Pfizerpen
penicillin G potassium Medication Brand Name(s) _____________________
Medication Generic Name ___________________
5 millions units
Ordered Dosage ______________
one time
Frequency _____________
IVPB
Form ________________
antibiotic
prevent fetal contact and infection with GBS
Therapeutic Class: ________________________
Reason(s) Given: ______________________________
Nursing Considerations/Patient Teaching:
Pre-Administration Assessment Focus:
Obtain specimen for culture and
sensitivity tests before giving first dose.
Begin therapy while awaiting results.
Before giving, ask patient about allergic
reactions to penicillin.
Monitor renal function closely
Monitor potassium and sodium
monitor liver function
observe patient closely
Post-Administration Evaluation Focus:
Contraindications/Precautions/ Side
Effects/Adverse Reactions
Contraindicated in patients hypersensitive to
drug or other penicillins.
Drug may cause CDAD ranging in severity
from mild diarrhea to fatal colitis. If CDAD is
suspected or confirmed, drug may need to be
discontinued and treatment initiated.
Observe patient for
allergic/adverse reactions
promethazine
hydrochloride
Promethegan
Medication Generic Name ___________________
Medication Brand Name(s) _____________________
12.5 mg
Ordered Dosage ______________
q4hrs
Frequency _____________
IV Push
Form ________________
Antiemetics
nausea/vomiting
Therapeutic Class: ________________________
Reason(s) Given: ______________________________
Nursing Considerations/Patient Teaching:
Pre-Administration Assessment Focus:
Monitor patient for NMS
Drug is used as an adjunct to
analgesics, usually to increase
sedation; it has no analgesic
activity.
IV: If solution is discolored or
contains a precipitate, discard.
Give injection through a free-flowing
IV line; consider giving over 10 to
15 minutes to minimize risk of
phlebitis.
Contraindications/Precautions/ Side
Effects/Adverse Reactions
Post-Administration Evaluation Focus:
Contraindicated in patients
hypersensitive to drug, in those who
have experienced adverse reactions
to phenothiazines, and in patients who
are comatose.
May increase blood glucose level.
May decrease WBC, platelet, and
granulocyte counts.
May prevent, reduce, or mask
positive result in diagnostic skin
test.