Drug Study Name of Drug Generic/ Date Brand Ordered Ampicilin Classification Dose/ Frequency/ Route Mechanism of Action

Specific Indication Treatment of infections caused by susceptible organisms in lower respiratory tract. Contraindication Side Effects Nursing Precaution 1. Determine history of hypersensitivity reactions to cephalosporins, penicillins, and history of allergies, particularly to drugs, before therapy is initiated. 2. Perform culture and sensitivity tests before initiation of therapy and periodically during therapy if indicated.

Antibiotic; Penicillin

1mg IVTT Bactericidal ANST (-)/ q6H action against sensitive organisms; inhibits synthesis of bacterial cell wall, causing cell death.

-contraindicated with allergies to penicillins, caphalosporins, or other allergens. -Use cautiously with renal disorders.

Inflammation and redness of the tongue; irritation of mouth or throat; mild diarrhea; nausea; second infection; vomiting.

Drug Study Name of Drug Generic/ Date Brand Ordered Clarithromyci n Classification Dose/ Frequency/ Route 500mg 1 tab/ BID Mechanism of Action Inhibits protein synthesis in susceptible bacteria, causing cell death. Specific Indication -Treatment of URIs caused by streptococcus pyogens, streptococcus pneumoniae. -Treatment of lower respiratory infections caused by Mycoplasma pneumoniae, S. pneumoniae, haemophilus influenzae, moraxella catarrhalis Contraindication Side Effects mild stomach pain, nausea, vomiting, diarrhea, upset stomach; uunusual or unpleasa nt taste in your mouth; tooth discolorat ion; dizziness , headach e, anxiety, confusion ; skin rash; or vaginal itching or discharg e. Nursing Precaution -Culture infection before therapy. -Do not cut or crush, and ensure that patient does not chew ER tablets. -Monitor patient for anticipated response. -Administer without regard to meals; administer with food if GI effect occur.

Macrolide antibiotic

-Contraindicated with hypersensitivity to clarithromycin, erythromycin, or any macrolide antibiotic. -Use cautiously with colitis, hepatic or renal impairment, pregnancy, lactation.

Drug Study Name of Drug Generic/ Date Brand Ordered Paracetamol Classification Dose/ Frequency/ Route 500mg 1 tab/ q6H/ PRN Mechanism of Action Specific Indication Contraindication Side Effects Nursing Precaution -Do not exceed the recommended dosage. -Reduce dosage with hepatic impairment.

Analgesic; antipyretic

Antipyretic: -For fever reduces fever by acting directly on the hypothalamic heat-regulating center to cause vasodilation and sweating, which helps dissipate heat. Analgesic: site and mechanism of action unclear.

-Contraindicated with ellergy to paracetamol

low fever with nausea, stomach pain, and loss of appetite; dark urine, claycolored stools; or jaund ice (yellowing of the skin or eyes).