Question

I would like to know the nursing care for Penicillin G benzathine, Penicillin G Potassium, Penicillin V potassium, Dicloxacillin, Nafcillin, Oxacillin, Amoxicillin, Amoxicillin/clavulanate (Augmentin), Ampicillin (principen) , Ampicillin / sulbactam (unasyn), Piperacillin\ tazobactam (zosyn). 

Answer 1

Pencillin G Benzathine-

• Determine history of hypersensitivity reactions to pencillins,cephalosporins,or other allergens prior to initiation of drug therapy.
• Perform periodic renal function test
• Advise the patient not to breast feed the baby while taking the medicine.

Pencillin G Potassium

• Periodic assessment of organ system function,including frequent evaluation of electrolyte balance,hepatic ,renal and hematopoietic systems and cardiac and vascular status should be performed.
• It should be used cautiously in patients with a history of hypersensitivity to pencillin or the cephalosporins.
• The nurse should observe the patient closely for hypersensitivity reaction.

Pencillin V Potassium

• It should be used cautiously in patients with a history of or suspected allergy.
• Advise the patient to discontinue medication and promptly report physician the onset of hypersensitivity reactions and superinfections if they occur.

Dicloxacillin

• It should be used cautiously with a history of sensitivity of pencillin.
• The nurse ahould advise the patient that antibiotic medications can cause diarrhea,which maybe a sign of new infection.

Nafcillin

• It should generally not be administered to patients with a history of sensitivity to any pencillin
• Pencillin should be used with caution in individuals with histories of significant allergies.

Oxacillin

• It should be used cautiously since this medication contains sodium .This could affect the patient if they are on a salt-restricted diet or if if the patient has a condition which could be worsened with an increased in salt intake.
• The nurse can explain that,if the diet permits,yoghurt,buttermilk or Acidophilus capsules may be taken to reduce the risk of fungal superinfection.

Amoxicillin

• Report onset of generalized ,erythematous,maculopapular rash to physician.
• Report onset of diarrhea and other possible symptoms of superinfection to physician.
• Do not breastfeed while taking this drug without consulting physician.

Ampicillin

• Use cautiously with renal disorders.
• The nurse should advise the patient to report chills,wheezing,pruritus,respiratory distress to physician immediately.

Ampicillin Sulbactam

• A high percentage of patients with mononucleosis who recieve ampicillin develop a skin rash.Therefore ampicillin class antibiotics should not be administered to patients with mononucleiosis.
• The nurse should telll the patient that diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is discontinued.

Amoxicillin and Clavulanate potassium

• It should be used cautiously with expectant mothers and a high percentage of patients with mononucleosis who recieve ampicillin develop an erythematous skin rash.
• Therefore ampicillin-class antibiotics should not be administered to patients with mononucleosis.

Piperacillin Sodium and Tazobactum sodium

• It should be used cautiously with diets consisting of no salt/sodium intake.
• Advise patient to report signs of superinfection.
• Cution patient to notify health care professional if fever and diarrhea occur.
• Advise patient not to treat diarrhea without consulting health care professional