Drug Drug Classification Action Indication Side Effects Dosage Nursing

Considerations
Generic Name: Antibiotic Bactericidal: Inhibits •Parenteral: •CNS: Ototoxicity Adults: 500mg- •Oral solution:Add
Vancomycin cell wall synthesis of Potentially life- •CV: Hypotension 2g/day PO in three 115ml distilled water
Brand susceptible threatening •Dermatologic: or four divided doses to contents of 10g
Name:Vancocin, organisms, causing infections not Urticaria,muscular for 7-10 days; container.Each 6ml
Vancoled cell death treatable with other rashes 500mg IV every 6 of solution will
less toxic antibiotics •GI: Nausea hours or 1g IV every contain 500mg
•Severe •GU: Nephrotoxicity 12 hours. vancomycin.
staphylococci •Hematologic: Alternatively, dilute
infections in patients Eosinophilia Pediatic Patients:40 the contents of
who cannot receive mg/kg/day PO in 500mg vial for
or have failed to three to four divided injection in 30l of
respond to penicillins doses for 7-10 water for oral or
and cephalosphorins days.10mg/kg/dose nasogastric tube
•Prevention of IV every 6 hr Do not administration.
bacterial endocarditis exceed 2g/day •Observe patient
in penicillin-allergic very closely when
patients undergoing giving parenteral
dental, upper solution, particularly
respiratory, GI, or the first doses, “red
GU surgery or man” syndrome can
invasive procedures. occur;slow
administration
decreases the risk of
adverse effects.
•Monitor renal
function tests with
prolonged therapy.
Drug Drug Classification Action Indication Side Effects Dosage Nursing Consideration
Generic Aminoglycoside •Bactericidal: •Parenteral: Serious •CNS: Ototoxicity, Dosage should be •History: Allergy to
Name:Gentamicin antibiotics Inhibits protein infections caused by tinnitus, dizziness, based on estimated aminoglycosides;renal
Brand Name: synthesis in susceptible strains of vertigo, deafness lean body mass or hapatic disease;
Garamycin, susceptible strains Pseudomonas •CV:Palpitations, Adults: 3mg/kg/day pre-existing hearing
Alcomicin of gram-negative aeruginosa, hypotension, in three equal loss; active infection
bacteria;appears to Cilicobacter, hypertension doses every 8hr IM with herpes vaccinia,
disrupt functional Staphylococcus •GI:Hepatic toxicity, or IV to varicella, fungal
integrity of bacterial species. nausea, vomiting, 5mg/kg/day in infections
cell membrane, •Intrathecal: Gram- anorexia three to four equal •Physical: Site on
causing cell death. negative •GI: Nephrotoxicity doses in severe infection; skin color;
infections;Serious CNS •Hematologic: infections lesions; orientation;
infections such as Leukemoid reaction reflexes; eight cranial
meningitis, ventricullitis Pediatric patients: nerve function.
•Ophthalmic 2-2.5mg/kg every
preparations:Treatment 8hr in IM or IV.
of superficial ocular Infants and
infections due to neonates: 2.5mg/kg
strains of every 8hr
microorganisms
susceptible to
gentamicin
Ordonio, Cora Grace F. BSN-3

Drug Drug Classification Action Indication Side Effects Dosage Nursing

Consideration
Generic Name: Iron Preparation Elevates the serum •Prevention and •CNS: CNS toxicity, Adults •History: Allergy to
Ferrous Sulfate iron concentration, treatment of iron acidosis, coma and •Daily any ingredient,
Brand Name: Feosol, which then helps to deficiency anemias death with overdose requirements:Men, sulphite,
Fergensol, Ferinsol form Hgb or trapped •Dietary supplement •GI: GI upset, 8-11 mg/day PO; hemochromatosis,
in the retic for iron anorexia, nausea, women, 9-27 hemosiderosis,
uloendothelial cells •Unlabeled use: vomiting, mg/day PO. haemolytic anemias;
for storage and Supplemental use constipation, •Replacement in normal iron balance
eventual conversion during epoetin diarrhea, dark stools, deficiency states: •Physical: Skin
to a usable form of therapy to ensure temporary staining 150-300 mg/day(6 lesions, color, gums,
iron proper hematologic of teeth mg/kg/day) PO for teeth, bowel
response to epoetin. approximately 6-10 sounds,CBC, Hgb,
mg may be required. Hct, serum ferritin
Pediatric Patients and iron levels.
•Daily requirement:
7-11mg/day PO
•Replacement:3-6
mg/kg/day PO.