Cebu Institute of Technology

University

N. Bacalso Ave., Cebu City Philippines

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ACTIVITY : DRUG STUDY

IN PARTIAL FULFILLMENT OF THE COURSE NCM 204

HARLLY QUEEN MURPHY

SUBMITTED BY:

BSN 2- SECTION-GROUP# 10

AUDA F. RUSSEL, RN,MN,DScN

SUBMITTED TO:

CLINICAL INSTRUCTOR
DRUG STUDY
NAME OF DOSAGE/FRE CLASSIFICAT MECHANISM OF ACTION INDICATIONS/ SIDE ADVERSE NURSING
DRUG Q/ IO CONTRAINDICATIO EFFECTS EFFECTS RESPONSIBILI
ROUTE/SUPP N NS TIE
LIE S
D
GENERIC INDICATION -nausea BEFORE:
NAME
Vomitin
5OOmg/cap Penicillin, Amoxicillin is one of -colitis -Wash hands -
1cap QID Amoxicillin is in the class of beta-lactam g
Amino the most commonly caused by check the
Amoxicilli antimicrobials. Beta-lactams act by binding to used antibiotics in the overgrow physician
penicillin-binding proteins that inhibit a - th of
n primary care setting. order -verify
process called transpeptidation (the cross- diarrhea Clostridiu client’s history
It is an amino-
linking process in cell wall synthesis), leading m spp in
penicillin, created by the
to activation of autolytic enzymes in the - -Obtain
adding an extra amino intestines
bacterial cell wall. This process leads to lysis stomach current
group to penicillin to , knowledge
BRAND of the cell wall, thus destroying the bacterial pain
NAME
battle antimicrobial base of drugs.
cell. This type of activity is referred to as resistance. Amoxicillin fever,
-vaginal
Amoxicilli bactericidal killing. covers a wide variety -
itching burning
n, of gram-positive
or eyes,
Moxatag bacteria, with some
REFERENCE: discharg
added gram-negative sore
https://www.ncbi.nlm.nih.gov/books/NBK482250/# e
coverage compared to throat,
article-17474.s3
penicillin. Like
-
penicillin, it covers skin pain,
headach
most Streptococcus
e seizures,
species and is also DURING:
effective against hives,
-rash, -Performing
Listeria correct
and diarrhea
monocytogenes and that is
techniques
swollen, and
Enterococcus species. watery or
black, or precautions.
It also covers bloody,
"hairy"
Haemophilus
tongue.
influenza, some red or
Escherichia coli, purple AFTER:
Actinomyces species, skin rash -Monitoring
Clostridium species, with client
blistering response and
Salmonella species,
and documenting
Shigella species, and peeling, drugs effects
Corynebacteria severe
species. stomach -Patient and
CONTRAINDICATION pain, family
jaundice, education
 Any previous and
anaphylactic
or serious swelling
of your
skin reaction
face, lips,
(for example, tongue,
Stevens- or throat.
Johnson
syndrome)
to
amoxicillin
or any other
beta-lactam
is a
contraindicat
ion to
amoxicillin.
These
reactions
may have
crossover
sensitivity
with
cephalospori
ns or
carbapenem
s. However,
it is
important to
 note that
newer data
has
suggested a
much lower
cross-
reactivity
with
cephalospori
ns and
carbapenem
s than once
suspected.

 An
important
consideratio
n is
determining
if the
patient’s
allergic rash
is a type-I or
a type-IV
hypersensitiv
ity reaction.
Occasionally
patients will
report a
childhood
allergy to
amoxicillin,
which is, in
fact, a type-
IV-mediated
hypersensitiv
ity reaction,
often in the
setting of
infectious
mononucleo
sis; this is
not a
contraindicat
ion to giving
repeat
amoxicillin.
However, a
type-1
mediated
hypersensitiv
ity reaction
is a
contraindicat
ion given
that a repeat
exposure
puts the
patient at
risk for
anaphylaxis.

 Skin testing
has been
approved to
help assist in
hypersensitiv
ity to
penicillins.
Reports are
that the risk
of an allergic
reaction in a
patient with
a positive
skin test is
roughly four
percent. In
contrast, a
negative skin
test has a
relatively
high
sensitivity in
ruling out a
type-I
hypersensitiv
ity reaction