Drugstudy - Gorospe, Diana R.

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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

MS: Arthralgia, leg cramps

RESP: Pulmonary fibrosis,


respiratory depression

SKIN: Alopecia, generalized


burning sensation, pruritus,
purpura, rash, urticaria

Other: Anaphylaxis, injection


site pain, superinfection,
weight loss

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