Mary Katleene D.

Cueto
Drug Name Action Binds to cell membranes and inhibits cell wall synthesis Indication used to treat infections caused by bacteria that are susceptible to the effects of cephalexin. Common infections that are treated with cephalexin include infections of the middle ear, tonsils, throat, larynx (laryngitis), bronchi (bronchitis) and pneumonia. It also is used for treating urinary tract, skin, and bone infections. Containdication History of anaphylactic reaction to penicillin or hypersensitivity to cephalosporin Adverse Reaction diarrhea, nausea, abdominal pain, vomiting, headaches, dizziness, skin rash, fever, abnormal liver tests and vaginiti

BSN-2A
Nsg Responsibilities

Brand Name Keflex

Question for history of allergies.

Generic Name Cephalexin Classificatio n

Route

Renal impairment, History of GI disease

PO

Pharmacotherapeutic: first generation cephalosporin

Concurrent use of nephrotoxic medications

Assess oral cavity for white patches on mucous membranes, tongue. Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for superinfection.

Dosage

Doses should be evenly spaced. Continue therapy for full length of treatment. May

Tablets: 250 and 500 mg, and 1 g. Capsules: 250, 333, 500 and 750 mg. Powder for Suspension: 125 and 250 mg/5 ml.

Clinical: Antibiotic

cause GI upset (may take food or milk). Refrigerate oral suspension

Mary Katleene D. Cueto

Drug Name Action Binds to cell membranes and inhibits cell wall synthesis Indication Pharyngitis, Tonsilitis Containdication History of anaphylactic reaction to penicillin or hypersensitivity to cephalosporin Adverse Reaction diarrhea, nausea, abdominal pain, vomiting, headaches, dizziness, skin rash, fever, abnormal liver tests and vaginiti

BSN-2A
Nsg Responsibilities

Brand Name Cefzil

Question for history of allergies.

Acute bacterial exacerbation of acute bronchitis

Generic Name cefprozil Classificatio n PharmacoRoute

Skin and Skin structure infections

Renal impairment, History of GI disease

Acute sinusitis

Concurrent use of nephrotoxic

Assess oral cavity for white patches on mucous membranes, tongue. Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for superinfection.

PO

therapeutic: second generation cephalosporin

medications Otitis media Doses should be evenly spaced. Continue therapy for full length of treatment. May cause GI upset (may take food or milk). Refrigerate oral suspension

Dosage 500 mg OD

Clinical: Antibiotic

Mary Katleene D. Cueto

Drug Name Action Inhibits cell wall synthesis Brand Name Amoxil Lower respiratory tract infection History of allergies Generic Name H. Pylori Infection Indication Susceptible infections Containdication Hypersensitivity to any penicillin, infectious mononucleosis Adverse Reaction Antibioticassociated colitis and other superinfections may result from altered bacterial balance

BSN-2A
Nsg Responsibilities

Question for history of allergies

Hold medication and promptly report rash or diarrhea. Be alert for superinfection,

Amoxicillin Classificatio n
Route

Otitis Media

Gonorrhea

increased fever, sore throat, black hairy tongue, stomatitis, anal/genital pruritus.

PO

Pharmacotherapeutic: Penicillin

Endocarditis Prophylaxis

Dosage 250-500mg q8h or 500-875mg q12h

Clinical: Antibiotic

Doses should be evenly spaced. Continue therapy for full length of treatment. May cause GI upset. Notify physician in event of rash, diarrhea.

Mary Katleene D. Cueto

Drug Name Action Inhibits cell wall synthesis Brand Name Indication Susceptible infections Containdication Hypersensitivity to any penicillin, infectious Adverse Reaction Antibioticassociated colitis and other

BSN-2A
Nsg Responsibilities

Question for history of allergies

Mezlin

Lower respiratory tract infection

mononucleosis

History of allergies H. Pylori Infection Generic Name Mezlocillin Classificatio n

Route

superinfections may result from altered bacterial balance

Otitis Media

Hold medication and promptly report rash or diarrhea. Be alert for superinfection, increased fever, sore throat, black hairy tongue, stomatitis, anal/genital pruritus.

