Main adverse effects of each medication & nurse considerations

amoxicillan main side effect

allergy

amoxicillin use

bacterial infections

amoxicillan nurse considerations

check allergies, finish all meds

cephalexin main side effect

cross sensitivity with pcns. c.diff

cephalexin use

bacterial infections

cephalexin nurse considerations

assess allergy, monitor diarrhea

ciprofloxacin main side effect

tendonitis

ciprofloxacin use

uti and gi

ciprofloxacin nurse conside

avoid sun, strenuous exercise, take w food

sulfonamides (tmp-smx) main side effect

stevens johnson syndrome

tmp-smx use

uti and topical infections

tmp-smx nurs considerations

push fluids, avoid sun and alcohol

macrobid/macrodantin main side effect

peripheral neuropathy/brown urine/pulmonary toxicity

macrobid/macrodantin use

utis

macrobid/macrodantin nurs considerations

educate brown urine, monitor lungs and numbness

gentamicin main side effect

ototoxicity/nephrotoxicity

gentamicin use

serious gram neg infections

gentamicin nurse considerations

monitor kidneys and hearing, peaks and troughs

vancomycin main side effect

red man syndrome, ototoxicity, nephrotoxicity

vanc use

mrsa and c.diff

vanc nurs considerations

infuse slowly, monitor kidneys and hearing

erythromycin main side effect

qt prolongation

erythromycin use

bacterial infections

erythromycin nursing considerations

monitor gi and cardiac

tetracycline main side effect

binds to calcium/photosensitivity

tetracycline use

bacterial, acne

tetracycline nursing considerations

avoid dairy, sun, and pregnancy

rifampin main side effect

red-orange body fluids, hepatotoxicity

rifampin use

active tb, leprosy

rifampin nursing considerations

monitor liver, warn about staining

isoniazid (INH) main side effect

peripheral neuropathy/hepatotoxicity

isoniazid use

tb

isoniazid nursing considerations

monitor liver, numbness, avoid alcohol

imipenem main side effect

gi issues, seizure risk

imipenem use

broad spectrum infections

imipenem nursing considerations

monitor neuro and renal

Ayclovir main side effect

nephrotoxicity

acyclovir use

herpes and varicella

acyclovir nursing considerations

monitor kidneys, encourage fluids

cimetidine main side effects

confusion, dizziness

cimetidine use

gerd, ulcers

cimetidine nursing considerations

monitor elderly/renal patients

omeprazole main side effects

magnesium deficiency, osteoporosis, b12 deficiency

omeprazole use

dyspepsia, ulcers, gerd, h.pylori

omeprazole nursing considerations

take before meals, monitor electrolytes/vitamins

sucralfate main side effects

drug absorption interactions

sulcralfate use

acute or chronic ulcers

sucralfate nursing considerations

give before meals, seperate meds

antacids MG based side effect

diarrhea

antacids MG based nursing considerations

avoid in renal disease, seperate from meds

antacids CA/AL based side effect

constipation

antacids CA/AL based nursing considerations

avoid excess calcium

antacids use

gerd and pud

misoprostol main side effects

diarrhea, cramps, fetus expulsion

misoprostol use

prevention of NSAID induced ulcers

misoprostol nursing considerations

after meals, avoid pregnancy

docusate sodium main side effects

mild cramps, diarrhea

docusate use

stool softener (group 3)

docusate sodium nursing considerations

increase fluids/fiber

amphotericin B main side effects

nephrotoxicity, electrolyte disturbances, infusion reactions

amphotericin B use

fungal infections

amphotericin B nursing considerations

monitor kidneys/electrolytes. premedicate w tylenol

fluconazole main side effects

minimal, gi

fluconazole use

candida/fungal infections

fluconazole nursing considerations

long 1/2 life

nystatin side effects

minimal, gi

nystatin use

oral thrush

nystatin nursing considerations

swish thoroughly, meals and bedtimes

amphotericin B recommended infusion

central line

cyp INDUCERS

rifampin

cyp INHIBITORS

ciprofloxacin, tmp-smx, diflucan, erythromycin, cimetidine