Drugstudy - Gorospe, Diana R.
Drugstudy - Gorospe, Diana R.
Drugstudy - Gorospe, Diana R.
BSN 2D
St. James Hospital- NS2 December 3, 2023
DRUGSTUDY
NAME OF THE DRUG MECHANISM DOSAGE INDICATION CONTRAINDICATION ADVERSE REACTION NURSING RESPONSIBILITIES
OF ACTION
Generic Name: Binds to 35 mg Gentamicin is Contraindicated to CNS: Acute organic mental BEFORE:
Gentamicin negatively q12. IV an antibiotic patient: syndrome, confusion, Check doctor’s order
charged sites used to treat Hypersensitivity depression, fever, headache, Take client’s RR, HR,
Brand Name: on the outer various or serious toxic increased protein and temperature
Garamycin, cell membrane bacterial reaction to other incerebrospinal fluid, lethargy, Educate client about
Cidomycin, Septopal of bacteria, infections. aminoglycosides. myasthenia gravis–like the drug, its purpose
Classification: thereby These with severe syndrome, neurotoxicity and importance
Aminoglycoside disrupting the infections can kidney (dizziness, hearing loss, DURING:
membrane’s affect various impairment or tinnitus, vertigo), peripheral Give drug as exactly
Route: integrity. parts of the those undergoing neuropathy or as prescribed
IV Gentamicin body, such as dialysis may encephalopathy (muscle Encourage adequate
also binds to the urinary require dosage twitching, numbness, intake of fluid
bacterial tract, adjustments or seizures, skin tingling), AFTER:
ribosomal respiratory avoidance of pseudotumor cerebri Document and
subunits and tract, skin, gentamicin due to record
inhibits bones, joints, the risk of CV: Hypertension, Monitor patient for
protein and more. worsening kidney hypotension, palpitations renal function
synthesis. Both function. (creatinine levels)
actions lead EENT: Blurred vision, and hearing status.
to cell death. increased salivation, laryngeal Take vital signs
Precaution: edema, ototoxicity, stomatitis
Use cautiously with renal vision changes
or hepatic disease;
preexisting hearing loss; GI: Anorexia, nausea,
active infection with splenomegaly, transient
herpes, vaccinia, hepatomegaly, vomiting
varicella, fungal
infections, mycobacterial GU: Nephrotoxicity
infections (ophthalmic
preparations); HEME: Anemia, eosinophilia,
myasthenia gravis; granulocytopenia, increased
parkinsonism; infant or decreased reticulocyte
botulism; burn patients; count, leukopenia,
lactation; pregnancy. thrombocytopenia