CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
Submitted by: Clinical Instructor: Prof. Edna Alvarez RN, MAN
Name: Vicera, Monica R.
Year & Section: NR - 41 (Group 5)
DRUG STUDY: ERYTHROMYCIN
Drug Order Mechanism Indications Contraindications Adverse Effects of the Nursing
(Generic name, brand of Action Drug responsibilities/precautions
name, classification,
dosage, route, frequency)
Generic Name: Binds to 50S Erythromycin is Erythromycin is CNS: Seizures • Assess patient for signs and
Erythromycin ribosomal used to prevent contraindicated in symptoms
subunits and treat infections patients taking
Brand Name: in many different terfenadine, of infection including
of susceptible CV: Dysrhythmias, QT characteristics of
Ilocytin & Romycin for parts of the body, astemizole, or prolongation
Opth bacteria and including cisapride. Concurrent
suppresses wounds, sputum, urine, stool,
respiratory tract topical acne therapy WBC .10,000/
protein infections, skin should be used with
EENT: Hearing loss, mm3, earache, fever; obtain
Apo Erythro & Ery-Tab for synthesis infections, caution as irritation
tinnitus, visual changes, baseline information before,
Oral diphtheria, can occur.
eye pain,photophobia during treatment
intestinal
amebiasis, acute
• Assess for allergic reactions:
pelvic
Classification: GI: Nausea, vomiting, rash, urticaria
inflammatory
Therapeutic- diarrhea, hepatoxicity,
disease, may occur a few days after
Anti infectives abdominal pain, stomatitis,
Legionnaire's therapy begins
disease, pertussis, heartburn,
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
Pharmacologic- Macrolides and syphilis. anorexia, pruritus ani, • Assess for overgrowth of
antibiotic pseudomembranous infection: perineal itching, fever,
malaise, redness, pain,
colitis, esophagitis,
Dosage: hepatotoxicity swelling, drainage, rash, diarrhea,
For neonatal prophylaxis change in
gonococcal or chlamydial cough, sputum
conjunctivitis, a ribbon of GU: Vaginitis, moniliasis
ointment approximately at • Teach patient to report sore
1cm in length (0.5%) throat, bruising, bleeding, joint
should be instilled in each INTEG: Rash, urticaria, pain; may indicate blood
lower conjunctival sac. pruritus, thrombo- dyscrasias (rare)
phlebitis (IV site) • Advise patient to contact
Adult: 250-500 mg
prescriber if vaginal
itching, loose foul-smelling stools,
Adolescent/child/infant: SYST: Anaphylaxis furry tongue
20-50 mg/kg/day
occur; may indicate superinfection
• Instruct patient to take all
Neonate .7 days, weighing medication pre-
1200 g:30 mg/kg/day
scribed for the length of time
ordered
Route:
PO, Topical
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
DRUG STUDY: HEPA B IMMUNE GLOBULIN
Drug Order Mechanism Indications Contraindications Adverse Effects of the Nursing
of Action Drug responsibilities/precautions
Generic Name: Provides Prevention of Hypersensitivity to CNS: Headache, • Assess for history of allergies,
passive
Hepa B Immune hepatitis B virus immune globulins, dizziness, fever skin conditions (eczema, psoriasis,
immunity to dermatitis), reactions to vaccinations
globulin in exposed coagulation
hepatitis B
Brand Name: patients, including disorders GI: Nausea, vomiting
Therapeutic • Assess for skin reactions: rash,
HepaGam B passive immunity Precautions: INTEG: Soreness at
induration, urticaria
outcome:
Classification: in neonates born Pregnancy C, inj site, urticaria, ery
Passive
Immune globulin to HBsAg breastfeeding, thema, swelling
immunity • Assess for sneezing, pruritus,
Dosage: positive mothers, children, geriatric,
to hepatitis B angioedema, dysphagia, vomiting,
Hepatitis B prevention of hemophilia, active SYST: Induration, abdominal pain
exposure in those at hepatitis B infection, anaphylaxis, angio
high risk recurrence after IgA deficiency edema • Assess for anaphylaxis: inability to
breathe, bronchospasm, hypotension,
Adult and child: IM liver transplant in
HBsAg positive wheezing, diaphoresis, fever,
0.06 ml/kg (usual
patients
flushing; epinephrine and
3-5 ml)
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
Neonates born to emergency equipment should be
available
hepatitis B sur
Face Antigen–
• Can be used with hepatitis B
positive mothers:
vaccine in cases of direct contact
IM 0.5 ml within 12
hr of birth
• Teach patient purpose of product
Route:
and expected results
IM
• Give patient a list of adverse
reactions that need to be reported
immediately: wheezing, vomiting,
sneezing, abdominal pain, sweating,
tightness in chest
• Advise patient that pain, rash,
swelling at injection site can be
expected
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
• Give patient written record of
immunization
DRUG STUDY: BACILLUS CALMETTE GUERIN VACCINE
Drug Order Mechanism Indications Contraindications Adverse Effects of the Nursing
of Action Drug responsibilities/precautions
Generic Name: Activates the Prevention of Extensive skin disease or Persons who are • Assess the patient for allergic
Bacillus Calmette innate immune hepatitis B virus burns(acute dermatological immunosuppressed (e.g., reaction: rash, trouble breathing
Guerin Vaccine system and in exposed disease) persons who are HIV
induces patients,includin infected) or who are
Brand Name: changes in the g passive likely to become • Assess patient with compromised
BCG Vaccine pattern of immunity Persons with a positive immunocompromised immune systems, such as those who
histone tuberculin skin test (e.g., persons who are are infected by HIV/AIDS
modifications in neonates born candidates for organ
of specific to HBsAg- transplant).
