ACTIVE LEARNING TEMPLATE: Medication
STUDENT NAME MEDICATION Cefepime CATEGORY CLASs Fourth generation cephalosporins
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PURPOSE OF MEDICATION
Expected Pharmacological Action
Therapeutic Use
Binds to the bacterial cell wall membrane causing cell death
Treatment of infections caused by susceptible organisms
Complications
Medication Administration
- Encephalopathy - seizures - CDAD -Rashes - Pain at IM site or phlebitis at IV site Anaphylaxis
- IM: reconstitute IM doses with sterile or bacteriostatic water for injection - IV: Monitor IV site for phlebitis at IV site.
Contraindications/Precautions
Hypersensitivity to cephalosporins Serious hypersensitivity to penicillins Caution if renal impairment - History of GI disease
Nursing Interventions
- Assess for infection: Vital signs, appearance of wound sputum, urine, and stool - Before administration obtain history of previous reactions to penicillin or cephalosporins - Observe patient for signs and symptoms of anaphylaxis - Monitor bowl function and signs and symptoms of CDAD
Interactions
- Probenecid -Loop diuretics
Client Education
Advise patient to report signs of superinfection and allergy - Report immediately to health care provider if a fever and diarrhea develop.
Evaluation of Medication Effectiveness
A resolution of signs and symptoms of infection
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE