfoliative 3. Side rails up
Frequency: (PBPs) located dermarirs, rash 4. Monitor signs of adverse reactions such as,
TID x 1 inside the GI: GI allergic reactions and anaphylaxis,
week bacterial cell disturbances, including pulmonary symptoms or skin
8AM – 2PM wall, vomiting, nausea, reactions. Notify physician or nursing staff
cloxacillin epigastric distress, immediately if these reactions occur.
inhibits the diarrhea, 5. Monitor CBC with differential, urinalysis,
third and last flatulence BUN, serum creatinine, and liver enzymes.
 stage of GU: interstitial 6. Finish all medications: do not skip doses
bacterial cell nephritis and 7. Document
wall synthesis. vasculitis
Cell lysis is HEMA:
then mediated eosinophilia,
by bacterial agranulocytosis,
cell wall anemia,
autolytic thrombocytopeni
enzymes such a
as autolysins; Other;
it is possible hypersensitivity
that cloxacillin
interferes with
an autolysin
inhibitor.
ibuprofen Advil Pharmacologic: Reversibly For pain CNS: headache, 1. Monitor signs of allergic reaction
antirheumatic, inhibits COX-1 dizziness, 2. Observe 12 rights of medication
Route: PO analgesics, and COX-2 drowsiness, 3. Monitor for therapeutic effectiveness
Dose: antipyretic enzymes, psychic 4. Document
200mg/5ml Therapeutic: NSAID resulting in disturbances
Frequency: decreased EENT: amblyopia,
q6h as formation of blurred vision,
needed prostaglandin tinnitus
receptors CV: arrhythmias,
edema
GI: GI bleeding,
hepatits,
constipation,
dyspepsia,
nausea, vomiting,
abdominal
discomfort
GU: cystitis,
hematuria, renal
failure
DERM: exfoliative
dermititas,
stevens-johnson
syndrome, toxic
epidermal
 necrolysis, rashes
HEMAT: blood
dyscrasias,
prolonged
bleeding
Others;
anaphylaxis
mupirocin Bactroban Pharmacologic: Inhibits Surgical 1. Assess skin for type, extent of lesions.
topical antibiotic bacterial prophylaxis to 2. Monitor healing of skin lesions. Stop
Route: Therapeutic: protein, RNA prevent wound application if skin reactions occur. Notify
Topical antibacterial synthesis, less infections. physician.
Frequency: effective on 3. For external use only
until DNA synthesis 4. Avoid contact with eyes
wounds 5. Document findings.
heal