PIPERACILLIN SODIUM

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(pi-per’a-sill-in)
Pipracil
Classifications: antiinfective; beta-lactam antibiotic; antipseudomonal penicillin
Prototype: Mezlocillin
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

• Obtain history of hypersensitivity to penicillins, cephalosporins, or other drugs prior to administration.
• Lab tests: C&S prior to first dose of the drug; start drug pending results. Periodic CBC with differential, platelet count, Hgb and Hct, and serum electrolytes.
• Monitor for hypersensitivity response; discontinue drug and notify physician if allergic response noted.
• Lab tests: Periodic CBC with differential, platelet count, Hgb and Hct, and serum electrolytes.
• Monitor for hemorrhagic manifestations because high doses may induce coagulation abnormalities.

Patient & Family Education

• Report significant, unexplained diarrhea.
• Withhold drug and report to physician if signs of an allergic reaction develop (e.g., itching, rash, hives).
• Do not breast feed while taking this drug without consulting physician.

 

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• AMPICILLIN SODIUM AND SULBACTAM SODIUM (am-pi-sill’in/sul-bak’tam) Unasyn 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. Report promptly unexplained
• 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
• MEROPENEM (mer-o’pe-nem) Merrem Classifications: antiinfective; carbapenem antibiotic Prototype: Imipenem Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Lab tests: Perform C&S tests prior to therapy. Monitor periodically liver and kidney function. Determine history of hypersensitivity reactions to other beta-lactams, cephalosporins, penicillins, or other drugs. Discontinue drug and
• CLOXACILLIN, SODIUM (klox-a-sill’in) Apo-Cloxi , Cloxapen, Cloxilean, Novocloxin , Orbenin, Tegopen Classifications: antiinfective; antibiotic, natural penicillin; beta-lactam Prototype: Penicillin G Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Determine previous exposure and sensitivity to penicillins and cephalosporins and other allergic reactions of any kind before treatment is initiated. Monitor for S&S of