Krizelle M.

Varona
Competency Appraisal 2

1.

a. Amoxicillin
Action: Inhibits synthesis of cell wall of sensitive organisms, causing cell death.
Nursing Consideration:
Assessment
 History: Allergies to penicillins, cephalosporins, or other allergens; renal disorders;
lactation
 Physical: Culture infected area; skin color, lesion; R, adventitious sounds; bowel
sounds; CBC, LFTs, renal function tests, serum electrolytes, Hct, urinalysis
Interventions
 Culture infected area prior to treatment; reculture area if response is not as expected.
 Give in oral preparations only; amoxicillin is not affected by food.
 Continue therapy for at least 2 days after signs of infection have disappeared;
continuation for 10 full days is recommended.
 Use corticosteroids, antihistamines for skin reactions.

b. Clarithromycin
Action: Inhibits proteinsynthesis insusceptible bacteria,causing cell death
Nursing Consideration:
 Take drug with food if GI effects occur. Take the full course of therapy.
 Do not drink grapefruit juice while taking this drug.
 Shake suspension before use; do not refrigerate; do not cut, crush, or chew ER tablets;
swallow whole.
 These side effectsmay occur: Stomach cramping, discomfort, diarrhea; fatigue,
headache (medication may be ordered); additional infections in the mouth or vagina
(consult with care provider for treatment).
 Report severe or watery diarrhea, severe nausea or vomiting, rash or itching, mouth
sores, vaginal sores
c. Metronidazole
Action:
Nursing Consideration:
d. Tetracycline
Action:
Nursing Consideration:
e. Pepto- Bismol
Action:
Nursing Consideration:
f. Tagamet
Action:
Nursing Consideration:
 g. Pepcid
Action:
Nursing Consideration:
h. Axid
Action:
Nursing Consideration:
i. Zantac
Action:
Nursing Consideration:

j. Nexium
Action:
Nursing Consideration:
k. Prrevacid
Action:
Nursing Consideration:
l. Prilosec
Action:
Nursing Consideration:
m. Pantoprazole
Action:
Nursing Consideration:
n. Rabeprazole
Action:
Nursing Consideration:
o. Cytotex
Action:
Nursing Consideration:
p. Carafate
Action:
Nursing Consideration:

2.

a. Achalasia

b. Boerhaave syndrome

c. Barrett’s esophagus

3. Bariatric Surgery

4. Kock Pouch