Note: Any up-dates are to be completed in different color ink.
k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME
GENERIC/TRADE INDICATION/ ACTION
CLASSIFICATION
(PHARM) AND
PREGNANCY
CATEGORY
Prevention of infection in
certain high-risk patients
Anti-infectives undergoing cesarean
aminopnicillins section.
( Ampicillin) Treatment of the following
infections-Skin and skin
structure infections, Soft-
Preg. Cat. B tissue infections,
Genitourinary infections,
Davis Drug Guide Otitis media, Sinusitis,
for NSG Page 164- Respiratory infections,
169 Meningitis, Septicemia.
Mosby’s Drug Nsg Endocarditis prophylaxis.
Card 361 Unlabeled
Binds to bacterial cell wall,
resulting in cell death.
Bactericidal action ,
spectrum is broader than
penicillin. Active against
Streptococci, nonpenicillin-
producing staphylococci,
Listeia Pheumococci,
Escherichia coli,
Enterococci, Haemophilus
influenze, Eserichia coli,
Enterobacter, Klebsiella,
Proteus mirabilis, Neisseria
meningitides,
N.gonorrboeae, Shigella,
Salmonella.
DOSE, ROUTE, TIMES EFFECTS
DOSGE FOOD/DRUG SIDE EFFECTS PREGANCY NURSING CONSIDERATIONS
RANGE INTERACTIONS FETUS AND/OR
(include therapeutic dose NEONATE
calculation)
N. Gonorrhoeae Probenecid decrease Seizures, (high May cause . Assess patient for infection (vital
PO Adults 3g with 1g renal excretion and doses) , Pseudo transient signs, wound appearance, sputum,
probenecid. increases blood levels of membranous Colitis, decreases in urine, stool, and WBC) at beginning of
IM, IV Adult and ampicillin –therapy may diarrhea, nausea, estradiol total and throughout therapy. Obtain a
children > 40 kg 500mg be combined for this vomiting rashes, conjugated history before initiating therapy to
q 6hr purpose. Large doses urticaria, blood estriol in determine previous use and reactions to
IM, IV Children <40 kg may increase the risk of dyscasias, allergic pregnant penicillins or cephalosporins. Obtain
100-200mg/kg day bleeding with warfarin. reactions including women. specimens for culture and sensitivity
divided doses q 6-8hr Incidence of rash anaphylaxis and serum before therapy. First dose may be given
Bacteria Meningitis-H.
increases with sickness, super before receiving results. Observe
Influenza, Streptococcus
pneumoniae, Group B concurrent allopurinol infection. patient for signs and symptoms of
streptococcus or N. therapy. May decrease May cause increased anaphylaxis. Do not confuse with
Meningitidis or the effectiveness of oral AST and ALT. May omnipen with imipernem. (rash,
Septicemia hormonal cause false-positive pruritus, laryngeal edema, wheezing)
IM, IV Adults 500mgto contraceptives. direct Coombs’ test Discontinue the drug and notify he
3g q 6hr hr (not to result. May cause a physician or other health care
exceed 14g/day) false-positive urinary professional immediately if these
IM, IV children. 1 glucose. occur. Keep epinephrine, an
month 200mg/kg in antihistamine, and resuscitation
divided doses q 6 hr equipment close by in the event of an
(not to exceed 12g/day) anaphylactic reaction. Assess skin for
IM, IV Neonates “ampicillin rash”, a non allergic, dull
<7 days old red, macular or maculopapular, mild
200mg/kg/day divided q pruritic rash. Administer around the
8hr clock on an empty stomach. Reserve
IM, IV Neonates IN or IV route for moderately severe or
>7 days old severe infections or patient unable to
300mg/kg/day divided q take oral medication. Change to PO as
6hr soon as possible.
PHARM