nihi med form exam 3.doc - MEDICATION FORM Name of...

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MEDICATION FORM Name of Medication a. Classification b. Generic c. Trade Dosage Route Freque ncy Reason Patient Receiving Drug Pertinent Nursing Implications Pertinent Side Effects Significant Drug/Food Interactions A. Antiinfective B. mefenide C. Sulfamylon Topical Apply aseptica lly to burn areas to a thicknes s of approxi mately 15 mm (1/16 in) once or twice daily Topical sulfonamide derivative effective against both grampositive and gram- negative drugs. Topical applications produce marked reduction of bacterial growth in vascular tissue. Active in presence of pus and serum and not affected by changes in pH of tissue environment. Cross-sensitivity with other sulfonamides not established Monitor vital signs. Report immediately changes in BP, pulse, and respiratory rate and volume. Monitor I&O. Report oliguria or changes in I&O ratio and pattern. Lab tests: Monitor fluid and electrolyte status throughout therapy; acid– base balance should be monitored in patients with extensive burns and in those with pulmonary or kidney dysfunction. Observe carefully; accuracy is critical. It is frequently difficult to distinguish between adverse reactions to mafenide and the effects of severe burns. Note: Allergic reactions have reportedly occurred 10–14 d after initiation of mafenide therapy. Temporary discontinuation of drug may be necessary. Report intense local pain to physician; pain caused by drug may require administration of analgesic. Pruritus, rash, urticaria, blisters, facial edema, eosinophilia. Ski n: Intense pain, burning, or stinging at application sites, bleeding of skin, excessive body water loss, delayed eschar separation, excoriation of new skin, superinfections. Hematologic: He molytic anemia, bone marrow suppression (rar e). Other: Metab olic acidosis. none
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A. Antiinfective B. silver sulfadiazine C. Silvadene Adult/Ch ild: Topi cal Appl y 1% cream 1–2 times/d to thicknes s of approxi mately 1.5 mm (1/6 in) Prevention and treatment of sepsis in second- and third-degree burns. Observe for and report hypersensitivity reaction: Rash, itching, or burning sensation in unburned areas. Lab tests: Obtain serum sulfa concentrations, urinalysis, and kidney function tests when drug is applied to extensive areas.
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  • Fall '15
  • Sandra Rodriguez
  • Sulfonamide, A. Antiinfective

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