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Name of Patient F. S. Age 35 y.

o Height 5’3
Diagnosis G3P3 (3003) PU del. ceph. term live birth by 1oLSTCS + Sex Female Weight 60 kg
BTL w/ variable deaceration; severe preeclampsia
Author M. M. Olmillo Website milkv.co.vu A/N you’re welcome J

CLASSIFICATIO MECHANISM OF ADVERSE


DRUG DATA ACTION
INDICATIONS CONTRAINDICATION NURSING RESPONSIBILITIES
N EFFECTS
Generic name: Pharmacologic: Bactericidal; inhibits For treatment of: Contraindicated with CNS: headache, Before:
Ceftriaxone 3rd generation synthesis of bacterial > Lower allergy to cephalosporin dizziness, lethargy > check doctor’s order
sodium cephalosporin cell wall, causing cell respiratory or penecillins > perform handwashing
death. infections caused GI: nausea, > introduce drug to the patient and
bystreptococcus vomiting, diarrhea, educate her about its purpose and
Trade name/s: pneumoniae Precaution: anorexia, importance
Rocephin > acute bacterial Use cautiously with renal pseudomembranou > assess for hepatic and renal
otitis media failure, lactation, s colitis impairment, lactation, pregnancy
> UTIs caused by pregnancy > assess skin status, LFTs, renal
Patient’s dose: Therapeutic: E. coli GU: nephrotoxicity function tests, culture of affected
20mg OD Antibiotic > Gonorrhea area, sensitivity tests
> intra-abdominal Hematologic: bone
infections Interactions: marrow depression During:
Maximum dose: Onset: rapid > PID caused by > drug-drug: increased – decrased WBC > administer the right drug at the
4g/day N. gonorrhoeae nephrotoxicity with count,decreased right dose
Peak: immediate > skin and skin aminoglycosides; platelets, decreased > check the patency of the IV site
structure increased bleeding Hct and IV line
Minimum dose: Pregnancy Category Duration: 15-18 hr infections effects with > have vitamin K ready in case
50-75 mg/kg/day Risk: B > septicaemia anticoagulants Hypersensitivity: hypoprothrombinemia occurs
Metabolism: 5-10 hr > bone and joint > drug-lab test: ranging from rash to > do not mix ceftriaxone with any
infections possibility of false results fever to anaphylaxis other antimicrobial drug
Available forms: Distribution: crosses > meningitis on tests of urine glucose > discontinue if hypersensitivity
Powder for the placenta, enters > Lyme disease using Benedict’s Local: pain, abscess reaction occurs
injection – 2 g; breast milk solution, Clinitest tablets at injection site
injection – 1, 2g After:
Excretion: bile, urine Others: > educate patient to avoid alcohol
Patient’s actual superinfections, while taking this drug and for 3 days
Route: indications: disulfram-like after because severe reactions often
IVTT > postoperative reaction with alcohol occur
prophylaxis for > monitor ceftriaxone blood levels in
potentially patients with severe renal impairment
contaminated and in patients with renal and hepatic
surgical impairment
procedure (1o > report severe diarrhea, difficulty
LSTCS + BTL) breathing, unusual tiredness or
fatigue, pain at injection site
> document and record.

Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Lippincott’s Nursing
Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Drug Guide