OLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.
MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002
DRUG STUDY
Name of Patient: Attending Physician:_____________________________________
Age:_____Sex: Civil Status: Diagnosis:_____________________________________________
Occupation: Religion: Chief Complaint:________________________________________
Address: l
DATE/ ROUTE/ PRECAUTION
TIME BRAND NAME ACTION INDICATION DOSAGE/TIME DRUG ADVERSE CONTRAINDICA- NURSING
ORDERED INTERVAL INTERACTION EFFECT TIONS RESPONSIBILITIES
Ampicillin is an >Treatment of Drug- drug: CNS: Lethargy, >contraindicated with >Culture infected area
05/18/2023 antibiotic used to infections caused >Increased ampicillin hallucinations, allergies to penicillin before treatment; reculture
3 – 11 pm shift AMPICILLIN prevent and treat a by susceptible Oral, IM, IV effect with probenecid seizures cephalosporins , or area if response is not as
SODIUM number of strains of Shigella, >Increased risk of rash CV: CHF other allergies. expected.
bacterial Salmonella, E. coli, with allopurinol GI: Glossitis, >Check IV site carefully
infections, such as H. influenzae, P. >Increased bleeding stomatitis, gastritis, >Use cautiously with for signs of thrombosis or
respiratory tract mirabilis, N. effect with heparin, oral sore mouth, furry renal disorder drug reaction.
GENERIC infections, urinary gonorrhoeae, HALF-LIFE anticoagulants tongue, black >Do not give IM injections
NAME tract infections, enterococci, gram- >Decreased “hairy” tongue, in the same site; atrophy
meningitis, positive organisms effectiveness with nausea, vomiting, can occur. Monitor
Ampicillin salmonellosis, and (penicillin G- 6-8 hr tetracyclines, diarrhea, abdominal injection sites.
endocarditis. It sensitive, chloramphenicol pain, bloody >Administer oral drug on
may also be used staphylococcus, >Decreased efficacy of diarrhea, an empty stomach, 1hr
to prevent group streptococci, hormonal enterocolitis, before or 2hr after meals
B streptococcal pneumococci) contraceptives, atenolol pseudomembranous with a full glass of water;
infection in >Meningitis caused with ampicillin colitis, nonspecific do not give with fruit
newborns. It is by Neisseria Drug- food: hepatitis. juices or soft drinks.
used by mouth, by meningitides >Oral ampicillin may GU: Nephritis
injection into a >Unlabeled use: be less effective with Hematologic:
muscle, or Prophylaxis in food; take on an empty Anemia,
intravenously pregnant cesarean stomach thrombocytopenia,
section in certain Drug- lab test neutropenia,
high-risk patients >False-positive prolonged bleeding
Coombs` test if given time
IV Hypersensitivity:
>Decrease in plasma rash, fever,
estrogen concentrations wheezing,
in pregnant woman anaphylaxis
>False-positive urine Local: Pain,
glucose tests if phlebitis, thrombosis
Clinitest, Benedict’s at injection
solution, or Fehling`s site(parenteral)
solution is used; Other:
enzymatic glucose superinfections –
oxidase method oral and rectal
methods (Clinistix, moniliasis, vaginitis.
Ties-tape) should be
used to check glucose
CLASSIFI- ABSORPTION EXCRETION
CATION
Oral & IM : Rapid Urine, unchanged
Therapeutic: IV: Immediate
Antibiotic
Pharmacologic:
Penicillin
Pregnancy
Category:
B
Ward: Room No: Bed No: Date of Admission: May 19, 2023
Student Name: Relacion, Eden Claire P. Year & Sec.: BSN- 2B Group No.:!2 A Rating:__________________
References:______________________________________________________________________________________________________________________________________
Criteria: Promptness (15%), Format/Neatness (15%), Assessment (15%), Nursing Diagnosis (15%), Objectives (15%),
Objectives of Care (10%), Nursing Action (30%), Evaluation (10%)
Clinical Instructor:____________________________________________________
