Davao Doctors College, Inc.

Gen. Malvar, St., Davao City

College of Allied Health Sciences

DRUG STUDY

Name: Patient Chimmie Date of Admission: November 27, 2023 Attending Physician: Dr. J. Kook
Age: 12 years old Sex: Female Room: 108

DRUG NAME MODE OF ACTION DOSAGE INDICATION CONTRAINDICATION SIDE ADVERSE NURSING
EFFECTS EFFECTS RESPONSIBILITIES

・Uncomplicated
Binds to bacterial 8 mg/kg/day ・History of hypersensitivity Frequent: Antibiotic- BASELINE
Urinary Tract
cell membranes, or anaphylactic reaction to associated colitis, ASSESSMENT:
Infections cefixime, cephalosporins. Oral candidiasis
inhibits cell wall other super-
Suprax is indicated in Obtain CBC, renal
synthesis. (thrush), mild infections
the treatment of adults ・History of penicillin function tests. Question
diarrhea, mild (abdominal cramps, for hypersensitivity to
Therapeutic Effect: and pediatric patients allergy, renal impairment. abdominal cramping, severe watery
cefixime or other
Bactericidal. six months of age or vaginal candidiasis. diarrhea, fever) cephalosporins,
older with may result from penicillin.
Pharmacokinetics: uncomplicated urinary Occasional: altered bacterial
tract infections caused EVALUATION:
balance in GI tract.
Moderately by susceptible isolates Nausea, serum Nephrotoxicity may Assess oral cavity for
Generic name:
absorbed from GI of Escherichia sickness–like occur, esp. in pts white patches on
Cefixime
tract. Protein coli and Proteus reaction (arthralgia, with preexisting
mucous membranes,
Brand name: binding: 65%–70%. mirabilis. fever; usually occurs renal disease. Pts tongue (thrush). Monitor
Suprax Widely distributed. after second course with history of daily pattern of bowel
Primarily excreted in of therapy and penicillin allergy are activity, stool
・Otitis Media
urine. Minimally re- resolves after drug is at increased risk for consistency. Mild GI
moved by SUPRAX is indicated in discontinued). effects may be tolerable
developing a (increasing severity may
hemodialysis. the treatment of adults
severe indicate onset of
and pediatric patients Rare: Allergic
hypersensitivity antibiotic-associated
six months of age or colitis). Monitor renal
reaction (severe
older with otitis function tests for
pruritus,
 Davao Doctors College, Inc.
Gen. Malvar, St., Davao City
College of Allied Health Sciences

media caused by angioedema, evidence of

susceptible isolates bronchospasm, nephrotoxicity. Be alert
of Haemophilus anaphylaxis). for superinfection: fever,
vomiting, diarrhea,
influenzae, Moraxella
anal/genital pruritus, oral
catarrhalis, mucosal changes
and Streptococcus (ulceration, pain,
pyogenes. (Efficacy erythema).
for Streptococcus
pyogenes in this organ PATIENT/FAMILY
system was studied in TEACHING:
fewer than 10
• Continue medication
infections.) for full length of
treatment; do not skip
doses.

• Doses should be
evenly spaced.

• May cause GI upset

(may take with food or
milk).

• Report persistent
diarrhea.

References:
Kizior, R. J., Bs, R. J. K., RPh, & Hodgson, K. (2022). Saunders Nursing Drug Handbook 2023 (p. 222-223). Saunders.

BBN/DTS/2020
DESIGNERICLELYN SORONIO
NAME OF STUDENT