NURS 1556 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

linezolid Zyvox anti-infectives, 600 mg PO BID for 7 days
oxazolidinones
Peak Onset Duration For IV meds, compatibility with IV drips and /or
1-2 hr rapid 12 hr solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Complicated skin/skin structure infections caused by Contraindications/warnings/interactions -
Staphylococcus aureus (methicillin-susceptible and Hypersensitivity
-resistant strains), Uncomplicated skin/skin structure
infections caused by Staphylococcus aureus (methicillin- Common side effects - PSEUDOMEMBRANOUS
susceptible and -resistant strains). Used for abdominal COLITIS
wound infection, MRSA.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine - CBC and
medicines (ask patient specifically) - Because of platelet count weekly, especially in patients who are at
monoamine oxidase inhibitory properties, consumption risk for increased bleeding, who have pre-existing bone
of large amounts of foods or beverages containing marrow suppression, who receive concurrent medications
tyramine should be avoided (↑ risk of pressor response.) that may cause myelosuppression. Discontinue therapy if
bone marrow suppression occurs or worsens. May cause
↑ AST, ALT, LDH, alkaline phosphatase and BUN
Be sure to teach the patient the following about this
medication - Take for full course of therapy, don’t double
dose. Avoid large quantities of foods or beverages
containing tyramine (May cause hypertensive response).
Notify health care professional if patient has a history of
hypertension and before patient takes other Rx, OTC, or
herbal products, especially cold remedies, decongestants,
or antidepressants. Advise patient to notify health care
professional if no improvement is seen in a few days.
Nursing Process- Assessment (Pre- Assessment Evaluation
administration assessment) - Assess for Why would you hold or not give this Check after giving -
infection (vital signs; appearance of wound, med? - recurrent nausea and vomiting, Improvement of infection
sputum, urine, and stool; WBC) at beginning unexplained acidosis or low
of and during therapy. Obtain specimens for bicarbonate levels. If optic
culture and sensitivity prior to initiating neuropathy occurs therapy should be
therapy. First dose may be given before reconsidered
receiving