ACTIVE LEARNING TEMPLATE: Medication

Tommie Waiters
STUDENT NAME______________________________________
Azithromycin
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________

CATEGORY CLASS__Macrolides
_____________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

It is a macrolide-type antibiotic. It works by stopping
the growth of bacteria. This medication will not work
for viral infections (such as common cold, flu)
- Bacteriostatic action against susceptible
bacteria.
- Active against the following gram
positive aerobic bacteria: Staphylococcus
aureus, Streptococcus pneumoniae, S.
pyogenes (group A strep)

Complications Medication Administration

- CNS: Vertigo, dizziness, mild to severe seizures, sleepiness, always tired, PO (Adults): 500 mg on 1st day,
migraine.
- CV: chest pain, hypotension and palpitations, QT interval prolongation. then 250 mg/day for 3-4 days
- GI: HEPATOTOXICITY, PSEUDOMEMBRANOUS COLITIS, (total dose of 1.5 g); Acute
Stomach associated with severe diarrhea, stomach
nausea, cholestatic jaundice of the skin bacterial sinusitis—500 mg once
daily for 2-3 days or single 2-g
dose of extended-release
suspension (Zmax).
Contraindications/Precautions
Hypersensitivity to azithromycin seen in the patient, erythromycin, or other
macrolide anti-infectives; History of cholestatic jaundice or
hepatic dysfunction with prior use of azithromycin. QT Nursing Interventions
interval prolongation, hypokalemia, hypomagnese- mia, or
bradycardia; Concurrent use of quinidine, procainamide Check the patient for infection
ASAP (check vital signs,look for the
appearance of wounds, sores,
sputum,urine,or stool, have labs
checked with the WBC) at the start
Interactions of and the end of the therapy.
Drug-Drug: Quinidine, procainamide, dofetilide, sotalol, Follow-up with medical professional
and amiodar one may risk of QT interval prolongation; for further specimen collections
concurrent use should be avoided. Alumi-num- and
magnesium-containing antacids peak levels.
Nelfinavirq levels (monitor carefully); azithromycin
also pnelfinavir levels
Client Education
Inform the patient that they need to
report any symptoms related to chest
Evaluation of Medication Effectiveness pains, chest palpitations, any yellowing
of their skin or eyes, and/or signs of the
Resolution of the signs and symptoms of infection. There person having
is a certain length of time for complete resolution will a super infection. have the patient
depends on the type of germ and location of infection. to contact their health care professional
if they develop a fever or diarrhea.

ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A7