Week 6 Drug Cards

Generic/Trade Name: cephalexin

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Generic/Trade Name: cephalexin (Keflex)

Class: 1st gen Cephalosporin / Anti-infective

Uses/Action: Treatment of skin, bone, urinary tract and gyn, lower respiratory infections, septicemia, meningitis, Otis media/ Binds to bacteria wall causing cell death

Precautions: Check to see if pt has allergies to penicillins

Major Side Effects: Hypersensitivity, rash, pruritus, fever, nausea, vomiting, diarrhea, severe anaphylaxis

Major Nursing Implications: evaluate sites for reaction, monitor renal and hepatic studies, do not reconstitute with any calcium diluents

Patient Teaching: refrigerate oral suspensions, birth control measures, report rash, yeast infections, fever diarrhea

Generic/Trade Name: cefaclor

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Generic/Trade Name: cefaclor (Ceclor)

Class: 2nd gen Cephalosporin / Anti-infective

Uses/Action: Treatment of skin, bone, urinary tract and gyn, lower respiratory infections, septicemia, meningitis, Otis media/ Binds to bacteria wall causing cell death

Precautions: Check to see if pt has allergies to penicillins

Major Side Effects: Hypersensitivity, rash, pruritus, fever, nausea, vomiting, diarrhea, severe anaphylaxis

Major Nursing Implications: evaluate sites for reaction, monitor renal and hepatic studies, do not reconstitute with any calcium diluents

Patient Teaching: refrigerate oral suspensions, birth control measures, report rash, yeast infections, fever diarrhea

Generic/Trade Name: ceftriaxone

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Generic/Trade Name: cegtriaxone (Rocephin)

Class: 3rd gen Cephalosporin / Anti-infective

Uses/Action: Treatment of skin, bone, urinary tract and gyn, lower respiratory infections, septicemia, meningitis, Otis media/ Binds to bacteria wall causing cell death

Precautions: Check to see if pt has allergies to penicillins

Major Side Effects: Hypersensitivity, rash, pruritus, fever, nausea, vomiting, diarrhea, severe anaphylaxis

Major Nursing Implications: evaluate sites for reaction, monitor renal and hepatic studies, do not reconstitute with any calcium diluents

Patient Teaching: refrigerate oral suspensions, birth control measures, report rash, yeast infections, fever diarrhea

Generic/Trade Name: ceftazidime

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Generic/Trade Name: ceftazidime (Fortaz, Tazicef)

Class: 3rd gen Cephalosporin / Anti-infective

Uses/Action: Treatment of skin, bone, urinary tract and gyn, lower respiratory infections, septicemia, meningitis, Otis media/ Binds to bacteria wall causing cell death

Precautions: Check to see if pt has allergies to penicillins

Major Side Effects: Hypersensitivity, rash, pruritus, fever, nausea, vomiting, diarrhea, severe anaphylaxis

Major Nursing Implications: evaluate sites for reaction, monitor renal and hepatic studies, do not reconstitute with any calcium diluents

Patient Teaching: refrigerate oral suspensions, birth control measures, report rash, yeast infections, fever diarrhea

Generic/Trade Name: cefepime

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Generic/Trade Name: cefepime (Maxipime)

Class: 4th gen Cephalosporin / Anti-infective

Uses/Action: Treatment of skin, bone, urinary tract and gyn, lower respiratory infections, septicemia, meningitis, Otis media/ Binds to bacteria wall causing cell death

Precautions: Check to see if pt has allergies to penicillins

Major Side Effects: Hypersensitivity, rash, pruritus, fever, nausea, vomiting, diarrhea, severe anaphylaxis

Major Nursing Implications: evaluate sites for reaction, monitor renal and hepatic studies, do not reconstitute with any calcium diluents

Patient Teaching: refrigerate oral suspensions, birth control measures, report rash, yeast infections, fever diarrhea

Generic/Trade Name: penicillin G benzthine

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Generic/Trade Name: penicillin G benzthine (Bicillin C-R)

Class: antibiotic/natural penicillin

Uses/Action: weakens cell wall of bacteria leading to lysis

Precautions: hypersensivity or allergic reaction to penicillin and cephalosporins

Major Side Effects: All levels of allergic response

Major Nursing Implications: Monitor renal and cardiac function, electrolyte levels circulatory overload, collect lab culture specimens before administering, closely observe for 30min after parenteral admin and be ready to administer epi if reaction occurs

Patient Teaching: wear med alert bracelet if allergic, inform providers if any signs of allergic reaction start, diarrhea, vomiting

Generic/Trade Name: nafcillin

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Generic/Trade Name: nafcillin

Class: antibiotic/penicillin-resistant

Uses/Action: weakens cell wall of bacteria leading to lysis

Precautions: hypersensivity or allergic reaction to penicillin and cephalosporins

Major Side Effects: All levels of allergic response

Major Nursing Implications: Monitor renal and cardiac function, electrolyte levels circulatory overload, collect lab culture specimens before administering, closely observe for 30min after parenteral admin and be ready to administer epi if reaction occurs

Patient Teaching: wear med alert bracelet if allergic, inform providers if any signs of allergic reaction start, diarrhea, vomiting

Generic/Trade Name: amoxicillin

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Generic/Trade Name: amoxicillin (Amoxil)

Class: Antibiotic/Broad-spectrum penicillin

Uses/Action: weakens cell wall of bacteria leading to lysis

Precautions: hypersensivity or allergic reaction to penicillin and cephalosporins

Major Side Effects: All levels of allergic response

Major Nursing Implications: Monitor renal and cardiac function, electrolyte levels circulatory overload, collect lab culture specimens before administering, closely observe for 30min after parenteral admin and be ready to administer epi if reaction occurs

Patient Teaching: wear med alert bracelet if allergic, inform providers if any signs of allergic reaction start, diarrhea, vomiting

Generic/Trade Name: amoxicillin/clavulanate

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Generic/Trade Name: amoxicillin/clavulanate (Augmentin)

Class: Antibiotic/Broad-spectrum penicillin

Uses/Action: weakens cell wall of bacteria leading to lysis

Precautions: hypersensivity or allergic reaction to penicillin and cephalosporins

Major Side Effects: All levels of allergic response

Major Nursing Implications: Monitor renal and cardiac function, electrolyte levels circulatory overload, collect lab culture specimens before administering, closely observe for 30min after parenteral admin and be ready to administer epi if reaction occurs

Patient Teaching: wear med alert bracelet if allergic, inform providers if any signs of allergic reaction start, diarrhea, vomiting

Generic/Trade Name: piperacillin/tozabactam

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Generic/Trade Name: piperacillin/tozabactam (Zosyn)

Class: Antibiotic/Exended-spectrum penicillin

Uses/Action: weakens cell wall of bacteria leading to lysis

Precautions: hypersensivity or allergic reaction to penicillin and cephalosporins

Major Side Effects: All levels of allergic response

Major Nursing Implications: Monitor renal and cardiac function, electrolyte levels circulatory overload, collect lab culture specimens before administering, closely observe for 30min after parenteral admin and be ready to administer epi if reaction occurs

Patient Teaching: wear med alert bracelet if allergic, inform providers if any signs of allergic reaction start, diarrhea, vomiting

Generic/Trade Name: trimethoprim/sulfamethoxazole

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Generic/Trade Name: trimethoprim/sulfamethoxazole (Bactrim)

Class: anti-infective / sulfonamide

Uses/Action: Bronchitis, otitis media, PCP, uti, travelers diarrhea/Inhibits metabolism of folic acid at 2 different points effective against gram – and +

Precautions: Allergies to sulfa

Major Side Effects: Fatigue, headache, hepatic necrosis, nausea, vomiting, diarrhea, rash, allergic reaction

Major Nursing Implications: Obtain specimens for culture and sensitivity before therapy, inspect iv for phlebitis frequently, monitor I&O’s, monitor CBC

Patient Teaching: Takes meds as directed, use sunscreen, notify provider of rash, sore throat, unusual bleeding

Generic/Trade Name: (Bactrim DS)

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Class: anti-infective / sulfonamide
Generic/Trade Name: trimethoprim/sulfamethoxazole (Bactrim DS)

Class: anti-infective / sulfonamide

Uses/Action: Bronchitis, otitis media, PCP, uti, travelers diarrhea/Inhibits metabolism of folic acid at 2 different points effective against gram – and +

Precautions: Allergies to sulfa

Major Side Effects: Fatigue, headache, hepatic necrosis, nausea, vomiting, diarrhea, rash, allergic reaction

Major Nursing Implications: Obtain specimens for culture and sensitivity before therapy, inspect iv for phlebitis frequently, monitor I&O’s, monitor CBC

Patient Teaching: Takes meds as directed, use sunscreen, notify provider of rash, sore throat, unusual bleeding

Generic/Trade Name: (SMZ/TMP)

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Generic/Trade Name: trimethoprim/sulfamethoxazole (SMZ/TMP)

Class: anti-infective / sulfonamide

Uses/Action: Bronchitis, otitis media, PCP, uti, travelers diarrhea/Inhibits metabolism of folic acid at 2 different points effective against gram – and +

Precautions: Allergies to sulfa

Major Side Effects: Fatigue, headache, hepatic necrosis, nausea, vomiting, diarrhea, rash, allergic reaction

Major Nursing Implications: Obtain specimens for culture and sensitivity before therapy, inspect iv for phlebitis frequently, monitor I&O’s, monitor CBC

Patient Teaching: Takes meds as directed, use sunscreen, notify provider of rash, sore throat, unusual bleeding

Generic/Trade Name: (Septra)

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Class: anti-infective / sulfonamide
Generic/Trade Name: trimethoprim/sulfamethoxazole (Septra)

Class: anti-infective / sulfonamide

Uses/Action: Bronchitis, otitis media, PCP, uti, travelers diarrhea/Inhibits metabolism of folic acid at 2 different points effective against gram – and +

Precautions: Allergies to sulfa

Major Side Effects: Fatigue, headache, hepatic necrosis, nausea, vomiting, diarrhea, rash, allergic reaction

Major Nursing Implications: Obtain specimens for culture and sensitivity before therapy, inspect iv for phlebitis frequently, monitor I&O’s, monitor CBC

Patient Teaching: Takes meds as directed, use sunscreen, notify provider of rash, sore throat, unusual bleeding

Generic/Trade Name: gentamicin

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Generic/Trade Name: gentamicin (Garamycin)

Class: anti-infective/aminoglycosides

Uses/Action: Gram negative bacterial infections when other less toxic drugs like penicillin’s are contraindicated, in conjunction with others for TB / inhibits protein synthesis in bacteria at level of 30S bacterial ribosome.

Precautions: Allergies to aminoglycosides or sulfates, have cystic fibrosis or hearing problems, myasthenia gravis, or Parkinson’s

Major Side Effects: Virtigo, ototoxicity, nephrotoxicity, muscle paralysis, hypersensitivity reaction

Major Nursing Implications: monitor for hearing loss, I&O and daily weight, CBC w/ diff, for fungal infections

Patient Teaching: Report tinnitus, vertigo, hearing loss, rash, dizziness, difficulty urinating, drink plenty of liquids

Generic/Trade Name: amikacin

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Generic/Trade Name: amikacin (Amikin)

Class: anti-infective/aminoglycosides

Uses/Action: Gram negative bacterial infections when other less toxic drugs like penicillin’s are contraindicated, in conjunction with others for TB / inhibits protein synthesis in bacteria at level of 30S bacterial ribosome.

