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    Drug Study: Cavite State University (Cvsu)

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    Angelica Cassandra Villena
    This document contains a drug study for a patient named JN who was admitted on August 7, 2014 for pulmonary tuberculosis (PTB). The drug cefuroxime is prescribed to treat the patient's infection. Cefuroxime is a second-generation cephalosporin antibiotic that works by binding to bacterial cell walls and causing cell death. It is prescribed for respiratory, skin, bone, joint, urinary, and gynecological infections. The document outlines the dosage, effects, contraindications, nursing responsibilities, and patient teaching for cefuroxime administration and monitoring.

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    Drug Study: Cavite State University (Cvsu)

    Uploaded by

    Angelica Cassandra Villena
    61 views2 pages
    This document contains a drug study for a patient named JN who was admitted on August 7, 2014 for pulmonary tuberculosis (PTB). The drug cefuroxime is prescribed to treat the patient's infection. Cefuroxime is a second-generation cephalosporin antibiotic that works by binding to bacterial cell walls and causing cell death. It is prescribed for respiratory, skin, bone, joint, urinary, and gynecological infections. The document outlines the dosage, effects, contraindications, nursing responsibilities, and patient teaching for cefuroxime administration and monitoring.

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    drug study

    Original Title

    Ce Fur Oxime

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    This document contains a drug study for a patient named JN who was admitted on August 7, 2014 for pulmonary tuberculosis (PTB). The drug cefuroxime is prescribed to treat the patient's infection. Cefuroxime is a second-generation cephalosporin antibiotic that works by binding to bacterial cell walls and causing cell death. It is prescribed for respiratory, skin, bone, joint, urinary, and gynecological infections. The document outlines the dosage, effects, contraindications, nursing responsibilities, and patient teaching for cefuroxime administration and monitoring.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    61 views2 pages

    Drug Study: Cavite State University (Cvsu)

    Uploaded by

    Angelica Cassandra Villena
    This document contains a drug study for a patient named JN who was admitted on August 7, 2014 for pulmonary tuberculosis (PTB). The drug cefuroxime is prescribed to treat the patient's infection. Cefuroxime is a second-generation cephalosporin antibiotic that works by binding to bacterial cell walls and causing cell death. It is prescribed for respiratory, skin, bone, joint, urinary, and gynecological infections. The document outlines the dosage, effects, contraindications, nursing responsibilities, and patient teaching for cefuroxime administration and monitoring.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines

    CAVITE STATE UNIVERSITY


    (CvSU)
    Don Severino Delas Alas Campus
    Indang, Cavite
    (046) 4150-010 / 4150-011 (046) 4150-012

    DRUG STUDY
    NAME OF PATIENT: JN DATE OF ADMISSION: AUGUST 7, 2014
    AGE: 33 YEARS OLD DIAGNOSIS: PTB
    SEX: FEMALE
    Drug Features
    Mechanism of
    Action
    Indication

