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DATE GENERIC FREQUENCY, INDICATIONS CONTRAINDICATIONS NURSING

ORDERED BRAND NAME DOSAGE, CONSIDERATIONS


ROUTE
FEB 1, 2010 CEFUROXIME. Children age 11: 480 It is effective for the ►Hypersensitivity to ► Determine history of
mg p.o. q 4 to 6 treatment of cephalosporins and related hypersensitivity
Ceftin hours,p.r.n penicillinase-producing antibiotics; pregnancy reactions to
Neisseria gonorrhoea (category B), lactation. cephalosporins,
Children ages 9 to 10:
400 mg p.o. q 4 to 6
(PPNG). Effectively penicillins, and history of
hours, p.r.n. treats bone and joint allergies, particularly to
infections, bronchitis, drugs, before therapy is
meningitis, gonorrhea, initiated.
Administration of 50
otitis media,
to 100 mg/kg/day in
pharyngitis/tonsillitis, ►Inspect IM and IV
equally divided
sinusitis, lower injection sites frequently
doses every 6 to 8
respiratory tract for signs of phlebitis.
hours has been
infections, skin and soft
successful for most
tissue infections, urinary
infections dosage) ►Report onset of loose
tract infections, and is
is recommended in stools or diarrhea.
used for surgical
equally divided Although
prophylaxis, reducing or
doses every 8 pseudomembranous
eliminating infection.
hours colitis.

►Monitor I&O rates and


pattern: Especially
important in severely ill
patients receiving high
doses. Report any
significant changes.
DATE GENERIC FREQUENCY, INDICATIONS CONTRAINDICATIONS NURSING
ORDERED BRAND NAME DOSAGE, CONSIDERATIONS
ROUTE
FEB 1, 2010 ALBUTEROL 2 inhalations ►To relieve ►Hypersensitivity to ►Obtain pt’s hx of
SALBUTAMOL repeated every 4 bronchospasm penicillins, cephalosporins. allergy
to 6 hours neb ½ associated with acute or Not used to treat pneumonia,
+ Pnss 1cc now x chronic asthma and bacteremia pericarditis ►Assess pt for any s/s
2 doses q 20 bronchits or other during acute stage and other of infection
mins then 6 reversible airway disease drug infredients, use
Children ages 2 to cautiously to patients with ►Assess for pt’s
3: i60 mg p.o. q 4 CV disorder sensitivity to penicillin ot
to 6 hours, p.r.n. other cepalosporins
Children ages 12 to
23 months: 120
►Assess for allergic rxn
mg p.o. q 4 to 6, during therapy
p.r.n.
►Assess for bowel
hours pattern, if diarrhea- shld
The usual be discontinue
starting dose for
children 6 to 12
years of age is 2
milligrams 3 or 4
times a day. The
dose can be
increased with
caution but
should not
exceed 24
milligrams per
day.
DATE GENERIC FREQUENCY, INDICATIONS CONTRAINDICATIONS NURSING
ORDERED BRAND DOSAGE, CONSIDERATIONS
NAME ROUTE

FEB 1, 2010 (paracetamol Children older than It is suitable for the ►Contra indicated in patients ►Alert: many OTC and
age 14: 650 mg p.o. q treatment of pains of all hypersensitive to drugs. prescription products
) 4 to 6 hours, p.r.n. Use cautiously in patients with contain acetaminophen; be
kinds (headaches,
Tempra, dental pain, long term alcohol use because aware of these when
Aminofen, Children age 12 to 14: therapeutic doses cause calculating total daily dose.
640 mg p.o. q 4 to 6
postoperative pain, pain
hepatotoxicity in these patients. ►Use liquid form for
Actamin hours, p.r.n. in connection with colds,
children and patients who
post-traumatic muscle have difficulty swallowing.
Children ages 6 to 8: pain). Migraine ►In children don’t exceed
320 mg p.o. q 4 to 6 headaches, 5 doses in 24 hours.
hours, p.r.n. dysmenorrhea and joint
pain can also be
Children ages 4 to 5: influenced
240 mg p.o. q 4 to6 advantageously. In
hours , p.r.n.
cancer patients,
paracetamol is used for
Safety and mild pain or it can be
effectiveness in administered in
children under 6 combination with opioids
have not been
established.

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