Generic Name Humulin R

Brand Name Regular Insulin

Classification Hormone
Mode of Action It works by lowering levels of glucose (sugar) in the blood.
Regular insulin is a short acting form of insulin
Date Ordered September 21, 2018
Dose Ordered 70/30 SQ 24 u pre breakfast, 14 u pre dinner
Indication Treatment of patients w/ DM who require insulin for the
maintenance of normal glucose homeostasis.
Contraindication Contraindicated with allergy to pork products(varies with
preparations; human insulin not contraindicated with pork
allergy)
Side effects Hypoglycemia, hypokalemia, local or systemic allergy, edema
Adverse Effect Hypoglycemia, hypokalemia, local or systemic allergy, edema
Swelling, itching, pruritus
Drug Interaction OCs, glucocorticoids, thyroid & growth hormones, danazol, β2-
sympatomimetics (ritodrine, salbutamol, terbutaline), thiazides;
corticosteroids; somatostatin analogues (octreotide, lanreotide);
oral hypoglycemics, salicylates (eg, acetylsalicylic acid), certain
antidepressants (MAOIs), certain ACE inhibitors (captopril,
enalapril), angiotensin II receptor blockers, nonselective β-
blocking agents & alcohol.
Nursing Teach proper glucose monitoring, injection techniques , and
Implication diabetes management.

Tell patient to take dose once daily at the same time each day.

Educate diabetic patients about signs and symptoms of low

glucose level, such as fatigue, weakness, confusion, headache,
pallor, and profuse sweating.

Advise patient to treat mild hypoglycaemia with oral glucose

tablets. Encourage patient to always carry glucose tablets in
case of a low-glucose episode.

Educate patients on the importance of maintaining prescribed

diet, and explain that adjustments in drug dosage, meal
patterns, and exercise maybe needed to
Regulate glucose

Tell patient to consult prescriber before using OTC medications.

Date Ordered: 10-25-17

Generic Name Ampicillin

Brand Name
Ampivex

Classification
Antibiotic

Pregnancy
Category B

Mode Of Action
Interferes with cell wall replication of susceptible

Dose/Route
IM/IV Adult 500 mg 4-6 hourly.
Meningitis 150-300 mg/kg in divided doses 4-6 hourly.
Serious infections IV injection over 10-15 min.
Children 100 mg/day 4-6 hourly.

Indication
Various infections due to susceptible organisms including biliary tract
infections, endocarditis, bronchitis, gastro-enteritis, gonorrhea, listeriosis,
meningitis, upper & lower resp. tract infections, otitis media, perinatal
streptococcal infections, peritonitis, septicemia, typhoid & paratyphoid fever
& UTI.

Contraindication
Hypersensitivity to penicillins.

Side Effects  Frequent: pain at IM injection site, GI disturbances (mild diarrhea, N/V) oral
or vaginal candidiasis.
 Occasional: Generalized rash, urticaria, phlebitis, HA, dizziness, seizures.
Adverse Effects Abdominal cramps, severe water diarrhea, fever) Severe hypersensitivity
reactions, including acute interstitials nephritis occur rarely.
Drug Interaction
Increase: Ampicillin concentrations- probenecid
Increase: ampicillin- induced skin rash- allopurinol
Decrease: Effectiveness of oral contraceptives
Drug-Herb: Delayed/ reduced absorption- khat; separate by 2hr. Do not
use acidophilus with anti-infective; separate by several hr.

Nursing a. Assess for allergies to penicillins, cephalosporins or other

Implication allergerns; renal disorders ; lactation
b. Culture infected area before treatment ; reculture area if response is
not expected
c. Check IV site carefully for signs of thrombosis or drug reaction
d. Do not give IM injections in the same site; athropy can occur;
monitor injection site
e. Administer drug on an empty stomach. 1 hr before or 2hrs after
meals; do not give with fruit juice or soft drinks
 f. Dive ampicillin at least 1 hr before a bacteriostatic antibiotic
g. If large doses are given or if therapy is prolonged , bacterial or
fungal superinfection may occur, especially in elderly, debilitated or
immunosuppresed patient.
h. Watch for signs of hypersensitivity, such as erythematous
maculopapular rash, urticaria and anaphylaxis.
i. Dosage should be decreased in pt’s with impaired renal function.
j. For prophylaxis of bacterial endocarditis in pt’s high risk, give drug
with gentamicin

Reference:
Skidmore-Roth,RN,MSN,ND (2008) Mosby’s 2008 Nursing Drug ref.;
11830 Westline Industrial Drive; St. Louis, Missouri 63146