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Azithromycin Drug Study

The document contains information about a 20-year-old female patient named B.V. who is 5'2" tall and weighs 60kg. She has been diagnosed with severe preeclampsia at 31 weeks of pregnancy. She has been prescribed 500mg of azithromycin once daily for 5 days to treat an acute bacterial exacerbation of COPD. Azithromycin is a macrolide antibiotic that is bacteriostatic and crosses the placenta. It can cause side effects like diarrhea, nausea, and rash. Nurses are responsible for administering the medication correctly and monitoring the patient for any adverse effects or drug interactions.

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milkv
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23K views1 page

Azithromycin Drug Study

The document contains information about a 20-year-old female patient named B.V. who is 5'2" tall and weighs 60kg. She has been diagnosed with severe preeclampsia at 31 weeks of pregnancy. She has been prescribed 500mg of azithromycin once daily for 5 days to treat an acute bacterial exacerbation of COPD. Azithromycin is a macrolide antibiotic that is bacteriostatic and crosses the placenta. It can cause side effects like diarrhea, nausea, and rash. Nurses are responsible for administering the medication correctly and monitoring the patient for any adverse effects or drug interactions.

Uploaded by

milkv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name of Patient

B. V.

Age

20 y.o

Height

52

Diagnosis

G1P1 PU 31 wks. AOG/LMP cephalic, IPTL, severe


preeclampsia with pulmonary congestion
M. M. Olmillo

Sex

Female

Weight

60 kg

Website

milkv.co.vu

A/N

youre welcome J

Author

DRUG DATA
Generic name:
Azithromycin

CLASSIFICATION
Pharmacologic:
macrolide antibiotic

MECHANISM OF
ACTION

Bacteriostatic
orbectericidal in
susceptible bacteria

Trade name/s:
Zithromax, Zmax
Patients dose:
500mg 1tab OD x
5 days

Therapeutic:
Bacteriostatic

Maximum dose:
2g PO

Onset: varies
Peak: 2.5-3.2 hr

Minimum dose:
250mg

Pregnancy Category
Risk: B

Availability:
Tablets 250,
500, 600mg;
injection 2.5g;
powder for oral
suspension
100mg/5ml,
200mg/5ml,
1g/packet; bottles
for oral
suspension 2g
to be
reconstituted with
60ml water
(Zmax)

Duration: 24 hr
Metabolism: 11-48 hr
Distribution: crosses
placenta, enters
breast milk
Excretion: bile, urine
unchanged

INDICATIONS

General:
treatment of
> lower
respiratory
infections such as
communityacquired
pneumonia
> genital ulcer
disease in men
> uncomplicated
skin infections
> nongonococcal
urethritis and
cervicitis;
treatment of PID
> otitis media
> pharyngitis and
tonsillitis

CONTRAINDICATI
ON

Contraindicated with
hypersensitivity to
azithromycin,
erythromycin, or any
macrolide antibiotic
Precaution:
Use cautiously with
gonorrhoea or syphilis,
pseudomembranous
colitis, hepatic or renal
impairment, lactation

Patients actual
indications:
Azithromycin is
given to patient
for treatment of
acute bacterial
exacerbations of
COPD

Interactions:
> drug-drug: decreased
serum levels and
effectiveness with
aluminium and
magnesium-containing
antacids; possible
increased effects of
theophylline; possible
increased anticoagulant
effects of warfarin
> drug-food: food greatly
decreases the
absorption of
azithromycin

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

ADVERSE
EFFECTS

CNS: dizziness,
headache, vertigo,
somnolence, fatigue
GI: diarrhea,
abdominal pain,
nausea, dyspepsia,
flatulence, vomiting,
melena,
pseudomembranou
s colitis
Other:
superinections,
angioedema, rash,
photosensitivity,
vaginitis

NURSING
RESPONSIBILITIE
S

Before:
> check the doctors order
> verify patients identity
> assess for hypersensitivity to
azithromycin, erythromycin, or any
macrolide antibiotic
> assess orientation, GI output,
bowel sounds, liver evaluation
> monitor blood studies
During:
> administer the right drug and right
dose at the right time
> administer on an empty stomach 1
hr before or 2-3 hrs after meals.
> let patient take the full course
prescribed
> do not administer with antacids
After:
> monitor patients blood studies
> assess bowel function for
constipation/diarrhea
> let patient report severe or watery
diarrhea, severe nausea or vomiting,
rash or itching, mouth sores, vaginal
sores
> document and record.

Route:
PO

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

Source: 2011 Lippincotts Nursing


Drug Guide

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