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Rhea Jane Q.

Bongcato

Level 2 / Nr23 / Group 1

GABMMC- Pedia Ward

Patient Name: Jhazlyn Lagua


Gender/ Age: Female / 1 month
Diagnosis: BPN
Diet: F with SAP

DRUG CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION ADVERSE NURSING


ACTION REACTION RESPONSIBILITY

Generic Name: Pharmacologic Binds to ➣Treatment of ● Hypersensitivity to Respiratory: Administration


Amikacin class: negatively bacterial amikacin, other apnea
Aminoglycoside charged sites on pneumonia, aminoglycosides ● Don’t physically
Brand Name: Skin: rash, mix amikacin with
bacteria’s outer septicemia. (cross-sensitivity), or
Amikin Therapeutic class: alopecia, other drugs.
cell membrane, their components.
Anti-infective urticaria, itching, Administer
Availability: disrupting cell
integrity. Also exfoliative separately.
Injection Cautions: Preexisting dermatitis
Solution: 250 binds to bacterial ● Ensure
auditory impairment, Other: weight
mg/ml ribosomal adequate fluid
hypocalcemia loss,
subunits and intake to avoid
Dosage: inhibits protein superinfection,
pain and dehydration.
synthesis. Both
Amikacin 8g q6 irritation at I.M.
actions lead to Patient
OD site
cell death. monitoring

● Evaluate for
signs and
symptoms of
ototoxicity
(hearing loss,
tinnitus, ataxia,
and vertigo).

● Assess for
secondary
superinfections,
particularly upper
respiratory tract
infections.

Patient teaching

● Instruct patient
to immediately
report fever,
cough, breathing
problems, sore
throat, and other
signs and
symptoms of
infection.

● Advise patient
to minimize GI
upset by eating
small, frequent
servings of food,
and drinking
plenty of fluids.
Continue
antibiotic for full
length of
treatment.  Do
not take other
medications
without consulting
physician

DRUG CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION ADVERSE NURSING


ACTION REACTION RESPONSIBILITY

Generic Name: Pharmacologic Inhibits bacterial Treatment of ● Hypersensitivity to SIDE EFFECTS


Ampicillin class: Penicillin cell wall susceptible any penicillin. Frequent: Pain at
● Question for
synthesis. The respiratory IM injection site,
Brand Name: Therapeutic class: rigid, cross- infections due to GI disturbances history of
Novo-Ampicillin Antibiotic Cautions: History of allergies, esp.
linked cell wall is streptococci (mild diarrhea,
(Bactericidal in assembled in pneumoniae allergies, esp. nausea, penicillins
Availability: susceptible cephalosporins, renal
several steps. vomiting), oral or Patient
microorganisms) Ampicillin exerts impairment, asthmatic vaginal
pts monitoring
its effects on candidiasis. ● Stay alert for
Occasional: hypersensitivity
susceptible Generalized rash, reactions and
bacteria in the urticaria,
final stage of the phlebitis, paradoxical
cross-linking thrombophlebitis bronchospasm.
process by (with IV Stop drug
binding with and administration), immediately if
inactivating headache. these occur.
penicillin-binding Rare: Dizziness,
proteins seizures (esp.
•Monitor patient
(enzymes with IV therapy). closely for
responsible for anaphylaxis,which
linking the cell may be life-
Respiratory:
wall strands). threatening.
cough, dyspnea,
This action Patients atgreatest
wheezing, risk are those with a
causes bacterial
paradoxical history of
cell lysis and
bronchospasm
death. multiple allergies,
Skin: pallor, hypersensitivity to
urticaria, rash,
cephalosporins, or a
angioedema,
history of asthma,
flushing,
sweating hay fever, or
urticaria.
Other: tooth Patient teaching
discoloration,
increaseappetite, ● Follow
hypersensitivity manufacturer’s
reaction directions
supplied with
inhalation drugs.

● Instruct patient
to notify
prescriber
immediately if
prescribed dosage
fails to provide
usual relief,
because this may
indicate seriously
worsening
asthma.

•Review signs of
allergic reaction; if
they occur, tell
patient to hold
next ampicillin
dose and contact
prescriber
immediately.

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