This document summarizes key information about three drugs: Insulin, Clindamycin, and Silver sulfadiazine.
1) Insulin is used to treat diabetes by increasing glucose transport and reducing blood glucose levels. It has potential adverse reactions like skin irritation and hypoglycemia. Nursing considerations include knowing insulin is preferred for diabetes in pregnancy and monitoring for insulin resistance.
2) Clindamycin treats bacterial infections by inhibiting protein synthesis. It may cause gastrointestinal side effects. It should be used cautiously in certain patient groups and drug interactions monitored.
3) Silver sulfadiazine is a topical antibiotic used to prevent and treat wound infections. It requires sterile application and monitoring for potential hematological side effects
This document summarizes key information about three drugs: Insulin, Clindamycin, and Silver sulfadiazine.
1) Insulin is used to treat diabetes by increasing glucose transport and reducing blood glucose levels. It has potential adverse reactions like skin irritation and hypoglycemia. Nursing considerations include knowing insulin is preferred for diabetes in pregnancy and monitoring for insulin resistance.
2) Clindamycin treats bacterial infections by inhibiting protein synthesis. It may cause gastrointestinal side effects. It should be used cautiously in certain patient groups and drug interactions monitored.
3) Silver sulfadiazine is a topical antibiotic used to prevent and treat wound infections. It requires sterile application and monitoring for potential hematological side effects
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This document summarizes key information about three drugs: Insulin, Clindamycin, and Silver sulfadiazine.
1) Insulin is used to treat diabetes by increasing glucose transport and reducing blood glucose levels. It has potential adverse reactions like skin irritation and hypoglycemia. Nursing considerations include knowing insulin is preferred for diabetes in pregnancy and monitoring for insulin resistance.
2) Clindamycin treats bacterial infections by inhibiting protein synthesis. It may cause gastrointestinal side effects. It should be used cautiously in certain patient groups and drug interactions monitored.
3) Silver sulfadiazine is a topical antibiotic used to prevent and treat wound infections. It requires sterile application and monitoring for potential hematological side effects
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
Name of Drug action Indicatio Contraindic Adverse Modes of Drug Nursing
drugs n ation reaction administrat interaction consideration ion Generic - increase glucose -diabetc - - Skin: - - Anabolic - Know that insulin name: transport across ketoacid Contraindic urticaria, Subcutaneo steroids, beta is the drug of choice Insulin muscle and fat osis ated pruritus, us blockers, to treat diabetes cell membranes inpatients redness, clotibrate, during pregnancy to reduce blood with stinging, fenfluramine, - Dosage is always glucose level. history of warmht at guanitidine. epressed in USP -Promotes systemic injection Mao inhibitors, units conversion of aalergic site, salicylates, - be aware that glucose to its reaction to - other: tetracycline, some patient may storage form pork Lipoatroph prolonged develop insulin glycogen; triggers y, hypoglycemic resistance and amino acids hypersensi effect require large insulin uptake and tivity - dose to control conversion to reaction corticosteroids, symptoms protein in muscle dextrothyroxine - to mix insulin cells and inhibits , epinephrine, suspension, swirl protein thiazide vial gently or rotate degradation; diuretics, between palms/ stimulates thyroid between palms and triglycerides hormones thigh formation and - Diazoxide, - know that lente inhibits release of phenytoin and semilente and free fatty acids - oral ultralentte insulins from adipose contraceptives may be mixed in tissue; stimulates any proportion lipoprotein lipase - Check expiration activity which date converts - Know that the circulating usual route is SQ lipoproteins the - Store insulin in fatty acids cool area Generic - Inhibits bacterial - - - GI: - PO - Erythromycin - Use cautiously in name: protein synthesis Infection Contraindic nausea, -kaolin neonates and Clindamycin by binding to the s ated with vomiting, -neuromuscular patient with renal 300mg 5OS subunit of caused patient pain, blocker and hepatitis Brand name: the ribosome by with diarrhea disease asthma, Cleocin HCL sensitiv hypersensit pseudome history of GI dse., or e ivity to mbranous significant allergies staphylo drug or colitis - Know that drug cocci; lincomycin - dose not penetrate streptoc Hemaologi blood brain barrier occi; c: - obtain culture and pneumo transient sensitivity test cocci leukopenia before giving first - , dose. Antiinfe eosinophill - dont refrigrate ctive ia, reconstituted oral drugs thrombocy solution because it openia will thicken -skin: - observed patient maculopa for