Drug Mechanism of Action/side Effects Indication/ Contraindication Nursing Responsibilities

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Drug Mechanism of action/Side effects Indication/ Nursing responsibilities

Contraindication
Brand name: Action Indication Baseline assessment:
Treatment of susceptible infections due to
Zinacef group B streptococci, pneumococci, Obtain CBC, renal function tests. Question
staphylococci, H. influenzae, E. coli, Contraindication for history of allergies, particularly
Enterobacter, Klebsiella, including cephalosporins, penicillin.
Generic name:
acute/chronic bronchitis, gonorrhea, History of
Intervention/evaluation:
impetigo, early Lyme disease, otitis media, hypersensitivity/anaphylactic
Cefuroxime
pharyngitis/tonsillitis, sinusitis, skin/skin
reaction to cefuroxime, Assess oral cavity for white patches on
structure, UTI, perioperative prophylaxis. mucous membranes, tongue (thrush). Monitor
Classification: Binds to bacterial cell membranes, inhibits cephalosporins.
daily pattern of bowel activity, stool
cell wall synthesis. consistency.
PHARMACOTHERAPEUTIC: Therapeutic Effect: Bactericidal. Cautions: Severe renal
Mild GI effects may be tolerable (increasing
Side Effects impairment, history of penicillin severity may indicate onset of antibiotic-
Second-generation allergy. Pts with hx of colitis, GI associated colitis).
Frequent: Discomfort with IM Monitor I&O, renal function tests for
malabsorption, seizures.
cephalosporin administration, oral candidiasis (thrush), nephrotoxicity.
mild diarrhea, mild abdominal cramping, Be alert for super infection: fever, vomiting,
vaginal candidiasis. diarrhea, anal/genital pruritus, oral mucosal
CLINICAL: Antibiotic. changes (ulceration, pain, erythema).
Occasional: Nausea, serum sickness–like
reaction (fever, joint pain; usually occurs Patient/family teaching
Route: after second course of therapy and resolves • Discomfort may occur with IM injection. •
Doses should be evenly spaced.
after drug is discontinued).
Dosage: 40mg/kg/day • Continue antibiotic therapy for full length of
Rare: Allergic reaction (rash, pruritus,
treatment.
urticaria), thrombophlebitis (pain, redness, • May cause GI upset (may take with food,
Frequency: q8 swelling at injection site). milk).

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