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Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) May cause a positive Coomb’s test in pt. receiving high
doses or in neonates whose mothers were given
cephalosporins before delivery. May ↑ serum AST, ALT,
alkaline phosphatase, bilirubin, LDH, BUN, creatinine.
May cause leucopenia, neutropenia, thrombocytopenia,
and eosinophilia
Be sure to teach the patient the following about this
medication
Report s/s of superinfection (furry overgrowth on the
toung, vaginal itching or discharge, loose foul-smelling
stools) and allergy. Notify Dr. if fever and diarrhea
develop, esp. if diarrhea contains blood, mucus, or pus.
Do not treat diarrhea without consulting health care
professional.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for infection (vs, appearance of wound, med? Resolution of s/s of
sputum, urine, and stool; WBC) at beginning infection. Length of time
and throughout therapy. Determine if hx of
S/S of anaphylaxis ( rash, pruritus,
cephalosporin reaction has occurred. Obtain C laryngeal edema, wheezing), D/C drug for complete resolution
&S. and notify physician. depends on the organism
Monitor IV site often for thrombophlebitis and site of infection.
( pain, redness, swelling) Change sites every Decreased incidence of
48-72 hr to prevent phlebitis. Do not use infection when used for
solutions that are cloudy or contain precipitate. prophylaxis