Name of Drug Classification and Indication and Side Effects or Adverse Nursing Responsibilities

(Dosage, Route, Mechanism of Action Contraindication Reactions

Frequency, Timing)

Generic Name: Classification: Indication: CNS: Headache, 14 Rights of Medication

Azithromycin Macrolides Pneumonia, lower dizziness. GI: Nausea, 1. Right Drug/Medication
2. Right Client/Patient
respiratory tract vomiting, diarrhea, 3. Right Route
infections, abdominal pain; 4. Right Dose
Brand Name: pharyngitis/tonsillitis, hepatotoxicity, mild 5. Right Time & Frequency
Zithromax gonorrhea, elevations in liver 6. Right Assessment
nongonococcal urethritis, function tests 7. Right Approach
8. Right Education
Mechanism of Action: skin and skin structure 9. Right Evaluation
Dosage: Azithromycin is a infections due to 10. Right Documentation
500mg IV bacteriostatic drug acts susceptible organisms, 11. Right to Refuse
by inhibiting protein otitis media, 12. Right Principle of Care
synthesis. It binds Mycobacterium avium– 13. Right Prescription
14. Right Nurse Clinician
reversibly to 50S intracellulare complex
Route: ribosomal subunits of infections, acute bacterial Assessment & Drug Effects
IV sensitive microorganism. sinusitis. Zmax: acute Monitor for and report loose stools
Azithromycin interferes bacterial sinusitis and or diarrhea, since
with transpeptidation community acquired pseudomembranous colitis must be
ruled out.
and translocation thus pneumonia. Monitor PT and INR closely with
Frequency: there is inhibition of concurrent warfarin use.
OD protein synthesis and Contraindication:
hence inhibition of cell Hypersensitivity to Patient & Family Education
growth. azithromycin, Direct sunlight (UV) exposure
should be minimized during
erythromycin, or any of therapy with drug.
Timing: the macrolide antibiotics Take aluminum or magnesium
10pm antacids 2 h before or after drug.
Report onset of loose stools or
diarrhea.
Do not breast feed while taking
this drug without consulting
physician.