INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

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

Generic Trade Classification Dose Route Time/Frequency
Name Name anti-infectives 500mg-1g IV every 6-8 hours
cefazolin Ancef
mild inf.
250-500mg IV every 8 hours
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
end of infusion rapid 6-12 hour
Why is your patient taking this medication?

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

Treatment of skin and skin structure infections; pneumonia;
UTIs; biliary tract infections; genital infections; bone and
joint infections; septicemia; infective and endocarditis;
perioperative prophylaxis; not suitable for the treatment
of meningitis.
Bactericidal action against susceptible bacteria.
many gram+ cocci.
Contraindications/warnings/interactions hypersensitivity to cephalosporins;
serious hypersensitivity to penicillins; renal impairment; history of GI disease;
especially colitis; geriatric patients; pregnancy or lactation;
Common side effects Seizures (high doses), pseudomembranous colitis
diarrhea; nausea; vomiting; cramps; rashes; pruritis; urticaria; leukopenia;
neutropenia; thrombocytopenia; phlebitis at IV site; allergic reactions;
including anaphylaxis and serum sickness; superinfection.

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Probenecid

Be sure to teach the patient the following about this medication

Report signs of superinfection (furry overgrowth on the tongue, vaginal itching
or discharge, loose or foul-smelling stools) and allergy. If ever and diarrhea
develop call doctor, especially if stool contains blood, pus, or mucus. Do not
treat the diarrhea.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment
Vital signs; appearance of wound, sputum,urine,
and stool; WBC and beginning of and throughout
therapy. Allergy to medication
Why would you hold or not give Check after giving
this med? Resolution of the signs and symptoms of
allergy infections. Length of time for complete
anaphylaxis resolution depends on the organism and the
site of infection. Decreased incidence of
infection when used for prophylaxis.