Drug Study

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STUDENT NAME: LIM, KEVEAN KIMI D.

ROTATION: 5th Rotation AREA: Surgery Ward


YEAR LEVEL & SECTION: BSN III - JEAN PIAGET DATES: Oct. 20,21,26, 27,28 & Nov. 3 CLINICAL INSTRUCTOR: Artley A. Garcia, RN

MECHANISM OF NURSING
DRUG NAME CLASSIFICATION INDICATION CONTRAINDICATION SIDE EFFECTS
ACTION RESPONSIBILITIES
Generic Name: Therapeutic: Binds to bacterial cell FOR TREATMENT History of FREQUENT:Discomfo 1. Obtain CBC, renal
Ceftriaxone Sodium Antibiotics membranes, inhibits OF: hypersensitivity/anaph rt with IM function tests.
cell well synthesis. ● Uncomplicate ylactic reaction to administration, oral 2. Question for history
Brand Name: Pharmacologic: d gonococcal ceftriaxone, candidiasis (thrush), of allergies, particularly
Rocephin Third-generation vulvovaginitis cephalosporins. mild diarrhea, mild cephalosporins,
cephalosporins ● Lower Hyperbilirubinemic abdominal cramping, penicillin.
Dosage: respiratory neonates, esp. vaginal candidiasis. 3. Asses oral cavity for
1g tract infection premature infants OCCASIONAL:Nause white patches on
Frequency: ● UTI (bilirubin a, fever, joint pain. mucous membranes,
12hours ● Gynecologic encephalopathy), do RARE:Allergic tongue (thrush).
● Skin or not infuse with Reaction (rash, 4. Monitor daily pattern
Route: Skin-structure calcium-containing IV pruritis, urticaria), of bowel activity, stool
IVF infection solutions. thrombophlebitis (pain, consistency. Mild GI
● Bone or Joint redness) effects may be
infection ADVERSE tolerable.
Timing: PRECAUTION
● Septicemia REACTIONS 5. Monitor I&O, renal
10AM ● Intra-abdomin Hepatic impairment, Antibiotic-associated function tests for
Form: al history of GI disease colitis, other nephrotoxicity, CBC.
Injectable Solution ● Gonorrhea (esp. ulcerative colitis, superinfections 6. Be alert for
antibiotic-associated (abdominal cramps, superinfection: fever,
colitis). History of severe watery vomiting, diarrhea,
penicillin allergy. diarrhea, fever). anal/genital pruritus,
Nephrotoxicity may oral mucosal changes
occur, esp. in pts with (ulceration, pain,
preexisting renal erythema)
disease.
Hypersensitivity
reaction (severe
pruritus, angioedema,
bronchospams,
anaphylaxis)

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