c
 c

c
  

 
 
 
c
 
  

c
 
 
c  


 






  Anti-infective, Interferes with Severe infections    Lethargy, &

 Antibiotic bacterial cell wall caused by sensitive - Allergies to penicillins, hallucinations, - Observe 15 rights of drug
synthesis during organisms cephalosporins, or other seizures administration.
(Penadur) active (streptococci) allergens - Reduce dosage with hepatic or
multiplication, - URTI caused by 
Glossitis, renal failure.
causing cell wall sensitive  stomatitis, gastritis, - Assess for hypersensitivity to drug.
death and resultant streptococci - Renal disorders sore mouth, furry - Assess for any contraindications to
bactericidal activity - Treatment of - Pregnancy tongue, black the drug.
against susceptible syphilis, bejel, - Lactation ³hairy´ tongue, - Educate about side effects of drug.
bacteria. congenital syphilis, nausea, vomiting, c
pinta, yaws c  diarrhea, abdominal - Drug is not for IV use. Do not
- Prophylaxis of Drug to drug pain, bloody inject or mix with other IV
rheumatic fever and - Decreased effectiveness diarrhea, solutions.
chorea with tetracyclines enterocolitis, - Give IM injection in upper outer
- Inactivation of parenteral pseudomembranous quadrant of the buttock.
aminoglycosides colitis, nonspecific - Avoid contact with the needle.
(amikacin, gentamicin, hepatitis - Withdraw needle as quickly as
kanamycin, neomycin,  Nephritis possible to avoid discomfort.
tobramycin) !" - Stay with patient throughout whole
Anemia, duration of administration.
Drug to food thrombocytopenia, &
- none reported leukopenia, ' Monitor client for at least 30
neutropenia, minutes.
prolonged bleeding - Arrange for regular follow-up,
itme including blood tests, to evaluate
!#$%# effects.
Rash, fever, - Instruct to report difficulty
wheezing, breathing, rashes, severe pain at
anaphylaxis injection site, mouth sores, unusual
 Pain, bleeding or bruising.
phlebitis, thrombosis - Instruct to take medication as
at injection site, directed for the full course of
Jarisch-Herxheimer therapy, even if feeling better.
reaction when used
to treat syphilis