Drug Study Ceftriaxone Sodium
Drug Study Ceftriaxone Sodium
Drug Study Ceftriaxone Sodium
Brand Name: __Rocephin____ Generic Name: _Ceftriaxone Sodium_ Drug Classification: _Antiinfective; Antibiotic; Third - Generation Cephalosporin_
Distribution: Widely
distributed in body
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tissues and fluids;
good CNS penetration,
especially with
inflamed meninges;
crosses placenta.
Metabolism: Not
metabolized.
Elimination: 33–65%
excreted unchanged in
urine; also excreted in
bile; small amount
excreted in breast milk.
Half-Life: 5–10 h.
Responsibilities in the Nursing Process (ADPIE) Responsibilities in the Nursing Process (ADPIE)
● Determine history of hypersensitivity reactions to cephalosporins and ● Report any signs of bleeding.
penicillins and history of other allergies, particularly to drugs, before ● Report loose stools or diarrhea promptly.
therapy is initiated. ● Do not breast feed while taking this drug without consulting physician
● Lab tests: Perform culture and sensitivity tests before initiation of therapy
and periodically during therapy. Dosage may be started pending test
results. Periodic coagulation studies (PT and INR) should be done.
● Inspect injection sites for induration and inflammation. Rotate sites. Note
IV injection sites for signs of phlebitis (redness, swelling, pain).
● Monitor for manifestations of hypersensitivity (see Appendix F). Report
their appearance promptly and discontinue drug.
● Watch for and report signs: petechiae, ecchymotic areas, epistaxis, or
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any unexplained bleeding. Ceftriaxone appears to alter vitamin K–
producing gut bacteria; therefore, hypoprothrombinemic bleeding may
occur.
● Check for fever if diarrhea occurs: Report both promptly. The incidence of
antibiotic-produced pseudomembranous colitis (see Appendix F) is higher
than with most cephalosporins. Most vulnerable patients: chronically ill or
debilitated older adult patients undergoing abdominal surgery.