Generic name

Amikacin

Brand name

Amikin
Anti-infective; Aminoglycoside

Classification
Date Ordered/
Ordered Dose
Suggested dose
Mode of action
Indications
Contraindications
& Precautions

07/15/14
45mg q24h IVTT (10pm)
Neonate: IV/IM 10 mg/kg loading dose, then 7.5 mg/kg
q1224h
Inhibits protein synthesis by binding directly to the30S
ribosomal sub unit; bactericidal
Treating certain serious bacterial infections.
Use cautiously in patients with impaired renal function
or neuromuscular disorders, inn neonates and infants
and in elderly patients.
Nephrotoxicity (eg, azotemia, oliguria), ototoxicity,

Side effects /
Adverse Effects

neurotoxicity, neuromuscular blockade (eg, muscular

paralysis, apnea); rare: rash, drug fever, headache,
tremor, GI upset, paresthesia, eosinophilia, arthralgia,
anemia, hypotension, hypomagnesium.

Nursing

1. Obtain specimen for culture and sensitivity test

before giving first dose. Therapy may
begin while awaiting the results.

Responsibilities
2. Evaluate patients hearing before and during
therapy if he will be receiving drug for longer

than 2weeks. Notify prescriber if patient has

tinnitus, vertigo, or hearing loss.
3. Weigh patient and review renal function studies
before therapy begins.
4. Correct dehydration before therapy because of
increase risk of toxicity.
5. Obtain blood for peak level 1 hour I.M injection
and 30 mins. to 1 hour after IV infusion ends; for
trough levels draw blood just before the next
dose. Dont collect blood in a heparinized tube;
heparin is incompatible with aminoglycosides.
6. Peak drug levels more than 35mcg/ml and
trough levels more than10 mcg/ml may linked to
a higher risk of toxicity
7. Watch for signs and symptoms of super infection
(especially URT),such as continued fever, chills,
andincreased pulse rate.

Generic name
Brand name

Sodium Bicarbonate
Baking Soda, Bell-Ans, Citrocarbonate, Neut, Soda
Mint
Anti-ulcer agent and alkalinizing agent

Classification

Date Ordered/
Ordered Dose

07/15/14
30mg q4 IVTT PRN for fever

Suggested dose
Acts as an alkalinizing agent by releasing bicarbonate
Mode of action

ions. It is used to alkalinize urine and promote

excretion of certain drugs in overdosage situations.
Treatment of metaboli cacidosis; promotion of gastric,

Indications

systemic and urine alkalinization in the case of

intoxicationwith weak organic acids

Contraindications
& Precautions

Hypoventilation,hypocalcemia, increasedserum
osmolarity,further in all situations where sodium intake must
be restricted
Metabolic alkalosis; mood changes, tiredness,

Side effects /
Adverse Effects

shortness of breath, muscle weakness, irregular

heartbeat; muscle hypertonicity, twitching, tetany;
hypernatraemia, hyperosmolality, hypocalcaemia,
hypokalaemia; stomach cramps, flatulence.

Nursing

1. Assess for signs of acidosis (disorientation,

Responsibilities

headache,

weakness,

dyspnea,

hyperventilation), alkalosis (confusion, irritability,

paresthesia, tetany, altered breathing pattern),
hypernatremia

(edema,

weight

gain,

hypertension, tachycardia, fever, flushed skin,

mental irritability), or hypokalemia (weakness,
fatigue, arrhythmias, polyuria, polydypsia)

2. Assess fluid balance (intake and output, daily

weight, edema, lung sounds)

3. Monitor serum electrolyte concentrations,

serum osmolarity, acid-base balance, and renal
function prior to and periodically through out the
therapy.

Generic name

Hydrocortisone

Brand name
Classification

Date Ordered/
Ordered Dose

07/15/14
12mg IVTT q6 (6am-12nn-6pm-12pm)

Suggested dose
Mode of action
Indications
Contraindications
& Precautions
Side effects /
Adverse Effects
Nursing
Responsibilities

1.

Generic name

Diazepam

Brand name
Classification

Date Ordered/
Ordered Dose

07/15/14
.6mg IVTT @7:10 pm and @7:20 pm

Suggested dose
Mode of action
Indications
Contraindications
& Precautions
Side effects /
Adverse Effects
Nursing
Responsibilities

1.

Generic name

Paracetamol

Brand name
Classification
Date Ordered/
Ordered Dose

07/15/14
30mg q4 IVTT PRN for fever

Suggested dose
Mode of action
Indications
Contraindications
& Precautions
Side effects /
Adverse Effects
Nursing
Responsibilities

1.