    Contraindication

    Effects Nursing Responsibilities
    Generic Name:
    Cefuroxime
    Brand Name:
    none
    Classification:
    anti-infectives
    Sub Classification:
    second-generation
    cephalosporins
    Dosage:
    500 mg 1 tab
    Route:
    PO
    Frequency:
    BID
    Form:
    Film coated tablet
    Binds to
    bacterial cell
    wall membrane,
    causing cell
    death.
    Therapeutic
    Effects:
    Bactericidal
    action against
    susceptible
    bacteria.
    Spectrum:
    Similar to that of
    first-generation
    cephalosporins
    but has
    increased
    activity against
    several other
    gram-negative
    pathogens
    including:
    Haemophilus
    Treatment of:
    Respiratory tract
    infections, Skin and
    skin structure
    infections, Bone
    and joint infections
    (IV), Urinary tract
    infections,
    Gynecological
    infections,
    Septicemia (IV),
    Otitis media (PO),
    Meningitis (IV),
    Lyme disease (PO).
    Perioperative
    prophylaxis (IV).
    Contraindicated in:
    Hypersensitivity to
    cephalosporins;
    Serious
    hypersensitivity to
    penicillins.
    Use Cautiously in:
    Renal impairment
    (dose
    reduction/increase
    d dosing interval
    recommended if
    CCr 20 mL/min);
    History of GI
    disease, especially
    colitis; Geriatric
    patients (dose
    adjustment may be
    required due to
    Side Effects &Adverse
    Effects
    CNS: SEIZURES (HIGH
    DOSES). GI:
    PSEUDOMEMBRANOUS
    COLITIS, diarrhea,
    nausea, vomiting,
    cramps. Derm: rashes,
    urticaria, diaper
    dermatitis. Hemat:
    bleeding, eosinophilia,
    hemolytic anemia,
    leukopenia. Local: pain
    at IM site, phlebitis at IV
    site. Misc: ALLERGIC
    REACTIONS INCLUDING
    ANAPHYLAXIS,
    superinfection.
    Check for doctors order
    Carefully read product packaging to note
    strength of solution, dosage/ route of
    administration.
    Observe 10 Rs in medicine
    administration
    Assessment:
    Assess for infection (vital signs;
    appearance of wound, sputum, urine,
    and stool; WBC) at beginning of and
    throughout therapy.
    Before initiating therapy, obtain a history
    to determine previous use of and
    reactions to penicillins or
    cephalosporins. Persons with a negative
    history of penicillin sensitivity may still
    have an allergic response.
    Obtain specimens for culture and
    sensitivity before initiating therapy. First
    dose may be given before receiving
    results.
    Observe patient for signs and symptoms
    of anaphylaxis (rash, pruritus, laryngeal
    edema, wheezing). Discontinue the drug
    and notify health care professional
    immediately if these symptoms occur.
    Keep epinephrine, an antihistamine, and
    resuscitation equipment close by in the
    event of an anaphylactic reaction.


    influenzae
    (including -
    lactamase-
    producing
    strains),
    Haemophilus
    parainfluenzae,
    Escherichia coli,
    Klebsiella
    pneumoniae,
    Neisseria ,
    Proteus,
    Moraxella
    catarrhalis,
    Borrelia
    burgdorferi. Not
    active against
    methicillin-
    resistant
    staphylococci or
    enterococci.
    age-related in
    renal function);
    Pregnancy and
    lactation (has been
    used safely).
    Monitor bowel function. Diarrhea,
    abdominal cramping, fever, and bloody
    stools should be reported to health care
    professional promptly as a sign of
    pseudomembranous colitis. May begin
    up to several weeks following cessation
    of therapy.
    Lab Test Considerations: May cause
    positive results for Coombs' test.
    May cause serum AST, ALT, alkaline
    phosphatase, bilirubin, LDH, BUN, and
    creatinine.
    May rarely cause leukopenia,
    neutropenia, and eosinophilia.
    Patient/Family Teaching:
    Instruct patient to take medication
    around the clock at evenly spaced times
    and to finish the medication completely,
    even if feeling better. Missed doses
    should be taken as soon as possible
    unless almost time for next dose; do not
    double doses. Advise patient that sharing
    of this medication may be dangerous.
    Pedi: Tell parents or cargeivers to use
    calibrated measuring device with liquid
    preparations.
    Advise patient to report signs of
    superinfection (furry overgrowth on the
    tongue, vaginal itching or discharge,
    loose or foul-smelling stools) and allergy.
    Instruct patient to notify health care
    professional if fever and diarrhea
    develop, especially if stool contains
    blood, pus, or mucus. Advise patient not
    to treat diarrhea without consulting
    health care professional.
    SUBMITTED BY: ANGELICA CASSANDRA P. VILLENA CLINICAL INSTRUCTOR: EDERLYN P. DESTURA RN, MAN
    YEAR & SEC. GRP: BSN 3 1 GRP 1
    DATE: AUGUST 15, 2014

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