NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Ceftriaxone Rocephin Anti-infectives 1 gram IVPB Q 24 hours
Peak Onset Duration Normal dosage range
End of Rapid 12-24 hours For most infections, 0.5-1 gram q 12 hours, or 1-2 grams q
infusion 24 hours
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Elevated WBC count NaCL, D5W, D10W, LR
Rate: administer over 15-30 minutes

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
binds to bacterial cell causing cell death, indicated for
a wide range of infections including respiratory
infections.
Contraindications/warnings/interactions
.hypersensitivity to penicillins and cepholosporins.
Common side effects
Nausea, vomiting, diarrhea, rashes, pain, phlebitis

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
none
Nursing Process- Assessment
(Pre-administration assessment)
assess signs of infection(vitals, sputum
sample, urine, stool, and WBC count)
Obtain health history to determine
previous use and reactions to penicillin
and cephalosporin.
Lab value alterations caused by medicine
May cause increase in serum AST, ALT, alkaline
phosphatase, bilirubin, LDH, BUN, and creatinine. May
rarely cause leucopenia, neutropenia, eosinophilia,
lymphocytosis, and thrombocytosis
Be sure to teach the patient the following about this
medication
Report signs of superinfection including furry overgrowth on
tounge, loose or foul-smelling stools.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Monitor injection site for
If patient shows signs of phlebitis, long-term: look for
hypersensitivity (rash, pruritis, resolution of signs and
laryngeal edema, wheezing) symptoms of infection.