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Drug Study

This document summarizes information on several drugs including their classification, mechanism of action, nursing considerations, contraindications, dosage, frequency and routes of administration. Ampicillin is an antibiotic that interferes with bacterial cell wall synthesis. Nursing considerations for ampicillin include monitoring for effectiveness and adverse reactions. Vancomycin is an antimicrobial that inhibits bacterial cell wall synthesis. Ceftriaxone is a cephalosporin antibiotic that inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins. Dexamethasone is a corticosteroid that decreases inflammation by suppressing migration of polymorphonuclear leukocytes and reversing increased capillary permeability.

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0% found this document useful (0 votes)
390 views5 pages

Drug Study

This document summarizes information on several drugs including their classification, mechanism of action, nursing considerations, contraindications, dosage, frequency and routes of administration. Ampicillin is an antibiotic that interferes with bacterial cell wall synthesis. Nursing considerations for ampicillin include monitoring for effectiveness and adverse reactions. Vancomycin is an antimicrobial that inhibits bacterial cell wall synthesis. Ceftriaxone is a cephalosporin antibiotic that inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins. Dexamethasone is a corticosteroid that decreases inflammation by suppressing migration of polymorphonuclear leukocytes and reversing increased capillary permeability.

Uploaded by

Rodel Camposo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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DRUG STUDY

Generic Brand Classification Mechanism Nursing Consideration Contraindication Dosage/Frequency Route


Name Name of Action

Ampicilin Polycillin Antibiotics Interferes • Monitor appropriate Hypersensitivity to Maximum • ORAL


Penicillin with bacterial laboratory tests as ordered. ampicillin, other recommended
cell wall penicillins, or dosage, 8-14 g/day Onset: 30 min
synthesis •Monitor for (teach patient cyclosporines. (reserve 14 g of
during active to monitor and report) serious infections, Peak: 2 hr
multiplication, effectiveness of therapy such as meningitis,
causing cell and adverse reactions as septicemia) may be Duration: 6-8 hr
wall death and identified above, including given IV, IM, or
resultant development of PO. Use parenteral • IM:
bactericidal opportunistic infections. routes for severe
activity infections; switch to Onset: 30 min
against oral route as soon as
susceptible possible. Peak: 2 hr
bacteria.
Duration: 6-8hr

• IV:

Onset: Immediate

Peak: 5min

Duration: 6-8hr

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DRUG STUDY

Generic Name Brand Classificatio Mechanism Nursing Contraindication Dosage/Frequency Route


Name n of Action Consideration

.
Vancomycin Lyphocin, Unclassified Inhibits • Monitor for signs Hypersensitivity to • Adults: • ORAL
Hydrochloride Vancocin; Antimicrobial bacterial or symptoms of vancomycin or any Capsule: 125 mg,
Vancoled s, Anti- cell wall adverse reactions component; patint 250 mg Onset: Varies
infective synthesis. indicated above, with previous severe Powder for oral
Agent. especially auditory hearing loss. solution: 1g, 10g Peak: 2-4 hr
and renal function. Powder for
injection: 500mg,
• Monitor for 1g, 2g, 5g, 10g
maculppapular rash
appearance on the
face, neck, trunk,
and upper
extremities.

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DRUG STUDY

Generic Brand Classification Mechanism Nursing Contraindication Dosage/Frequency Route


Name Name of Action Consideration

• Assess for previous Hypersensitivity • Adults • ORAL


Ceftriaxone Rocephin Cephalosporin Inhibits history of reactions to to ceftriaxone 1-2 g/day IM or IV Onset: Rapid
, Anti- bacterial other cephalosporins or sodium, any once a day or in
infective cell wall penicillins. component, or equal divided doses Peak: Immediate
agents; synthesis by • Monitor for allergic other bid. Do not exceed
Bacteriacidal binding to reactions.These can cephalosporins. 4 g/day. Duration: 15-18 hr
one or more occur a few days after
of the therapy is initiated. • Pediatric Patients: •IM:
penicillin- • Assess for potential 50-75 mg/kg/day
binding nephrotoxicity. IV or IM in divided Onset: 30 min
proteins. doses every 12 hr.
Do not exceed Peak: 1.5-4 hr
2g/day.
Duration:
15-18 hr

25
DRUG STUDY

Generic Brand Classification Mechanism Nursing Contraindicatio Dosage/Frequency Route


Name Name of Action Consideration n

Dexamethaso Decadron Adrenocortico Decreases •Monitor for Opthalmic: Use • Adult: • ORAL
ne Dalalone steroids; Anti- inflammation effectiveness of in viral, fungal, Dexamethasone sodium Onset: Slow
inflammatory by therapy. or tuberculosis phosphate: Peak: 1-2 hr
Agents suppressionof • Follow prescribe disease of the Aerosol: Duration: 2-3 days
migrationof rim\nstruction for eye Oral: 84mcg
polymorphon administration.• Systemic or dexamethasone per • IM:
uclear Monitor systemic Topical: Active activation (12.6g)
leukolytes and adverse effects untreated Onset: Rapid
reversal of closely. infections. • Topical: Cream: 0.1% Peak: 30-60 min
increased with methylcellulose Duration: 2-3
capillary 0.5% (5mL, 15mL) days
permealbillity
; suppresses • IV:
normal
immune Onset: Rapid
response Peak: 30-60 min
Duration: 2-3
days

26
DRUG STUDY

Generic Name Brand Classification Mechanism Nursing Contraindicatio Dosage/Frequency Route


Name of Action Consideratio n
n

Rifampin Rifadin Antitubercular, Inhibits •Monitor for Hypersensitivity • Adult: • ORAL


Anti-infective bacterial RNA effectiveness to rifampin or Capsule: 150 mg, 300 Onset: Varies
Agents; synthesis by of therapy. any component mg Peak: 1-4 hr
Antibiotic: binding to the • Follow Powder for injection:
Antituberculotic beta subunit prescribe 600 mg (contains a • IV:
( first line) of DNA- rim\nstruction sulfite)
dependent for Onset: Rapid
RNA administration
polymerase, .• Monitor Peak: End of
blocking RNA systemic infusion
transcription adverse
effects
closely.

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