Drug Name Dosage Action Indications Contraindicatio Side Nursing

ns Effects Responsibili
ty
AMPICILIN 750mg Physiologic • Treatment The use of Itching, facial • Assess
SULBACTAM of respiratory ampicillin and swelling, patient for
Mechanism infections sulbactam for erythema, infection (vital
BRAND • Bactericidal injection is chills, throat signs, wound
NAME: action. Active contraindicated in tightness, appearance,
UNASYN individuals with a substernal sputum, urine,
against:
history of pain, stool, and
Streptococci, hypersensitivity epistaxis, WBCs) at
Pneumococci, reactions to any of and mucosal beginning and
Enterococci, the penicillins bleeding. throughout
therapy.
Haemophilus • Obtain a
influenzae, history before
• Use should initiating
therapy to
be reserved
determine
for infections previous use of
caused by and reactions
beta- to penicillins or
cephalosporins
lactamase- . Persons with
producing a negative
strains. history of
penicillin
Pharmacolog
sensitivity may
ic still have an
Mechanism allergic
• Binds to response.
• Obtain
bacteria cell specimens for
wall, resulting culture and
in cell death, sensitivity
before
spectrum is therapy. First
dose may be
broader than given before
that of receiving
penicillin. results.
• Observe
Addition of
patients for
sulbactam signs and
increases symptoms of
resistance to anaphylaxis
(rash, pruritus,
beta- laryngeal
lactamase, edema,
enzymes wheezing).
Discontinue
produced by
the drug and
bacteria that notify the
may inactivate physician
ampicillin. immediately if
these occur.
Keep
epinephrine,
an
antihistamine,
and
resuscitation
equipment
close by in the
event of an
anaphylactic
reaction.
• Caution
patient to
notify
physician if
fever and
diarrhea occur,
especially if
stool contains
blood, pus, or
mucus. Advise
patient not to
treat diarrhea
without
consulting
health care
professional.
May occur up
to several
weeks after
discontinuation
of medication.
•Instruct
patient to
notify
physician if
symptoms do
not improve.
Drug Name Dosage Action Indications Contraindicatio Side Nursing
ns Effects Responsibili
ty
PARACETAMO 3OOmg Thought to Mild pain or Contraindicated in hemolytic Use liquid form
L produce fever patients anemia, for children
analgesia by hypersensitivity to leukopenia, and patients
blocking pain drug. neutropenia, who have
impulses bi Use cautiously in pancytopenia, difficulty
inhibiting patients with long jaundice, swallowing.
synthesis of term alcohol use hypoglycemia In children,
prostaglandin because , rash, don’t exceed
s in the CNS therapeutic doses urticaria five doses in
or of other cause 24 hours.
substances hepatotoxicity in
that sensitize these patients.
pain receptors
to stimulation.
The drug may
relieve fever
through
central action
in the
hypothalamic
heat –
 regulating
center.

Assessment:

Medical Management

• All patients should have antibiotic therapy because of of the high incidence of secondary orbital infections.

Surgical Management

• Immediate surgery to remove foreign bodies.