UNIVERSITY OF CEBU at PARDO and TALISAY, Inc.
BULACAO, CEBU CITY
TEL. NO. 272-8475 / 272-2985
College of Nursing
DRUG STUDY
Patient:`Tatoy, Thalia Dayne Celestine F. Age: 2 years old Hospital No: 41204 Room No: 528
Impression Diagnosis: Acute Bronchitis Attending Physician: Dr. Chonna P. Layos
Allergy to:__________N/A___________
Generic / Brand Name & Indication / Side Effects/ Adverse Nursing Responsibilities
Dosage Timing & Duration Patient Teaching
Classification Pharmacodynamics of Drug Reactions/ Contraindication (Nursing Process Approach)
(5%) (20%)
(5%) (20%) (10%) (40%)
Generic Name: Drug form & Dosage Indications: Side Effects: • Question for history of • Discomfort may occur
Ordered: Treatment of susceptible Frequent: Discomfort with allergies, particularly with IM injection.
Ceftriaxone infections due to gram- IM administration, oral cephalosporins, • Doses should be evenly
IV, 600 mg + 30cc NSS negative aerobic organisms, candidiasis (thrush), mild penicillins. spaced.
some gram-positive diarrhea, mild abdominal • Monitor daily pattern of • Continue antibiotic
Brand Name: organisms, including cramping, vaginal candidiasis. bowel activity, stool therapy for full length of
Timing: respiratory tract, GU tract, Occasional: Nausea, serum consistency. treatment.
Forgram skin and skin structure, bone sickness–like reaction (fever, • Be alert for super- • Tell patient to promptly
Q12h (every 12 hours) and joint, intra-abdominal, joint pain; usually occurs infection: fever, vomiting, report adverse reactions
pelvic inflammatory disease after second course of diarrhea, anal/genital • Instruct patient to
(PID), biliary tract/urinary therapy and resolves after pruritus, oral mucosal immediately report signs
Classification Name: Duration: tract infections; bacterial drug is discontinued). Rare: changes (ulceration, pain, and symptoms of
septicemia, meningitis, Allergic reaction (rash, erythema). neurotoxicity as it can
PHARMACOTHERAPEUTIC: 3 days perioperative prophylaxis, pruritus, urticaria), • Monitor for occur: somnolence,
Third-generation acute bacterial otitis media. thrombophlebitis (pain, hypersensitivity reactions lethargy, confusion,
cephalosporin. OFF-LABEL: Complicated redness, swelling at injection • Monitor patient for seizures
CLINICAL: Antibiotic. Other drug forms: gonococcal infections, STDs, site). diarrhea and anemia and • Instruct patient to report
Lyme disease, salmonellosis, Adverse Reaction: treat appropriately discomfort at IV site
Injection (IM) shigellosis, atypical Antibiotic-associated colitis, • Monitor signs and • Tell patient to notify
community-acquired other superinfections symptoms of gall bladder prescriber about watery
pneumonia. (abdominal cramps, severe disease, and oliguria and bloody stools with or
watery diarrhea, fever) may • Ensure patient is without stomach cramps
Pharmacodynamics: result from altered bacterial hydrated and fever even if months
Binds to bacterial cell balance in GI tract. • Check for improvement in after treatment
membranes, inhibits cell wall Nephrotoxicity may occur, respiratory symptoms • Avoid exposure to smoke
synthesis. Therapeutic esp. in pts with preexisting (decreased cough, less or strong odors that can
Effect: Bactericidal. renal disease. Pts with history congestion, improved worsen symptoms.
of penicillin allergy are at oxygen saturation).
UNIVERSITY OF CEBU at PARDO and TALISAY, Inc.
BULACAO, CEBU CITY
TEL. NO. 272-8475 / 272-2985
College of Nursing
increased risk for developing • Ensure the child • Teach proper hand
a severe hypersensitivity completes the full course hygiene to prevent the
reaction (severe pruritus, of the antibiotic to spread of infection.
angioedema, bronchospasm, prevent resistance. • Watch for allergic
anaphylaxis). • Watch for signs of reactions (swelling,
Contraindications: nephrotoxicity (changes difficulty breathing,
History of in urine output, swelling). itching).
hypersensitivity/anaphylactic • If given at home, follow
reaction to ceftriaxone, the exact schedule
cephalosporins. prescribed by the doctor.
Hyperbilirubinemic neonates,
esp. premature infants,
should not be treated with
ceftriaxone (can displace
bilirubin from its binding to
serum albumin, causing
bilirubin encephalopathy). Do
not administer with calcium-
containing IV solutions,
including continuous calcium-
containing infusion such as
parenteral nutrition (in
neonates) due to the risk of
precipitation of ceftriaxone
calcium salt.
Cautions: Hepatic
impairment, history of GI
disease (esp. ulcerative
colitis, antibiotic-associated
colitis). History of penicillin
allergy.
_____________________________________ _______________________________
Printed Name & Signature of Clinical Instructor: Printed Name & Signature of Student:
