Jean Therese P. Nicolas DRUG STUDY Mr.

Rommel Quijano
Grp. 1 Student Headnurse
Mechanism of Nursing
Drug Data Classification Indication Contraindications Adverse Reaction
Action Responsibilities
Generic Name Pharmacologic Interferes with bacterial General Concentrations CNS: Lethargy, Before
Penicillin G Classification cell wall synthesis Indications - Allergies to hallucinations, - Observe 15 rights of drug
Benzathine Penicillin during active - Severe infections penicillins, seizures administration.
multiplication, causing caused by sensitive cephalosporins, or - Reduce dosage with
Trade Name Therapeutic cell wall death and organisms other allergens GI: Glossitis, hepatic or renal failure.
Penadur Class resultant bactericidal (streptococci) stomatitis, gastritis, - Assess for hypersensitivity
Precaution
Anti-infective, activity against - URTI caused by sore mouth, furry to drug.
- Renal disorders
Minimum Dose Antibiotic susceptible bacteria. sensitive tongue, black “hairy” - Assess for any
- Pregnancy
300,000 units IM streptococci tongue, nausea, contraindications to the
- Lactation
Pregnancy - Treatment of vomiting, diarrhea, drug.
Maximum Dose Risk Factor syphilis, bejel, abdominal pain, - Educate about side
Drug interaction
2.4 million units B congenital syphilis, bloody diarrhea, effects of drug.
Drug to drug
IM weekly for 3 pinta, yaws enterocolitis,
- Decreased
weeks - Prophylaxis of pseudomembranous During
effectiveness with
rheumatic fever colitis, nonspecific - Drug is not for IV use. Do
tetracyclines
Contents and chorea hepatitis not inject or mix with other
- Inactivation of
IV solutions.
parenteral
GU: Nephritis - Give IM injection in upper
aminoglycosides
outer quadrant of the
(amikacin, gentamicin,
Availability and buttock.
kanamycin, neomycin, Hematologic:
color - Avoid contact with the
tobramycin) Anemia,
- Injection: needle.
thrombocytopenia, - Withdraw needle as
600,000, 1.2 leukopenia,
million, 2.4 quickly as possible to avoid
neutropenia, discomfort.
million prolonged bleeding - Stay with patient
units/dose itme throughout whole duration
Route of of administration.
Hypersensitivity:
administration Rash, fever, wheezing,
Intramuscular After
anaphylaxis - Monitor client for at least
30 minutes.
Local: Pain, phlebitis, - Arrange for regular follow-
thrombosis at injection up, including blood tests, to
site, Jarisch- evaluate effects.
Herxheimer reaction - Instruct to report difficulty
when used to treat breathing, rashes, severe
syphilis pain at injection site, mouth
sores, unusual bleeding or
Other: bruising.
Superinfections, - Instruct to take medication
sodium overload as directed for the full
leading to heart failure course of therapy, even if
feeling better.
- Do proper documentation.