7g IV q6 Classification Antibacterial Indication Piperacillin and tazobactam is a combination medicine used to treat many different infections caused by bacteria, such as urinary tract infections, bone and joint infections, severe vaginal infections, stomach infections, skin infections, and pneumonia. Contraindication
Side Effects nausea, vomiting, stomach pain or upset; constipation, mild diarrhea; headache, dizziness, agitation;
Nursing Responsibility Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. Report to the doctor If diarrhea that is watery or has blood in it.
Hypersensitivity to to piperacillin and tazobactam or to any penicillin antibiotic (amoxicillin, ampicillin, Augmentin, dicloxacillin, oxacillin, penicillin, ticarcillin, and others).
Refer if you have notice of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Drug Amikacin
Indication Primarily for short-term treatment of serious infections of respiratory tract, bones, joints, skin, and soft tissue, CNS (including meningitis), peritonitis burns, recurrent urinary tract infections (UTIs).
Nursing Responsibility Monitor & report any changes in I&O, oliguria, hematuria, or cloudy urine. Keeping patient well hydrated reduces risk of nephrotoxicity; consult physician regarding optimum fluid intake.
Drug Ceftazidime
Indication Treatment of infections of lower respiratory tract, skin and skin structures, urinary tract, bone and joint; treatment of gynecological infections; treatment of intra-abdominal infections; treatment of septicemia and CNS infections including meningitis caused by susceptible strains of specific microorganisms; concomitant antibiotic therapy.
Nursing Responsibility maintain normal fluid intake while using this medication.
report these symptoms to health care provider: nausea, vomiting, diarrhea, skin rash, hives, sore throat, bruising, bleeding, muscle or joint pain.
Drug Metronidazole
Indication Acute infection with susceptible anaerobic bacteria Acute intestinal amebiasis Amebic liver abscess
Side Effects nausea, headaches, loss of appetite, a metallic taste, and rarely a rash
Nursing Responsibility urine may be a darker color than usual; this is expected.
may experience these side effects: Dry mouth with strange metallic taste (frequent mouth care, sucking sugarless candies may help); nausea, vomiting, diarrhea (eat frequent small meals).
Drug
Dosage and
Classification
Indication
Contraindication
Side Effects
Nursing
Frequency Combivent Nebule 1/2 neb q4 combination of the anticholinergic bronchodilator, ipratropium bromide, and the beta2adrenergic bronchodilator, Bronchodilator for maintenance treatment of bronchospasm associated with COPD (solution, aerosol), chronic bronchitis, and emphysema Contraindicated with hypersensitivity to atropine or its derivatives, soy bean or peanut allergies (aerosol). Dizziness, headache Cough Palpitation nausea, dry mouth, shaking (tremors), or nervousness
Responsibility You may experience these side effects: Dizziness, headache, blurred vision (avoid driving or performing hazardous tasks); nausea, vomiting, GI upset cough. Report rash, eye pain, palpitation
Indication To control and prevent reversible airway obstruction caused by asthma or chronic obstructive pulmonary disorder (COPD) Quick relief for bronchospasm
Nursing Responsibility Observe fore paradoxical spasm and withhold medication and notify physician if condition occurs. Assess lung sounds, R and BP before drug administration and during peak
of medication.
Drug
Classification
Indication
Contraindication
Side Effects
Nursing Responsibility
Contraindicated with allergy to acetaminophen Use cautiously with impaired hepatic function
Assess hepatoxicity; dark urine, clay colored stools Assess allergic reactions; rashes Check I and O ratio; decreasing output may indicate renal failure Assess for fever and pain