Quepo, Gay Eunice D.

BSN3A G-4
Drug Study
Patient Age:
45 years old
Diagnosis:
Bronchitis to consider pulmonary tuberculosis
Generic Name:
Cefuroxime Sodium
Brand Name:
Ceftin
Classification:
Chemical class: Second-generation cephalosporin, 7-aminocephalosporanic acid
Therapeutic class: Cephalosporin Antibiotic
Dosage, Route, and Frequency:
750mg IV q8h
Mechanism of Action:
Interferes with bacterial cell wall synthesis by inhibiting the final step in the
cross linking of peptidoglycan strands. Peptidoglycan makes the cell membrane
rigid and protective. Without it, bacterial cells rupture and die.
Desired Effect:
Several different bacterial infections are treated with cefuroxime (cephalosporin
antibiotic).Cephalosporin antibiotic acts by preventing bacterial growth. This
antibiotic treats only bacterial illnesses.
Nursing Responsibilities:
1. Observe 10 R's.
-help prevent medication errors
2. Monitor v/s especially respiration (rate, depth, rhythm) also the lung sounds.
-To evaluate the effectiveness of the drug and ease of breathing.
3. Educate patient and significant other about drug's effect to the body and
manifestations that would need reporting:
Watch out for the following side effect and adverse effect:
a. Lightheadedness or headache - transient effect, change position slowly
and limit activities to those that do not require alertness and precision.
b. Seizure -The nurse must stay with the patient and call for help. It is important to
time the seizure and note its characteristics. Protection must be given to the patient's
head, especially with any convulsive movements occurring that may injure the
patient.
c. Diarrhea- Drink a lot of liquids, such as juices, broth, and water. Avoid alcohol
and caffeine. As the bowel movement becomes regular again, gradually introduce
semisolid and low-fiber foods. Try toast, eggs, rice, soda crackers, or chicken.
4. Continue the use of drug as prescribed.
-To reach and then maintain effective levels of the drugs
5. Encourage deep breathing exercises.
-To improve normal breathing pattern.