Category: AMPULES & VIALS Generic Name: Ceftriaxone vial 1 gram Packaging: 1's Price: Php 51.

00 Description: Treatment of sepsis, meningitis, abdominal infections (peritonitis, infections of the bile ducts & GI tract); infections of the bones, joints, soft tissues & wounds; perioperative infection prophylaxis; infections in patients w/ reduced immunodefense; INDICATION- Lower resp tract infection, skin & skin structure infection, bone & joint infection, intra-

abdominal infection, UTI, meningitis & septicemia caused by susceptible organisms.

DRUGCLASSIFICATION/INDICATIONDOSE/RATE/FREQUENCYA C T I O N C O N T R A I N D I C A T I O N S I D E E F F E C T S NURSINGRESPONSIBILITIES GENERIC NAME: Ceftriaxone BRAND NAME: Forgram Keptrix Megion Pantrixon Retrokor CLASSIFICATION: Anti-infective INDICATION: T r e a t m e n t o f susceptibleinfections includingchancroid,gastroenteritis,l y m e d i s e a s e , meningitis, syphilis,t y p h o i d f e v e r , Whipples disease.Delayed stage withn e u r o l o g i c a l a n d a r t ic u l a r s ys t e m i c manifestations.Treatment of LRTI,skin and soft tissuei n f e c t i o n s , U T I , uncomplicatedg o no r r he a , p e l v i c inflammatorydisease, bacterials e p t ic e m i a , i nt r a - abdominalinfections,m e n i n g i t i s . P r e - 1 gIV(-) ANSTq 12 o Inhibitsb a c t e r i a l c e l l wall synthesis,rendering cellwallosmoticallyunstable,leading to celldeath.Hypersensit ivit y tocephalosporins andpenicillins, lidocaineo r a n y o t he r lo c a l anaesthetic productof the amide t ype.N e o n a t e s a n d p r e m a t u r e i n f a n t s w i t h b i l l i r u b i n encephalopathy.Peristalsisinhibitingpreparations.Porphyria,unappliancedauricula-ventricular block; cardiogenicshock. INTEGUMENTARY : exanthema,allergic dermat it is,p r u r i t u s , u r t i c a r i a , e d e m a , e r yt he m a multiforme HEMATOLOGY: eosinophilia,leukopenia,granulocytopenia,hemolyt ic anemia,thrombocytopenia CNS: headache,dizziness

REPRODUCTIVE: vaginitis GI: diarrhea,nausea, vomit ing,stomatitis, glossitis A s s e s s p a t i e n t s previous sensitivityreaction to penicillino r o t h e r cephalosporins. Assess pat ient for sign and symptomsof infection beforea n d d u r i n g t r e a t m e n t : f e v e r , earache,c ha r a c t e r i s t i c s o f wounds, sputums,u r i n e , s t o o l a n d WBC >10,000/mm 3 . Obtain C&S beforeb e g i n n i n g d r u g therapy to identify if c o r r e c t t r e a t m e nt has been initiated. A s s e s s r e n a l function before andd u r i n g t h e r a p y : u r i n e o u t p u t , BUNa n d c r e a t i n i n e . M o n i t o r f o r nephrotoxicity. Assess for possible

operativep r o p h y l a x i s

t o r e d u c e c ha n c e o f post-operativesurgical infections.

Con NR--superinfection:p e r i n e a l i t c h i n g , f e v e r , m a l a i s e , r e d n e s s , p a i n , swelling, drainage,rash, diarrhea andchange in cough or s p u t u m . S e v e r e d i a r r h e a m a y indicatepseudomembranous colitis.

Generic/Trade NameDosageFrequencyClassification Indication Contraindication Adverse Reaction NursingResponsibilities Montelukast(Kastair)10 mg (8pm) Antiasthmatic &COPDPreparations Treatment of bronchialasthma, allergicrhinitis,concomitant tobronchialasthma.1.) Do not usefortreatmentof acuteasthmaattacks.Rash, angio-edema,pruritus, &urticaria.Dizziness,headache,dreamabnormalities,hallucinations,paresthesia,drowsiness,infectio usgastroenteritis,diarrhea,nausea &vomiting.1.)

Assesseosinophilcount2.) Monitortemperature. Watchfor feverandsymptomsof infection.3.) Informpatient tominimize GIupset byeatingsmall,frequentservings of food and drinking plenty of fluids.