Classification:
BCG Virus vaccines genes in positive mothers, HIV positive • Monitor the signs and symptoms of
innate immune
prevention of systemic BCG infection: fever,
Dosage: cells Immunocompromised
hepatitis B chills, severe malaise, cough.
Infants 1 month-Adult
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
0.2 - 0.3 ml is recurrence after Moderate or severe febrile persons with conge-
dropped on the skin liver transplant in illness
and administered HBsAg- nital immuno- • Culture blood and urine, if
using a multiple deficiency,malignan- cy, systemic infection is suspected.
puncture disc. positive patients or those taking
Six months after viral immunosuppressive
hepatitis drugs such as tumor • Assess for regional lymph node
necrosis enlargement and report fistula
Neonates 1month old,
the BCG vaccine, formation
Active tuberculosis
USP should be
reconstituted with
2ml for these patients
Weight <2500 g at birth
to administer
congenital
appropriate dose
which is 50% of the
adult dose.
Immunodeficiency
Route: leukemias, lymphomas,
IM malignancies
DRUG STUDY: VITAMIN K
Drug Order Mechanism Indications Contraindications Adverse Effects of Nursing responsibilities/precautions
of Action the Drug
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
Generic Name: Acts as a Prevention Hypersensitivity CNS: Headache, • Monitor pro-time during
cofactor brain damage (large
Phytonadione treatment of to Vitamin K. doses) treatment (2-sec deviation from
to an enzyme
Brand Name: hemorrhagic Caution:Renal GI: Nausea, control time, bleeding time, and
found in the decreased
Vitamin K states in impairment clotting time)
liver called
Classification: gamma neonates. newborns liver function tests
fat soluble vitamin glutamyl- Antidote for especially • Monitor for bleeding, INR pulse, and
carboxylase, HEMA: Hemolytic B/P
Dosage: which hemorrhage premature. Risk of
converts the anemia, • Assess nutritional status: liver
Neonate: IM 0.5-1 induced by oral hemolysis
hemoglobin (beef), spinach,tomatoes, coffee,
mg within 1 hr after inactive forms anticoagulants, jaundice
of coagulation uria, asparagus, broccoli, cabbage,
birth hypoprothrom hyperbilirubi
factors II, VII, hyperbilirubinemia lettuce, greens
Adult and child: IX, and X into bine mic states nemia.
their active • Assess for bleeding or bruising:
PO/SUBCUT/IM due to Vitamin
forms. INTEG: Rash, hematuria, black tarry stools,
1-10 mg, may K deficiency.
urticaria Hematemesis
repeat 12-48 hr
• Teach patient not to take other
after PO dose or 6-8
RESP: supplements unless directed by
hr after Bronchospasm,
prescriber; to take this medi
CITY OF MANILA
UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
A.J. Villegas St., Mehan Gardens, Manila
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF NURSING
Available forms: dyspnea, chest cation as directed
Tabs 5 mg; inj 10 constriction, • Teach patient necessary foods
mg/ml, 1 mg/0.5 ml respiratory arrest high in vit K to be included in diet
Route: • Advise patient to avoid IM inj,
IM, SubQ hard toothbrush, flossing; use
electric razor until treatment is
terminated
• Instruct patient to report
symptoms of bleeding: bruising,
nosebleeds, blood in urine, heavy
menstruation, black tarry stools
• Caution patient not to use OTC
medications unless approved by
prescriber
