Page |1 Perez, Jaycee F. BSN 2B DRUG STUDY NAME OF DRUG Generic Name: >Ceftadizime Brand Name: >Ceptaz Dosage: >300 ml Route: Through IV Frequency >q8 Form: >Solution CLASSIFICATION OF ACTION Anti-infectives >Third generation Cephalosporin that inhibit cell-wall synthesis Promoting osmotic instability: usually bactericidal INDICATIONS >treatment for end-stage renal disease (ESRD). Peritonitis for peritoneal catheterization ADVERSE REACTION CNS: Seizures, headache, dizziness, parethesia CV: Phlebitis, thrombophlebitis GI: nausea, vomiting, diarrhea, abdominal cramps Hematologic: agranulocytosis, leukopenia, eosinophilia SKIN: maculopapular and arthenayous rashes OTHER: Anaphylaxis CONTRAINDICATIONS >Contraindicated in patients hypersensitive to drugs or other cephalosporins >Use cautiously in patients hypersensitive to penicillin because of possibility of crosssensitivity with other beta-lactam antibiotics NURSING RESPONSIBILITY MONITORING PARAMETERS >Obtain specimen fior culture and sensitivity tests before giving first dose. Therapy may begin while awaiting results >May increase alkaline phosphatase ALT, AST, bilirubin and LDH levels. May decrease hemoglobin level. >For IM use inject deep into a large muscle, such as the gluteus maximus or the side of the thigh >May increase eosinophil count. May decrease granulocyte and WBC counts ALT=5 – 28 u/L BUN=8.2 – 20 mg/dL Creatinine= 0.4 – 0.7 mg/dL AST= 15 – 30 u/L Bilirubin=0 – 3.4 umol/L Hgb=12 – 16 g/Dl WBC= 4,500 – 11,000 cubic mm Eosinophil= 0 – 4% Platelet= 150,000 – 4500.000 cubic mm LDH= 60 – 160 mg/dL