PO

Pharmacotherapeutic: Penicillin

Gonorrhea Doses should be evenly spaced. Continue therapy for full length of treatment. May cause GI upset. Notify physician in event of rash, diarrhea.

Endocarditis Prophylaxis Clinical: Antibiotic

Dosage 500mg OD

Mary Katleene D. Cueto

BSN-2A

Drug Name

Action Inhibits cell wall synthesis by binding to ribosomes

Indication Chronic prostatitis, sinusitis, syphilis, chlamydia, pelvic inflammatory disease,[1][2] acne, rosacea,[3][4] and rickettsial infections.

Containdication Children <8 y/o

Adverse Reaction Super infections esp. fungal and benign intracraniak hypertension (headache, visual changes) may occur.

Nsg Responsibilities

Question for history of allergies

Brand Name Vibramycin

Hypersensitivity to tetracyclines or sulfites

Generic Name Doxycycline Classificatio n

Route

Half of pregnancy Hepatotoxicity, fatty degeneration of liver and pancreatitis occur rarely

Ultraviolet light exposure

Determine pattern of bowel activity and consistency. Assess skin for rash. Monitor LOC due to potential for increased ICP. Be alert for superinfection

PO

Pharmacotherapeutic: Tetracycline

Dosage

Clinical: Antibiotic

Avoid necessary exposure to sunlight. Do not take antacids, iron products, dietary products.

100mg BID

Continue therapy for full length of treatment.

Mary Katleene D. Cueto

Drug Name Action Inhibits cell wall synthesis by binding to ribosomes Indication Chronic prostatitis, sinusitis, syphilis, chlamydia, pelvic inflammatory disease,[1][2] acne, rosacea,[3][4] and rickettsial infections. Containdication Children <8 y/o Adverse Reaction Super infections esp. fungal and benign intracraniak hypertension (headache, visual changes) may occur.

BSN-2A
Nsg Responsibilities

Question for history of allergies

Brand Name Terramycin

Hypersensitivity to tetracyclines or sulfites

Generic Name oxytetracycline Classificatio n

Route

Half of pregnancy Hepatotoxicity, fatty degeneration of liver and pancreatitis occur rarely

Ultraviolet light exposure

Determine pattern of bowel activity and consistency. Assess skin for rash. Monitor LOC due to potential for increased ICP. Be alert for superinfection

Pharmacotherapeutic:

Avoid necessary

PO

Tetracycline

Dosage

Clinical: Antibiotic

exposure to sunlight. Do not take antacids, iron products, dietary products. Continue therapy for full length of treatment.

Mary Katleene D. Cueto

Drug Name Action Irreversibly binds to protein on bacterial chromosomes Indication Superficial eye infections Containdication Hypersensitivity to aminoglycoside and components Adverse Reaction IM: Pain, induration

BSN-2A
Nsg Responsibilities

Dehydration must be treated first.

Brand Name Kantrex

Bronchopulmonary infections in pts with cystic fibrosis

Renal impairments

IV: Phlebitis, thrombophlebitis

Generic Name

Preexisting

Ophthalmic:

Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for super

kanamycin Classification
Route

auditory or vestibular impairment

Tearing, itching, redness, eyelid swelling

infection.

IVP, Ophthalmic, Topical, IM Dosage 3-6mg/kg/day

Pharmacotherapeutic: Aminoglycosid e

Topical: Hypersensitivity reaction

Notify physician in event of any hearing, visual, balance, urinary problems

Clinical: Antibiotic

Mary Katleene D. Cueto

Drug Name Action Irreversibly binds to protein on Indication Superficial eye infections Containdication Hypersensitivity to aminoglycoside and components Adverse Reaction IM: Pain, induration

BSN-2A
Nsg Responsibilities

Dehydration must be treated first.

