Drug Study Ceftriaxone Sodium

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DRUG STUDY

Brand Name: __Rocephin____ Generic Name: _Ceftriaxone Sodium_ Drug Classification: _Antiinfective; Antibiotic; Third - Generation Cephalosporin_

Dosage, Route & Frequency Drug-Drug & Adverse


Contraindication Side Effects
Drug Action Drug-Food Indications Reactions (By
Recommended Prescribed s (By System)
Interactions System)
Moderate to 100 mg/kg/day, Semisynthetic third- Interactions Infections caused Hypersensitivity to CNS: Headache, Body as a
Severe generation Drug: by susceptible cephalosporins dizziness, lethargy Whole: Pruritus,
Infections cephalosporin Probenecid organisms in and related GI: Nausea, fever, chills, pain,
vomiting, diarrhea,
antibiotic. decreases renal lower respiratory antibiotics; induration at IM
Child: IV/IM 50– anorexia,
Preferentially binds to elimination of tract, skin and pregnancy pseudomembrano injection site;
75 mg/kg/d in 2 one or more of the ceftriaxone; skin structures, (category B). phlebitis (IV site).
us colitis
divided doses penicillin-binding alcohol produces urinary tract, HEMATOLOGIC:
(max: 2 g/d) proteins (PBP) located disulfiram bones and joints; bone marrow GI: Diarrhea,
on cell walls of reaction. also intra- depression–dec. abdominal
Meningitis
susceptible organisms. abdominal WBC, platelets, cramps,
Child: IV/IM 75 Hct pseudomembrano
This inhibits third and infections, pelvic
LOCAL: pain, us colitis, biliary
mg/kg loading final stage of bacterial inflammatory inflammation of IV sludge.
dose, then 100 cell wall synthesis, disease, Site
mg/kg/d in 2 thus killing the uncomplicated OTHER: Urogenital:
divided doses bacterium. gonorrhea, superinfections, Genital pruritus;
(max: 4 g/d) meningitis, and disulfiram-like
moniliasis.
surgical reaction with
alcohoL
Pharmacokinetics prophylaxis.

Peak: 1.5–4 h after IM;


immediately after IV
infusion.

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)

Assessment & Drug Effects Patient & Family Education

● 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.

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