NURS 1566 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)

Generic NameCeftriaxone

Trade NameRocephin

ClassificationAnti-infectives

Dose1 gram

RouteIVPB

Time/frequencyQ 24 hours

PeakEnd of infusion

OnsetRapid

Duration12-24 hours

Normal dosage rangeFor most infections, 0.5-1 gram q 12 hours, or 1-2 grams q 24 hours

Why is your patient getting this medicationElevated WBC count

For IV meds, compatibility with IV drips and/or solutionsNaCL, D5W, D10W, LRRate: administer over 15-30 minutes

Mechanism of action and indications(Why med ordered)binds to bacterial cell causing cell death, indicated for a wide range of infections including respiratory infections.

Nursing Implications (what to focus on) Contraindications/warnings/interactions.hypersensitivity to penicillins and cepholosporins.

Common side effectsNausea, vomiting, diarrhea, rashes, pain, phlebitis

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)none

Lab value alterations caused by medicineMay cause increase in serum AST, ALT, alkaline phosphatase, bilirubin, LDH, BUN, and creatinine. May rarely cause leucopenia, neutropenia, eosinophilia, lymphocytosis, and thrombocytosisBe sure to teach the patient the following about this medicationReport signs of superinfection including furry overgrowth on tounge, loose or foul-smelling stools.

Nursing Process- Assessment(Pre-administration assessment)assess signs of infection(vitals, sputum sample, urine, stool, and WBC count) Obtain health history to determine previous use and reactions to penicillin and cephalosporin.

AssessmentWhy would you hold or not give this med?If patient shows signs of hypersensitivity (rash, pruritis, laryngeal edema, wheezing)

EvaluationCheck after givingMonitor injection site for phlebitis, long-term: look for resolution of signs and symptoms of infection.