Question

Complete each Following Medications: Cephalexin, Bactrim, Pennicillin, Tetracycline, Gentamycin

1. Summary of the Unit/Classification
2. Typical routes of administration
3. Common side effects and adverse effects
4. Special considerations
5. Common Nursing interventions

Answer 1

Cephalexin

a. Classification- beta-lactam antibiotic

b. per oral is the route of administration

c. side effects-

• hypersensitivity, nephrotoxicity, gastrointestinal disturbances, eosinophilia

d. special considerations-

• should use care with those having hypersensitivity to penicillin
• may develop pseudomembranous colitis
• use cautiously in pregnancy and lactation
• may aggregate kidney disease

e. nurse consideration -

• do not take vaccines while using this medicine
• taking with antidiarrheals or opioid analgesics may worsen the condition
• Do not continue or use this medicine unless it is ordered by the physician.

Bactrim

a. classification - combination of sulfamethoxazole and trimethoprim.

b.route of administration- per oral

c. side effects- nausea, vomiting, stomatitis, headache and rashes

d.special considerations-

• should not administer in pregnancy because it causes folate deficiency; teratogenic risk. Also results in neonatal hemolysis and methaemoglobinaemia while administering in the term.
• uremia may develop in patients with renal disease

e.nurse consideration-

• use cautiously in the elderly, may develop bone marrow toxicity.
• bactrim with diuretics produces thrombocytopenia

Penicillin

a.classification- Beta-lactam antibiotics

b.route of administration- per oral

c. side effects- oral candidiasis, diarrhoea, intestinal nephritis, anaphylaxis, anaemia

d.special considerations-

• use cautiously in renal impairment
• use cautiously in those with asthma due to an anaphylactic reaction.
• may increase the risk of seizure

e. nurse consideration-

• use in neonates may cause the gasping syndrome.
• must check for hypersensitivity
• can take before or after food
• monitor liver and kidney functions frequently