Kylah Grace D Giganto                                              BSN2C
Name of drug       Dosage,      Mechanism of Action               Indication                          Contraindication               Adverse Reaction              Nursing Responsibility
                    Route,
                    Frequency
 Generic Name:      Dosage:         −   Penicillin-binding             −   Co-Amoxiclav is for            −   Allergy to              Gastrointestinal effects:     −   Assessing the patient's
 Amoxicillin-       625mg/tab           protein 1 and other                short-term treatment of            penicillins: Co-        These are the most                medical history:
 clavulanate        2 tablets           high-molecular-weight              bacterial infections at            amoxiclav is a          common side effects of            Before administering
                                        penicillin binding                 the following sites:               member of the           co-amoxiclav and can              co-amoxiclav, it is
 Brand Name:        Frequency:          proteins are                       Upper respiratory tract            penicillin class of     include diarrhea, nausea,         important to review
 Augmentin          2x a Day            competitively                      infections [including              antibiotics and         vomiting, and abdominal           the patient's medical
                    BID                 inhibited by                       eyes, ears, nose                   should not be used      pain.                             history and identify
 Classification:                        amoxicillin. Penicillin            (EENT)] e.g., recurrent            in patients who                                           any contraindications,
 Antibiotic         Timing:             binding proteins are in            tonsillitis, sinusitis,            have a known            Hypersensitivity                  allergies, or potential
                    8AM – 8PM           charge of the                      otitis media.                      allergy to              reactions: Co-amoxiclav           drug interactions.
                                        glycosyltransferase            −   Lower respiratory tract            penicillins. Allergic   can cause allergic            −   Administering the
                    Route:              and transpeptidase                 infections e.g., acute             reactions can range     reactions in some people,         medication as
                    Oral                reactions that result in           exacerbation of chronic            from mild rashes to     which can range from              prescribed: Co-
                                        the cross-linking of D-            bronchitis, lobar and              severe anaphylaxis,     mild skin rashes to severe        amoxiclav is typically
                                        alanine and D-aspartic             bronchopneumonia.                  which is a life-        anaphylaxis.                      administered orally in
                                        acid in bacterial cell         −   Skin and soft tissue               threatening allergic                                      the form of tablets or
                                        walls. Without                     infections e.g., boils,            reaction.                                                 capsules, and should
                                        penicillin binding                 abscesses, cellulitis,         −   Severe liver            Liver toxicity: Co-               be given according to
                                        proteins, bacteria                 wound infections.                  disease: Co-            amoxiclav can cause liver         the prescribed dosage
                                        upregulate autolytic               Bone and joint                     amoxiclav can           damage in some people,            and frequency. The
                                        enzymes and are                    infections e.g.,                   cause liver damage,     particularly in those with        medication should be
                                        unable to construct                osteomyelitis.                     and should be used      pre-existing liver disease.       taken with a full glass
                                        and repair the cell            −   Other infections e.g.,             with caution in                                           of water to ensure
                                        wall, leading to                   dental infections, septic          patients with pre-      Blood disorders: Co-              adequate absorption.
                                        bacterial action.                  abortion, puerperal                existing liver          amoxiclav can affect the      −   Encouraging fluid
                                                                           sepsis, intra-abdominal            disease. It is          production of blood cells         intake: Co-amoxiclav
                                                                           sepsis. Also septicemia,           generally               and may cause anemia,             can cause dehydration
                                                                           peritonitis and                    contraindicated in      thrombocytopenia, or              and electrolyte
                                                                           postsurgical infections.           patients with severe    leukopenia.                       imbalances, so it is
                                                                                                              liver disease, as it                                      important to
                                                                                                                                                                        encourage the patient
−   Co-Amoxiclav is also          can worsen their         Neurological effects:            to drink plenty of
    indicated for                 condition.               Rarely, co-amoxiclav can         fluids, particularly
    prophylaxis against       −   Kidney disease:          cause neurological side          water.
    infection which may be        Co-amoxiclav is          effects such as dizziness,   −   Educating the patient
    associated with major         excreted by the          headaches, or seizures.          about potential side
    surgical procedures           kidneys, so it                                            effects: Before
    e.g., gastrointestinal,       should be used with      Candidiasis: Co-                 administering co-
    pelvic, head and neck,        caution in patients      amoxiclav can disrupt the        amoxiclav, it is
    cardiac, renal, joint         with kidney              balance of bacteria and          important to educate
    replacement and biliary       disease. Dose            yeast in the body, leading       the patient about
    tract.                        adjustments may be       to overgrowth of Candida         potential side effects,
                                  necessary in these       albicans, a type of yeast        such as
                                  patients.                that can cause infections.       gastrointestinal upset,
                              −   Infectious                                                rash, or difficulty
                                  mononucleosis:                                            breathing. The patient
                                  Co-amoxiclav is          Renal effects: Co-               should be instructed to
                                  not recommended          amoxiclav can cause              notify the physician if
                                  in patients with         kidney damage in some            they experience any
                                  infectious               people, particularly those       adverse reactions.
                                  mononucleosis, as        with pre-existing kidney     −   Monitoring renal and
                                  it can cause a rash.     disease.                         liver function: Co-
                              −   Pregnancy and                                             amoxiclav can affect
                                  breastfeeding: Co-       Superinfection: Co-              renal and liver
                                  amoxiclav is             amoxiclav can cause              function, so it is
                                  generally                secondary infections in          important to monitor
                                  considered safe for      some people, particularly        these parameters in
                                  use during               if it is used for a              patients with pre-
                                  pregnancy and            prolonged period of time.        existing renal or liver
                                  breastfeeding, but                                        disease. Blood tests
                                  its use should be                                         may be necessary to
                                  carefully                                                 assess kidney and liver
                                  considered by a                                           function.
                                  doctor, particularly
                                  in the first trimester
                                  of pregnancy.
−   Concomitant use
    of certain
    medications: Co-
    amoxiclav may
    interact with other
    medications,
    particularly those
    that affect liver
    function or blood
    clotting. It should
    not be used in
    combination with
    certain
    medications, such
    as methotrexate,
    that can increase
    the risk of side
    effects.