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penicillin G (given around the clock)
*penicillin V is given orally, NOT G.
*Do not give for kidney/liver abnormalities
*Do not give w/ cephalosporins b/c from same family/mold.
No max dose.
action
pt teaching
SFX/AFX
nurse interventions.
Contraindications
Action: Binds to cell wall-->weakens wall-->water enters-->cell bursts.
- Pt teaching:
- -notify nurse if phlebitis occurs (discomfort IV site)
SFX: diarrhea, heartburn, N/V
AFX: seizures, bloody diarrhea, anaphylaxis ULCERATIVE COLITIS
- Nurse interventions:
- -monitor for s/sx of SUPERINFECTION
- Contra:
- -pregnancy
- -kidney&liver abnormalities
-
cefazolin
NO max dose
action
pt teaching
SFX/AFX
nurse interventions
Action: binds to cell wall & acts against gram -/+ bacteria.
- Pt teach:
- -notify prescriber of s/sx of SUPERINFECTION.
SFX: urticaria (severe itching/red patches)
- AFX: anaphylaxis, COLITIS, STEVENS-
- JOHNSON SYNDROME (loss of skin cells), seizures, nephrotoxicity, superinfections.
- Nurse interventions:
- -Monitor for s/sx of SUPERINFECTION
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vancomycin *highly toxic & LAST RESORT drug
NO max dose
action
pt teach
SFX/AFX
nurse interventions
Action: kills bacteria
- Pt teach:
- -Report tinnitus,
- -Take entire drug
- -Notify prescriber if phlebitis occurs
SFX: REDMAN-SYNDROME (flushing/rashy) b/c of fast infusion,
AFX: OTO/NEPHROTOXICITY, anaphylaxis
- Nurse interventions:
- -evaluate ears & renal function prior to giving.
- -s/sx of SUPERINFECTION.
- -monitor renal function during therapy.
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