Patient’s name: XX Date of admission:

Age: Chief Complaint:

Attending Physician: Dr. L Room: #:

Generic Brand Classification Mechanism of action Indication Adverse Nursing Consideration

Name Name effects/ Side
effects
Therapeutic: Second-generation GI: Before:
cefuroxime Ceftin Anti-infectives cephalosporin that Is used for surgical Diarrhea,  Determine history
2g inhibits cell-wall prophylaxis, nausea, of hypersensitivity
PO Pharmacologic: synthesis, promoting reducing or antibiotic- reactions to
Second osmotic instability; eliminating associated cephalosporins,
generation usually bactericidal. infection. colitis. penicillins, and
Cephalosporins history of allergies,
Skin: particularly to
Rash , drugs, before
pruritus, therapy is initiated.
urticaria. Lab tests: Perform
culture and sensitivity
Urogenital: tests before initiation of
Increased therapy and periodically
serum during therapy if
creatinine and indicated. Therapy may
BUN, be instituted pending
decreased test results. Monitor
creatinine periodically BUN and
clearance. creatinine clearance

Hemat:
Hemolytic
anemia
MISC:
During:
Anaphylaxis
 Monitor for
manifestations of
hypersensitivity.
Discontinue drug
and report their
appearance
promptly.
 Monitor I&O rates
and pattern: Report
any significant
changes.
 Report onset of
loose stools or
diarrhea. Although
pseudomembranou
s colitis rarely
occurs, this
potentially life-
threatening
complication should
be ruled out as the
cause of diarrhea
during and after
antibiotic therapy.
After:
 Instruct patient to
take medication
around the clock at
evenly spaced times
and to finish the
 medication
completely, even if
feeling better
 Advise patient to
report signs of
superinfection and
allergy
 Instruct patient to
notify health
professional if fever
and diarrhea
develop
Patient and family
education
 Tell your doctor and
pharmacist what
prescription and
nonprescription
medications,
vitamins, nutritional
supplements, and
herbal products you
are taking or plan to
take. Be sure to
mention any of the
following:
anticoagulants
('blood thinners')
such as warfarin
(Coumadin,
 Jantoven),
cimetidine, diuretics
('water pills'),
famotidine (Pepcid),
nizatidine (Axid),
omeprazole
(Prilosec, in
Zegerid),
pantoprazole(Proto
nix), probenecid
(Probalan) and
ranitidine (Zantac).
Your doctor may
need to change the
doses of your
medications or
monitor you
carefully for side
effects.

 If you are taking

antacids that
contain magnesium
or aluminum, take
them at least 1 hour
before or 2 hours
after cefuroxime.

 You should know

that cefuroxime
 decreases the
effectiveness of
some oral
contraceptives
('birth control pills).
You will need to use
another form of
birth control while
taking this
medication. Talk to
your doctor about
other ways to
prevent pregnancy
while you are taking
this medication.

Reference: Deglin, J. H., & Vallerand, A. H. (2006). Davis’s Drug Guide for Nurses (Davis’s Drug Guide for Nurses)(10th Edition)
(10th ed.). F A Davis Co.