Penicillin - Drug Card PDF

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Summary

Drug Card ...

Description

Nursing Program 1. 2. 3. 4.

Generic Name: Penicillin G Procaine Penicillin G Benzathine Penicillin G Penicillin V

Routes 1. Penicillin G: IM, IV

1. 2. 3. 4.

Doses 1. 1-5 million units

Trade Names: Crystapen No trade name Bicillin LA, Permapen Pen-VK

Frequency/Tim es 1. Every 4-6 hours

2. Procaine Penicillin G; IM 3. Benzathine Penicillin G: IM

4. Penicillin V: oral

2. 600,000 to 1.2 million units, or 2.4 million units 3. 1.2 million units or 2.4 million units

4. 125 mg500 mg, or 125-250 mg

Medication Portfolio

2. Once per day as a single dose or in 2 divided doses 3. Once per day as a single dose or may repeat dosing depending on disease treated 4. Every 6-8 hours or every 12 hours

Action/Purpos e Action: Binds to bacterial cell wall, resulting in cell death

Purpose: Treatment of a wide variety of infections

Pharmacologic Classification:

Therapeutic Classification:

Penicillins

Anti-infectives

Major Side Effects Side Effects: Diarrhea, epigastric distress, nausea, vomiting, rash, pain at injection site

Adverse Reactions: Seizures, Clostridium DifficileAssociated diarrhea, Anaphylaxis, and Serum Sickness

Nursing Interventions Pre Med Administration: 1. Assess for infection 2. Determine any past history of previous use and adverse reactions/allergies 3. Obtain specimens for culture and sensitivity prior to administration

Post Med Administration: 1. Observe for any signs and symptoms of anaphylaxis. Keep ephedrine an antihistamine, and resuscitation equipment close by 2. Monitor bowel

Labs 1. May cause positive direct COOMBS test results 2. Hyperkalemi a may develop after large doses of Pen G Potassium 3. Monitor serum sodium in patients with hypertensi on 4. May increase AST, ALT, LDH, and serum alkaline phosphate concentrat

function for diarrhea, abdominal cramping, fever, and bloody stools

Date

Patient Age/Diagnosis

Reason Prescribed

Ordered Dose /Frequency

Patient Response

Relevant Labs

Relevant Vital Signs

Nursing Interventions

ions 5. May cause leukopenia and neutropeni a

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