Precautions: Allergies to aminoglycosides or sulfates, have cystic fibrosis or hearing problems, myasthenia gravis, or Parkinson’s

Major Side Effects: Virtigo, ototoxicity, nephrotoxicity, muscle paralysis, hypersensitivity reaction

Major Nursing Implications: monitor for hearing loss, I&O and daily weight, CBC w/ diff, for fungal infections

Patient Teaching: Report tinnitus, vertigo, hearing loss, rash, dizziness, difficulty urinating, drink plenty of liquids

Generic/Trade Name: kanamycin

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Generic/Trade Name: kanamycin (Kantrex)

Class: anti-infective/aminoglycosides

Uses/Action: Gram negative bacterial infections when other less toxic drugs like penicillin’s are contraindicated, in conjunction with others for TB / inhibits protein synthesis in bacteria at level of 30S bacterial ribosome.

Precautions: Allergies to aminoglycosides or sulfates, have cystic fibrosis or hearing problems, myasthenia gravis, or Parkinson’s

Major Side Effects: Virtigo, ototoxicity, nephrotoxicity, muscle paralysis, hypersensitivity reaction

Major Nursing Implications: monitor for hearing loss, I&O and daily weight, CBC w/ diff, for fungal infections

Patient Teaching: Report tinnitus, vertigo, hearing loss, rash, dizziness, difficulty urinating, drink plenty of liquids

Generic/Trade Name: tobramycin

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Generic/Trade Name: tobramycin (Nebcin)

Class: anti-infective/aminoglycosides

Uses/Action: Gram negative bacterial infections when other less toxic drugs like penicillin’s are contraindicated, in conjunction with others for TB / inhibits protein synthesis in bacter at level of 30S bacterial ribosome.

Precautions: Allergies to aminoglycosides or sulfates, have cystic fibrosis or hearing problems, myasthenia gravis, or Parkinson’s

Major Side Effects: Virtigo, ototoxicity, nephrotoxicity, muscle paralysis, hypersensitivity reaction

Major Nursing Implications: monitor for hearing loss, I&O and daily weight, CBC w/ diff, for fungal infections

Patient Teaching: Report tinnitus, vertigo, hearing loss, rash, dizziness, difficulty urinating, drink plenty of liquids

Generic/Trade Name: (TOBI)

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Generic/Trade Name: tobramycin (TOBI)

Class: anti-infective/aminoglycosides

Uses/Action: Gram negative bacterial infections when other less toxic drugs like penicillin’s are contraindicated, in conjunction with others for TB / inhibits protein synthesis in bacter at level of 30S bacterial ribosome.

Precautions: Allergies to aminoglycosides or sulfates, have cystic fibrosis or hearing problems, myasthenia gravis, or Parkinson’s

Major Side Effects: Virtigo, ototoxicity, nephrotoxicity, muscle paralysis, hypersensitivity reaction

Major Nursing Implications: monitor for hearing loss, I&O and daily weight, CBC w/ diff, for fungal infections

Patient Teaching: Report tinnitus, vertigo, hearing loss, rash, dizziness, difficulty urinating, drink plenty of liquids

With regard to pharyngitis caused by group C streptococci, the NP considers that: A. potential complications include glomerulonephritis B. appropriate antimicrobial therapy helps to facilitate more rapid resolution of symptoms C. infection with these organisms carries a significant risk of …

Heparin (Class, indications, action) Class: Anticoagulants; antithrombolitis- HIGH ALERT Indications: Prophylaxis and treatment of various thromboembolic disorders Action: Potentiates the inhibitory effect of antithrombin on factor Xa and thrombin. Heparin Side Effects/Reactions S/E: alopecia (long-term use), rashes, urticaria, pain at …

A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment. b. Briefly …

Magnesium Sulfate ✓Trade Name: Epsom salt, magnesium sulfate ✓Classification: Electrolyte; anticonvulsant, laxative, saline; antacid ✓Dose/Route/Frequency for population being served: (breastfeeding) 335-350 mg/day; (pregnancy) 320 mg/day; PO 200-400 mg in divided doses tid-qid; IM 1 g q6hrs x 4 doses; IV …

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