AMOXICILLIN

(a-mox-i-sill’in)
Amoxil, Apo-Amoxi , Larotid, Novamoxin, Polymox, Sumox, Trimox, Utimox, Wymox, DisperMox
Classifications: antiinfective; antibiotic; aminopenicillin
Prototype: Ampicillin
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

Determine previous hypersensitivity reactions to penicillins, cephalosporins, and other allergens prior to therapy.
Lab tests: Baseline C&S tests prior to initiation of therapy, start drug pending results; periodic assessments of renal, hepatic, and hematologic functions should be made during prolonged therapy.
Monitor for S&S of an urticarial rash (usually occurring within a few days after start of drug) suggestive of a hypersensitivity reaction. If it occurs, look for other signs of hypersensitivity (fever, wheezing, generalized itching, dyspnea), and report to physician immediately.
Report onset of generalized, erythematous, maculopapular rash (ampicillin rash) to physician. Ampicillin rash is not due to hypersensitivity; however, hypersensitivity should be ruled out.
Closely monitor diarrhea to rule out pseudomembranous colitis.

Patient & Family Education

Take drug around the clock, do not miss a dose, and continue therapy until all medication is taken, unless otherwise directed by physician.
Report onset of diarrhea and other possible symptoms of superinfection to physician (see Appendix F).
Do not breast feed while taking this drug without consulting physician.