signs of pular rash, superinfection. urticaria - Other: anaphylaxi s ,jaundice , abnormal liver function test, Thrombop hlebitis Generic - Broad spectrum - - - topical Topical -Use with caution in name: sulfadiazine that Prevent Contraindic Hematolog proteolytic patient with Silver acts on cell and ated in ic; enzymes hypersensitivity to sulfadiazine membrane and treatme premature leukopenia sulfonamides cell wall; nt of and fulkl -skin: pin - Use sterile bactericidal for wound term burning, application many gram (+) infection neonates rash, technique to and (-) organism in secon during first pruritus, prevent wound and 2 months skin contamination third of life necrosis, - Use only in degree - patients erythema, affected area-keep burn with multiform this area medicated hypersensit , skin all times ivity and in discolorati - iInspect patient pregnant on daily, and note any women at changes notify or near doctor if burning or term excessive pai develop -Monitor serum sulfadiazine concentration and renal function as orderd and checked urine for sulfacrystals in patients with extensive burns - tell doctors if hepatic or renal dysfunction occurs drug may need to stopped - discard darken cream , which indicates drug is ineffective Generic - A second - for - - GI: - IV - -Used cautiously in name: generation serious Contrraindi pseudome aminoglycoside patient with history cefuroxime cephalosporin infection cation in mbranous s of sensitivity to 750mg that inhibit cell of lower patient colitis, - diuretics penicillin and in wall synthesis, respirat with nausea , - probenecid breastfeeding promoting ory and hypersensit anorexia, woman. osmotic urinary ivity to vomiting, - obtain specimen instability;usually tracts, drug or diarrhea for culture and bactericidal skin and other - sensitivity test skin cephalospo hematolog before giving first structur rin ic; dose e transient , - Iv use: for each infection neutropeni 750 mg vial of bone a, keturox, and eosinophili reconstitutes with joint a, 9mg of sterile h2o infection hemolytic for injection. , anemia, - to give by direct septice thrombocy injection, inject into mia , topenia, large vien or into meningi decreased the tubing of free tis and hemoglobi slowing IV solution gonorrh n and 3-5 min. ea and hematocrit - know that perioper levels. absorption of ative -Skin: cefuroxime axetil iis prophyl maculopa enhance by food. axis; pular and -with laarge doses oral erythamat or proloonged form is ous therapy, monitor for used to rrashes. superiinfection, treat -other: especially in high- otitis transient risk patients. media and in pharyng liver itis, enzymes, tonsilitis hypersensi , UTI tivity ,LRI, reactions. skin and skin strucctu re infection Nursing Care Plan
Patients name: Bana, Elizabeth
Admitting diagnosis: Neuropathic foot, Diabetes mellitus II
Subjective: Risk for infection At the end of 8 Monitor vital To obtain After the 8 No verbal cues related to hours of nursing sign base line hour of Objective: increased blood intervention the Apply wound data nursing + gangrene sugar level as patient will be dressing to protect intervention at the right manifested by able to: from to the foot gangrene at the blood sugar Proper skin possible patient, goal 160 mg/dl- right foot level will care to infection partially met glucose reduce to gangrenous to lessen the as fatigue normal level site microorganis evidenced increased free from m and by: WBC : 13.7/L infection Encouraged promote - blood Vital signs the client to wound glucose level taken: increased healing of the - T= 36.6 C high fiber to increased patient is - p= 82 diet carbohydrat reduced to bpm e its normal - RR= metabolism ranged 21cpm and to help - free from - BP= encourage control infection 130/70 low cholesterol mm carbohydrat level Hg e diet to control Administer glucose medication intake as prescribed: inhibit -cefuroxime bacterial -silver protein sulfadiazine synthesis - Clindamycin
Subjective: Impaired skin At the end of 8 increased To replenish After the 8 hour of No verbal cues integrity related to hours of nursin fluid intake water loss nursing Objective: peripheral interventionn the and prevent intervention to the 160g/dl neuropathy as patient will be dry skin client, goal glucose mmanifested by able to: proper skin to lessen the partiallly met as + gangrene dry and scaly skin blood care microorganis evidenced by: at the right glucose level specially to m and to blood foot will reduce the promote glucose level Dry and to normal gangrenous wound will reduce scaly skin level site healing to normal pallor improved Encouraged to supply range decrease skin the patient adequate improved hematocrit: integrity to take vitamins in skin 0.287g/L multivitamin the body integrity Decreased s to moisten hemoglobin: Apply skin and 94 g/L hypoallerge prevent Vital signs nic lotion dryness taken: to prevent - T= 36.6 C Encouraged from - p= 82 the client to dryness bpm take a daily - RR= personal 21cpm hygiene - BP= 130/70 mmHg