Dalumpines, Gellean M.

Patient: Alcantara Edwin

DRUG NAME
CLASSIFICA MECHANISM INDICATION CONTRAINDIC SIDE EFFECT NURSING RESPONSIBILITY
TION OF ACTION ATION

GENERIC NAME Pharmacolo Inhibits protein Severe infections Hypersensitivity Patient monitoring
to drug or Diarrhea, Nausea,
Clindamycin gic class: synthesis in caused by sensitive ● Monitor creatinine level closely
Lincosamide susceptible organisms (such as lincomycin Blisters, Decreased in patients with renal
BRAND NAME bacteria at level Bacteroides fragilis, urine output, Abdominal insufficiency.
Clindal Therapeutic of 50S Clostridium perfringens, ● Monitor hepatic enzyme levels
class: Anti- ribosome, Fusobacterium, pain, Difficulty with in patients with hepatic disease.
DOSAGE infective thereby pneumococci, swallowing ● Assess for signs and symptoms
Capsules: 300 mg inhibiting staphylococci, and of hypersensitivity reactions,
Hives, Joint pain,Chest
2 caps peptide bond streptococci) Precautions including anaphylaxis.
formation and pain, Bleeding gums, ● Assess for diarrhea and signs
causing cell Acute pelvic Use cautiously and symptoms of colitis.
Chills, Dark urine,
ROUTE death inflammatory disease in: Patient teaching
PO Hypersensitivity, ● Tell patient to take drug with
Acne vulgaris Renal or hepatic food if it causes stomach upset.
impairment Cough, Dizziness, Dry
2Urge patient to contact
FREQUENCY mouth, Loss of prescriber immediately if he
Known alcohol
Q6 intolerance appetite, Vaginal develops rash, unusual fatigue,
or yellowing of skin or eyes or if
Pregnant swelling, Psychomotor
AVAILABILITY diarrhea occurs during or after
Aerosol foam, patients agitation, Bloating, treatment.
Capsules, Granules for Blurred vision, Coma, ● Tell patient that I.V. use may
neonates
oral suspension, cause bitter taste. Reassure him
Injection, Topical, Confusion that this effect will resolve on its
Vaginal cream, Vaginal own.
suppositories (ovules) ● Caution patient not to rely on
ADVERSE EFFECT con doms or diaphragm for
contraception for 72 hours after
GI: nausea, vomiting, using vaginal prepa ration; drug
diarrhea, abdominal may weaken latex prod ucts and
pain, esophagitis, cause breakage.
pseudomembranous ● Instruct patient taking hormonal
colitis contraceptives to use
Hematologic: supplemental birth control
neutropenia,leukope method, such as con doms
nia, agranulocytosis,
thrombocytopenia (unless she’s using a vaginal
purpura preparation); drug may reduce
Hepatic: jaundice, hor monal contraceptive efficacy.
hepatic dysfunction ● As appropriate, review all other
Skin: maculopapular sig nificant and life-threatening
rash, generalized adverse reactions and
morbilliform-like rash interactions, especially those
Other: bitter taste (with related to the drugs and tests
I.V. use), phlebitis at mentioned above.
I.V. site, induration and
sterile abscess (with
I.M. use), anaphylaxis
 DRUG NAME CLASSIFICA MECHANISM INDICATION CONTRAINDIC SIDE EFFECT NURSING RESPONSIBILITY
TION OF ACTION ATION

GENERIC NAME Pharmacolo Binds to beta- Travelers’ diarrhea Hypersensitivity Patient monitoring
to drug, its Nausea, Dizziness,
Rifaximin gic class: subunit of caused by noninvasive ● Monitor for fever, blood in
Rifampin- bacterial DNA- strains of Escherichia components, or Chills, Stomach pain, stools, and worsening of
BRAND NAME related dependent RNA coli rifamycin anti- diarrhea. ● Monitor patient’s fluid
infectives Fatigue, Headache
Normix antibiotic polymerase, and electrolyte status.
inhibiting Reduction of risk of ● Monitor for new infections; if
Therapeutic bacterial RNA overt hepatic needed, consider alternative
DOSAGE class: Anti- synthesis encephalopathy therapy.
200 mg/tab infective recurrence Patient teaching
Precautions ● Tell patient drug can be taken
Use cautiously with or without food. 2Advise
ROUTE in: patient to stop drug and notify
PO ADVERSE EFFECT prescriber if diarrhea symptoms
● elderly worsen or last beyond 48 hours.
FREQUENCY patients CNS: headache GI: ● As appropriate, review all other
TID nausea, vomiting, significant or life-threatening
● pregnant or adverse reactions.
breastfeeding constipation, flatulence,
AVAILABILITY abdominal pain, rectal
Tablets: 200 mg, 550 patients
tenesmus, defecation
mg ● children urgency,
(safety and pseudomembranous
efficacy not colitis
established in Other: pyrexia,
those younger overgrowth of suscep
than age 12). tible organisms