DAVAO DOCTORA COLLEGE CRITERIA:

General Malvar St., Davao City

Nursing Program

DRUG STUDY
 Content and organization 40%
Analysis 40%
Neatness and promptness 10%
Reference 10%
TOTAL 100%

Name of Patient: Nathaniel Drew John Jacob Frizanhatager Date of Admission: October 21, 2021
Age: 11months Sex: Male Civil Status: N/A Attending Physician: Dr. Gin Min Who

CLASSIFICATION / NURSING
DRUG NAME INDICATION CONTRAINDICATIONS SIDE/ADVERSE
MECHANISM OF ACTION RESPONSIBILITY
EFFECTS
Classification SILVADENE Cream 1% SILVADENE Cream 1% SIDE EFFECTS: Monitor any new or
Sulfadiazine belongs to the (silver sulfadiazine) is a (silver sulfadiazine) is increased skin reactions at
topical antimicrobial drug contraindicated in patients the site of application,
BRAND NAME: class of drugs known as indicated as an adjunct for who are hypersensitive to  Back, leg, or including rash, burning,
SILVADENE Cream 1%  sulfa antibiotics. It works the prevention and silver sulfadiazine or any of stomach pains itching, pain, and necrosis.
by stopping the growth of treatment of wound sepsis the other ingredients in the Report any suspicious skin
in patients with second- preparation. Because  blistering, reactions to the physician.
bacteria and other peeling, or
and third-degree burns. sulfonamide therapy is Be alert for signs of
GENERIC: SILVER organisms. loosening of leukopenia, including fever,
known to increase the
SULFADIAZINE
possibility of kernicterus, the skin sore throat, and signs of
Silver sulfadiazine disrupts SILVADENE Cream 1% infection.
 blue-green to
bacteria by damaging the should not be used on
black skin
cell membrane and the cell pregnant women
wall rather than by inhibiting approaching or at term, on
discoloration
folic acid synthesis. Silver premature infants, or on  dark urine
DOSAGE: N/A sulfadiazine has a wide newborn infants during the
 fever with or
spectrum of bactericidal first 2 months of life.
activity against both gram- without chills
positive and gram-negative  general body
organisms. swelling
ROUTE: skin
 increased
sensitivity of
the skin to
sunlight,
FREQUENCY: BID especially in
patients with
burns on large
areas
 intense itching
of burn
wounds
 light-colored
 stools
 lower back or
side pain
 nausea or
REFERENCES: vomiting
https://www.rxlist.com/consu  pinpoint red
mer_silver_sulfadiazine_silvad spots on the
ene/drugs-condition.htm skin
https://www.pdr.net/
 red skin
drug-summary/ lesions, often
Silvadene-silver- with a purple
sulfadiazine-2781 center
https://  red, swollen
www.pfizermedicalinfor skin
mation.com/en-us/  skin rash
silvadene-cream/  sores, ulcers,
adverse-reactions or white spots
https:// in the mouth
www.mayoclinic.org/ or on the lips
drugs-supplements/  swollen or
silver-sulfadiazine- painful glands
topical-route/side-  unusual
effects/drg-20068819? bleeding or
p=1 bruising
https://  unusual
fadavispt.mhmedical.com ›
tiredness or
weakness
 upper right
abdominal or
stomach pain
 yellow eyes
and skin

ADVERSE EFFECTS
Several cases of
transient leukopenia
have been reported in
patients receiving silver
 sulfadiazine
therapy.1,2,3 Leukopeni
a associated with silver
sulfadiazine
administration is
primarily characterized
by decreased
neutrophil count.
Maximal white blood
cell depression occurs
within 2 to 4 days of
initiation of therapy.
Rebound to normal
leukocyte levels follows
onset within 2 to 3
days. Recovery is not
influenced by
continuation of silver
sulfadiazine therapy.
An increased incidence
of leukopenia has been
reported in patients
treated concurrently
with cimetidine.

BBN/DTS/2020 LAURENTE, PAOLO CHEL E.

Name of Student