Ceftriazone (rocephin)

Adrianne Bazo 12-02-08 Generic Name ceftriazone Peak End of infusion

Clinical Medications Worksheets Trade Name Classification Dose Route Rocephin Anti-infective 1g IVPB Onset Duration Normal dosage range 1-2 g every 12-24 hr Rapid 12-24 hr

Why is your patient getting this medication Lower respiratory tract infections

Time/frequency Qd

For IV meds, compatibility with IV drips and/or solutions Monitor injection site frequently for phlebitis (pain, redness, swelling). Change sites every 48-72 hr to prevent phlebitis Rate: Administer over 30 min

Mechanism of action and indications (Why med ordered) Binds to the bacterial cell wall membrane, causing cell death

Nursing Implications (what to focus on) Contraindications/warnings/interactions hypersensitivity Common side effects Phlebitis at IV site

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None for this pt

Lab value alterations caused by medicine May cause increased serum AST, ALT, alkaline phosphatase, bilirubin, LDH, BUN, and creatinine

Be sure to teach the patient the following about this medication Advise patient to report signs of superinfection (furry overgrowth on the tongue, vaginal itching or discharge, loose or foulsmelling stools) and allergy. Notify health care professional if fever and diarrhea develop, especially if stool contains blood, pus, or mucus. Advise patient not to treat diarrhea without consulting health care professional

Nursing Process- Assessment (Pre-administration assessment) Assess patient for infection (vital signs; appearance of wound, sputum, urine, and stool; WBC) at beginning of and throughout therapy. Obtain specimens for culture and sensitivity before initiating therapy. First dose may be given before receiving results

Assessment Why would you hold or not give this med? signs and symptoms of anaphylaxis (rash, pruritus, laryngeal edema, wheezing)

Evaluation Check after giving Resolution of the signs and symptoms of infection. Length of time for complete resolution depends on the organism and site of infection