INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name
cephalexin Keflex Antiinfective 500mg PO TID/7 days

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
1 hour 6-12 hour
Why is your patient taking this medication?
Infection
Mechanism of action and indications Nursing Implications (what to focus on)
upper, lower respiratory tract, urinary tract, Contraindications/warnings/interactions
skin, bone infections, otitis media hypersensitivity to chephalosporins, pregnancy, hypersensitivity to pencillins,
lactation, renal disease

Common side effects headache, dizziness, weakness, parethesia, fever, chills,

seizures, nausea, vomitin, diarrhea, anorexia, pain, glossitis, bleeding; abdominal
pain, proteinuria, vaginitis, pruritus, candidiasis, nephrotoxicity, renal failure,
anemia, rash, urticaria, dermatitis, dyspnea, anaphylaxis, superinfection

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
aminoglycosides, loop diuretic, probenecid

Be sure to teach the patient the following about this medication

Do not drink alcohol, use yogurt or buttermilk to maintain intestinal flora, decrease
diarrhea, take all medication, report sore throat, brusing, bleeding, joint pain,
diarrhea with mucus, blood.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
Vital Signs this med? decreased symptoms of infection
sesitivity to penicillin and other cephalosporins severe diarrhea
I/O, anaphylaxis (rash, urticaria, pruritus, chills, decreasing urine output
fever, joint pain, angiedema), bleeding, perineal
itching, fever, malaise, redness, pain, swelling,
drainage, rash, diarrhea, change in cough, sputum