Drug name: Action: Indication Precautions: Contra- Adverse reactions: Intervention: Patient teaching:

and indications:
dosages:
Ampicillin/sulbact Destroys Intra Use cautiously in: Hypersensitiv CNS: lethargy,  Monitor  Instruct
am bacteria by abdominal,  Severe ity to hallucinations, for sings pt. to
inhibiting gynecologic, renal penicillins, anxiety, confusion, and immedia
bacterial and skin- insufficien cephalospori agitation, symptom tely
cell-wall structure cy, ns, depression, fatigue, s of report
synthesis infections infectious imipenem, oe dizziness, seizure hypersen signs and
during caused by mononucl other beta- EENT:blured vision, sitivity sympto
microbial susceptible eosis lactamase itchy eyes reaction ms of
multiplicatio beta-  Pregnant inhibitors GI: nausea, vomiting,  Check for hypersen
n. Addition lactamase- or diarrhea, abdominal signs and sitivity
of producing breastfee pain, gastritis, symptom reaction,
sulbactam strains. ding stomatitis s of such as
enhances ADULTS patients GU: hematuria, infection rash,
drug’s AND hyaline casts in at fever, or
resistance CHILDREN urine, vaginitis, injection chills.
to beta- WEIGHING nephropathy, site.  Tell pt.
lactamase, 40 KG. instertitial nephritis  Watch to report
an enzyme (88lbs.) or RESPIRATORY:wheezi for signs and
that can more. 1.5 to ng, dyspnea, bleeding sympto
inactivate 3 g. (1 g hypoxia, apnea tendency ms of
ampicillin. ampicillin SKIN:rash, and infection
and 0.5 g urticaria,diaphoresis. hemorrh or other
sulbactam age. problem
to 2 g  Check pt. s at
ampicillin temp. injection
and 1 g and site.
sulbactam) watch for  Advice
I.M. or I.V. q other pt. to
6 hrs. signs and minimize
(maximum symptom GI upset
dosage is 4 s of by eating
g sulbactam superinfe small,
daily) ction, frequent
CHILDREN especiall servings
AGES 1 y oral of food
YEAR AND and and
OLDER: 15 rectal drinking
mg (50 mg candidias plenty of
ampicillin is. fluids.
and 25 mg  Inform
sulbactam)/ pt. that
kg I.V. q 6 drug
hrs. lowers
resistanc
e to
certain
infection
s.
Instruct
him to
report
new
signs and
sympto
ms of
infection
,
especiall
y in
mouth
or
rectum.
 Tell pt.
to
promptly
 report
unusual
bleeding
or
bruising.
 As
appropri
ate,
review
all other
significa
nt and
life
threateni
ng
adverse
reactions
and
interacti
ons,
especiall
y those
related
to the
drugs,
tests,
and
foods
mention
ed
above.