Keila C.

Rosales February 2, 2024

3NU08 - Group 8

Drug Classification Mechanism of Indication Contraindications Adverse Effects Nursing Responsibilities

Action

Cefuroxime Cephalosporin Inhibits bacterial cell Bone and Hypersensitivity to GI disturbances Give oral form with food to
antibiotics wall synthesis joint cefuroxime, other (diarrhea, decrease GI distress
infections, cephalosporins, or nausea, and
bronchitis their components vomiting), Monitor BUN and
and other Erythema creatinine levels and fluid
URTI, multiforme, intake and output to detect
gonorrhea, Stevens-Johnson signs of nephrotoxicity
meningitis, syndrome, Toxic
otitis media, epidermal Monitor patient for allergy
peritonitis, necrolysis reactions
sinusitis, skin
infections, Assess bowel pattern daily
UTI and as severe diarrhea may
surgical indicate
infection pseudomembranous colitis
prophylaxis
Monitor bleeding time and
PT as ordered and be
prepared to administer
Vitamin K as ordered to
treat hypothrombinemia

Tramadol Opiate Inhibits serotonin Moderate to Hypersensitivity, Abdominal pain Watch for allergic
analgesics and norepinephrine severe pain Acute intoxication and anorexia, reactions after giving the
reuptake, enhancing acute or with alcohol, Coordination first dose
inhibitory effects on chronic pain hypnotics, disturbance,
pain transmission in narcotics, Confusion, Monitor patient for
the spinal cord centrally-acting Urinary retention respiratory depression
analgesics, opioids, and frequency, especially when dosage is
 or psychotropics, Malaise, increased
MAOIAS, Patients Euphoria, Sleep
with respiratory disorder, Taper tramadol rather than
depression, Nervousness stopping it abruptly to
increased avoid acute withdrawal
intracranial symptoms
pressure, or CNS
depression due to Observe for seizures
head injury or
cerebral disease. Know that chronic use of
tramadol during pregnancy
can result in neonatal
opioid withdrawal
syndrome

Piperacillin-Ta Beta Piperacillin - inhibits LRTI, Hypersensitivity to Allergic reactions, Monitor for signs of allergy
zobactam Lactamase bacterial cell wall cellulitis, penicillins, erythema, reactions and anaphylaxis,
inhibitor synthesis cutaneous cephalosporins, and pruritus, urticaria, including pulmonary
abscesses, b-lactamase dyspepsia, symptoms
Tazobactam - acute inhibitors diarrhea, nausea,
prevents the ischemic/ vomiting, phlebitis Monitor hepatic, renal, and
breakdown of diabetic foot and insomnia hematopoietic functions
beta-lactam by infections, during prolonged
beta-lactamase appendicitis, treatment
enzyme peritonitis,
UTI, pelvic
inflammatory
disease,
bacterial
sepsis