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

Cefazolin Ancef Anti-infective 1g IVPB Q 8 hr x 2
Peak Onset Duration Normal dosage range
1-2hr Rapid 6-12 hr 500 mg-1g q 6-8 hr for moderate to sever infections

Why is your patient getting this medication
Treatment of a moderate to severe infection
Mechanism of action and indications
(Why med ordered)
Bind to bacterial cell wall membrane, causing cell death
For IV meds, compatibility with IV drips and/or solutions
Reconstituted 500mg or 1 g solution may be diluted in 50-
100 ml of 0.9% NaCl, D5W, D10W, D5/0.25%NaCl,
D5/0.45 NaCl, D5/09%NaCl, D5/LR
RATE:
Administer over 30-60 min
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Hypersensitivity to cephalosporins. Serious hypersensitivity
to penicillins
Common side effects
Seizures, Pseudomembranous colitis, diarrhea, nausea,
vomiting, cramps, rashes, phlebitis, hypersensitivity

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
None for this patient
Nursing Process- Assessment
(Pre-administration assessment)
Assess for infection, VS, appearance of
wound, sputum, urine, and stool; WBC
Lab value alterations caused by medicine
May cause positive results for coombs test in patients
receiving high doses. May cause increase serum AST, ALT,
alkaline phosphatase, bilirubin, LDH, BUN, creatinine.
Be sure to teach the patient the following about this
medication
Take meds around the clock at evenly spaced times.
Complete all meds as directed. Advise on signs of
superinfection.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Resolution of infection,
Hypersensitivity Improvement of symptoms