Generic Name: cephalexin
Brand name: Apo-Cephalex, Keflex, Novo-Lexin,
Nu-Cephalex, Panixine, Cefalin
Classification:
Therapeutic: anti-infective
Pharmacologic: first-generation cephalosporin
Date ordered: 12/13/10
Ordered dose of frequency: 500mg i tab
Route/ Dosage:
PO (Adults): Most infections- 250-500 mg q 6 hr. Uncomplicated cystitis, skin and soft tissue infections, streptococcal pharyngitis- 500 mg q 12 hr.
PO (Children): Most infections- 25-50 kg/day divided by q 6-8 hr. Uncomplicated cystitis, skin and soft tissue infections, streptococcal pharyngitis- 12.5-25 mg/kg q 12 hr. Otitis media- 18.75-255 mg/kg mg q 6 hr.
Mechanism of Action:
• Bind to bacterial cell wall membrane, causing cell death.
• Therapeutic effects: bactericidal action against susceptible bacteria.
• Spectrum: Active against many gram-positive cocci.
Indication: Treatment of skin and skin structure infections,
Pneumonia, Otitis media, urinary tract infections, Bone and joint infections, Septicemia caused by susceptible organisms.
Contraindication: Hypersensitivity to cephalosporins. Serious hypersensitivity to penicillinase
Adverse Reactions/ Side effects: CNS:seizures (high doses).
GI: pseudomembranous colitis, diarrhea, nausea, vomiting, cramps. Derm: rashes, pruritis, urticaria. Local: pain at IM site, phlebitis at IV site.
The Term Paper on Nosocomial Staph Infection
... has symptoms of anemia, leukopenia, pancytopenia, and thrombocytopenia. Complex skin and skin structure infections (hospital-acquired) are treated with aggressive debridement of necrotic ... endocarditis, bacteremia or a blood infection, nosocomial infections of surgical wounds, infections associated with indwelling medical devices, scalded skin syndrome, and septic shock. Toxic ...
Drug interaction:
Drug-drug: Probenicid decreases excretion and increases blood levels of renally excreted cephalosprins. Concurrent use of loop diuretics or aminoglycosides may increase risk of renal toxicity.
Nursing responsibilities:
• Assess for infection at beginning and during therapy.
• Before initiating therapy, obtain a history to determine previous use of and reactions to penicillin and cephalosporin
• Obtain specimens for culture and sensitivity before initiating therapy.
• Observe patient with signs and symptoms of anaphylaxis and advise patient to report signs of superinfection (furry overgrowth on the tongue, vaginal itching or discharge, loose or foul-smelling stools) and allergy.
• Administer around the clock. May be administered on full or empty stomach.
• Advise patient to notify health care professional if fever and diarrhea develop, especially if diarrhea contains blood, mucus, or pus. Advise not to treat diarrhea without consulting health care professional.
• Advise patient not totake drugs with dairy of Caffeinated products.
Generic Name: cefazolin
Brand name: Ancef
Classification:
Therapeutic: anti-infectives
Pharmacologic: first-generation cephalosporins
Date ordered: 12/11/10
Ordered dose of frequency: 1 gm IVTT q 6hours
Route/ Dosage:
IM, IV (Adults): Moderate to severe infection- 500mg 1g q 6-8 hr. Mild infections with gram-positive cocci- 250-500 mg q 8 hr. Uncomplicated UTI- 1 g q 12 hr.
IM, IV (Children and infants): 6.25-25 mg/kg q 6 hr
Mechanism of Action:
• Bind to bacterial cell wall membrane, causing cell death.
• Therapeutic effects: bactericidal action against susceptible bacteria.
• Spectrum: Active against many gram-positive cocci.
Indication: Perioperative prophylaxis
Contraindication: Hypersensitivity to cephalosporins. Serious hypersensitivity to penicillinase
Drug interaction:
Drug-drug: Probenicid decreases excretion and increases blood levels of renally excreted cephalosprins. Concurrent use of loop diuretics or aminoglycosides may increase risk of renal toxicity
The Essay on Legalization Of Marijuana Drug People Patients
Introduction "Hey man, you wanna get high?" Unfortunately, this phrase is said a countless number of times a day by high school students, referring to the use of marijuana. They have to sneak around, lie to adults, and they will do almost anything to get the feeling that marijuana creates. They risk getting arrested just to get this "special feeling." People should not have to go to such great ...
Adverse Reactions/ Side effects: CNS:seizures (high doses).
GI: pseudomembranous colitis, diarrhea, nausea, vomiting, cramps. Derm: rashes, pruritis, urticaria. Local: pain at IM site, phlebitis at IV site.
Nursing responsibilities:
• Assess for infection at beginning and during therapy.
• Before initiating therapy, obtain a history to determine previous use of and reactions to penicillin and cephalosporin
• Obtain specimens for culture and sensitivity before initiating therapy.
• Observe patient with signs and symptoms of anaphylaxis and advise patient to report signs of superinfection (furry overgrowth on the tongue, vaginal itching or discharge, loose or foul-smelling stools) and allergy.
• Administer around the clock. May be administered on full or empty stomach.
• Advise patient to notify health care professional if fever and diarrhea develop, especially if diarrhea contains blood, mucus, or pus. Advise not to treat diarrhea without consulting health care professional.
Generic Name: cefuroxime
Brand name: Ceftin, Zinasef
Classification:
Therapeutics: anti-infective
Pharmacologic: second-generation cephalosporin
Date ordered:
Ordered dose of frequency: 500mg tab 3x a day
Route/ Dosage:
PO (Adults and children >12 yr): Most infections- 250-500 mg q 12 hr.
UTI- 125-250 mg q 12 hr
PO (Children
