Gentamicin is an aminoglycoside antibiotic used to treat serious infections caused by susceptible gram-negative bacteria. It works by interfering with bacterial cell wall synthesis. The recommended dose is 2-2.5 mg/kg IV every 8 hours, with dosage adjustments based on therapeutic drug monitoring to avoid toxicity. Nursing responsibilities include monitoring for nephrotoxicity and ototoxicity and ensuring proper dosage adjustment based on renal function and drug levels. Penicillin G is a penicillin antibiotic used to treat streptococcal infections and prevent rheumatic fever. It works by interfering with bacterial cell wall synthesis during active multiplication. The recommended dose is 800,000 units IM every 6 hours. Ibuprofen is a non
Gentamicin is an aminoglycoside antibiotic used to treat serious infections caused by susceptible gram-negative bacteria. It works by interfering with bacterial cell wall synthesis. The recommended dose is 2-2.5 mg/kg IV every 8 hours, with dosage adjustments based on therapeutic drug monitoring to avoid toxicity. Nursing responsibilities include monitoring for nephrotoxicity and ototoxicity and ensuring proper dosage adjustment based on renal function and drug levels. Penicillin G is a penicillin antibiotic used to treat streptococcal infections and prevent rheumatic fever. It works by interfering with bacterial cell wall synthesis during active multiplication. The recommended dose is 800,000 units IM every 6 hours. Ibuprofen is a non
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Gentamicin is an aminoglycoside antibiotic used to treat serious infections caused by susceptible gram-negative bacteria. It works by interfering with bacterial cell wall synthesis. The recommended dose is 2-2.5 mg/kg IV every 8 hours, with dosage adjustments based on therapeutic drug monitoring to avoid toxicity. Nursing responsibilities include monitoring for nephrotoxicity and ototoxicity and ensuring proper dosage adjustment based on renal function and drug levels. Penicillin G is a penicillin antibiotic used to treat streptococcal infections and prevent rheumatic fever. It works by interfering with bacterial cell wall synthesis during active multiplication. The recommended dose is 800,000 units IM every 6 hours. Ibuprofen is a non
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
DRUG CLASSIFICATION DOSE, MECHANISMS CONTRAINDICATION SIDE EFFECTS NURSING
AND INDICATION ROUTE AND OF ACTION RESPONSIBILITIES
FREQUENCY Generic -antiinfective; 2-2.5 mg/kg q The drugs can History of Hypersensitivity • Lab tests: Perform C&S name: aminoglycoside 8hrs. be used hypersensitivity to or to and renal function prior to gentamicin antibiotic concurrently toxic reaction with any Gentamicin or to first dose and periodically with carbencillin aminoglycoside other during therapy; therapy -For treatment of for the antibiotic. Safe use aminoglycosides. may begin pending test serious infections treatment of during pregnancy Because of results. Determine caused by serious (category C) or ototoxicity and creatinine clearance and susceptible pseudomonas lactation is not nephrotoxic serum drug strains of the infections. established hazards of concentrations at following However, drug extended frequent intervals, microorganisms: should not be administration, particularly for patients P. aeruginosa, mixed in the Gentamicin, like with impaired renal Proteus same flask other function, infants (renal species (indole- because aminoglycoside immaturity), older adults, positive and carbenicillin will antibiotics is patients receiving high indole- inactive generally not doses or therapy beyond negative), E. coli, gentamicin. indicated in long 10 d, patients with fever Klebsiella- term therapy. or extensive burns, Enterobactor- edema, obesity. Serratia • Repeat C&S if species, improvement does not Citrobacter occur in 3–5 d; species and reevaluate therapy. Staphylococcus • Note: Dosages are species generally adjusted to (coagulase- maintain peak serum positive and gentamicin coagulase- concentrations of 4– 10 negative) g/mL, and trough concentrations of 1–2 g/mL. Peak concentrations above 12 g/mL and trough concentrations above 2 g/mL are associated with toxicity. • Draw blood specimens for peak serum gentamicin concentration 30 min–1h after IM administration, and 30 min after completion of a 30–60 min IV infusion. Draw blood specimens DRUG CLASSIFICATION DOSE, ROUTE MECHANISM OF CONTRAINDICATION SIDE EFFECTS NURSING AND INDICATION AND ACTION RESPONSIBILITIES FREQUENCY Generic name: -antibiotic; 800,000 units q Interferes with Allergies to penicillins, Glossitis, stomatitis, - Drug is not for IV use. Penicillin G penicillin. 6hrs bacterial cell wall cephalosporins, or gastritis, sore mouth, Do not synthesis during other allergens. furry tongue, black inject or mix with other -Severe infections active Inactivation of “hairy” tongue, caused by multiplication, parenteral nausea, vomiting, IV solutions. sensitive causing cell wall aminoglycosides diarrhea, abdominal - Give IM injection in organisms death and resultant (amikacin, gentamicin, pain, bloody upper outer (streptococci). bactericidal kanamycin, neomycin, diarrhea, enterocolitis, quadrant of the Prophylaxis of activity against tobramycin). pseudomembranous buttock. rheumatic fever susceptible Decreased colitis, - Avoid contact with the and bacteria. effectiveness with nonspecific tetracyclines hepatitisLethargy, needle. chorea hallucinations, - Withdraw needle as seizures quickly as possible to avoid discomfort. - Stay with patient throughout whole duration of administration.
DRUG CLASSIFICATION DOSE, ROUTE MECHANISM OF CONTRAINDICATION SIDE EFFECTS NURSING
AND INDICATION AND ACTION RESPONSIBILITIES FREQUENCY Generic name: -non steroidal, PO 250-500 Short-term relief Ulceration or chronic headaches, • Discontinue drug mefenamic anti-inflammatory. mg 3 (less than one inflammation of hte GI nervousness and promptly if acid times/day. week) of mild to tract, pregnancy or vomiting. Serious side diarrhea, dark -Pain and moderate pain(e.g. child under 14 and effects may include stools,hematemesi inflammation. pain associated hypersensitivity to the diarrhea, s, ecchymoses, with tooth extraction drug. hematemesis epistaxis, or rash and (vomiting blood), occur and do not musculoskeletal Inflammatory bowel haematuria (blood in use again. Contact