Brand Name

Nebcin

bacterial chromosomes

Bronchopulmonary infections in pts with cystic fibrosis

Renal impairments

IV: Phlebitis, thrombophlebitis

Generic Name tobramycin Classification

Frequency & Route

Preexisting auditory or vestibular impairment

Ophthalmic: Tearing, itching, redness, eyelid swelling

Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for super infection.

IVP, Ophthalmic, Topical, IM Dosage 3-6mg/kg/day

Pharmacotherapeutic: Aminoglycosid e

Topical: Hypersensitivity reaction

Notify physician in event of any hearing, visual, balance, urinary problems

Clinical: Antibiotic

Mary Katleene D. Cueto

BSN-2A

Drug Name

Action Blocks response of worm muscle to acetylcholine, presumably causing hyperpolarizatio n of nerve endings, resulting in flaccid paralysis of the worm Classification

Indication Ascariasis

Containdication Chronic liver or kidney disease

Adverse Reaction Blurring of vision Clumsiness Crawling or tingling Feeling of skin fever Irregular, twisting movement, esp of the face arms & legs Joint pain

Nsg Responsibilities

Question for allergies

Brand Name Piperazine

Enterobiasis Gastrointestinal hypomotility

Generic Name entacyl

Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for super infection.

Route

PO

Anti-helmintic

Skin rash or itching Abdominal or stomach cramps

Notify physician in event of any hearing, visual, balance, urinary problems

Dosage

1 packet of granules in 57 mL (about 2 ounces) of water, milk or fruit juice

Pain Diarrhea Dizziness Headache Weakness Vomiting Tremors

Mary Katleene D. Cueto

Drug Name Action Interferes with several bacterial enzyme systems. Indication Bacteria and protozoal infections Containdication Hypersensitivity Adverse Reaction Hypersensitivity Hypoglycemia Infants >1 month Orthostatic Hypotension Dizziness Generic Name furoxone Classificatio n Drowsiness Headache Vomiting Fever

BSN-2A
Nsg Responsibilities

Question for allergies

Brand Name Furoxone

Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for super infection.

Notify physician

Brown urine
Route

PO

Microbicidal

Dosage 100mg QID

Antiprotozoa l

in event of any hearing, visual, balance, urinary problems. Should be taken with food . Avoid yogurt, cheese and alchohol

Mary Katleene D. Cueto

Drug Name Action Alters fungal cell membrane permeability, causing cell death Indication Oropharyngeal candidiasis Containdication Hypersensitivity to imidazoles; milk proteins. Adverse Reaction Arrythmia Cardiorespirator y arrest Tachycardia Headache Fatigue

BSN-2A
Nsg Responsibilities

Question for allergies

Brand Name Oravig

Monitor bowel activity and stool consistency. Monitor I&O, renal

Generic Name Miconazole Classificatio n

Route

Phlebitis Pruritus Rash Skin irritation Sensitization Anti-fugal agent Anorexia Diarrhea

function. Be alert for super infection.

Buccal

Notify physician in event of any hearing, visual, balance, urinary problems

Dosage 50mg OD

Antiinfective

Vomiting

Mary Katleene D. Cueto

Drug Name Action Broad spectrum aminoglycoside antibiotic from Indication Parenteral use restricted to treatment of Containdication History of hypersensitivity to or toxic reaction Adverse Reaction Ototoxicity Optic neuritis

BSN-2A
Nsg Responsibilities

Question for allergies

Brand Name

Garamycin

micromonospor a purpurea

serious infections of GI, respiratory, urinary tracts, CNS, bone, skin and soft tissue when other less toxic

with any aminoglycoside antibiotic.

Neuromuscular blockage Weakness Apnea Hypotension or hypertension Vomiting

Generic Name Gentamycin Classification

Route

Monitor bowel activity and stool consistency. Monitor I&O, renal function. Be alert for super infection.

Hepatomegaly Hematologic

IV or IM

Bacteriocidal

Reticulocyte counts

Notify physician in event of any hearing, visual, balance, urinary problems

Anti-infective Dosage 1 to 1.7 mg/kg q8h Aminoglycoside