NURS 1556 Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

Mycostatin Nystatin Antimicrobial Powder Topical PRN until healed
Peak Onset Duration For IV meds, compatibility with IV drips and
Unknown Unknown Unknown /or solutions
N/A
(Why med ordered) Nursing Implications (what to focus on)
Treatment of cutaneous, mucocutaneous, Contraindications/warnings/interactions
vulvovaginal, intestinal, oral infections caused by Watch for hypersensitivity
susceptible strains of candidiasis.
Common side effects
Mechanism of action and indications Local irritation in area of topical use
Like amphotericin B and natamycin, nystatin binds
to ergosterol, a major component of the fungal cell
membrane. When present in sufficient
concentrations, it forms pores in the membrane that
lead to K+ leakage and death of the fungus.

Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) No lab values
Large doses of this drug Orally occasionally cause
Be sure to teach the patient the following about
N/V/D and distress.
this medication
Keep effected areas dry. May require several
weeks/months of treatment. Maintain good
hygiene especially in effected areas
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Obtain C&S before therapy. Assess for this med? Monitor VS, esp.
history of hypersensitivity. Cleanse area Hold if VS’s are not within normal temperature; monitor
of application very well before limits especially Temp. skin, mucous membranes
administration. for redness, swelling,
irritation.