PLAN OF CARE PRIMARY DRUG: CEFAZOLIN SODIUM Patient ID #: Catheter Type: Overall Goal: Eradication of infection Anticipated Outcome: Actual Outcome: Patient Name: Nursing Agency: PROBLEM/ IDENTIFIED NEED Hypersensitivity reactions: anaphylaxis, urticaria, rash INCREMENTAL GOAL(S) Minimize hypersensitivity reactions Thrombophlebitis Minimize thrombophlebitis Eosinophilia, leukopenia, thrombocytopenia GI complaints: nausea, vomiting, diarrhea, pseudomembranous colitis Elevated liver enzymes Minimize adverse hematological effects Minimize adverse gastrointestinal effects Renal toxicity Positive Coomb’s Test Seizures Page 1 of 1 Pharmacy: ACTION/INTERVENTION - Get patient’s allergy history prior to administration - Nurse will instruct patient to report rash or any trouble with breathing - Maintain analphylactic kit at bedside Ensure proper dilution and use of in-line filter; instruct patient to report pain at injection site Monitor CBC with differential INCREMENTAL OUTCOME Instruct patient/caregiver to report any signs of nausea, diarrhea, or abdominal pain Pharmacist will monitor patient’s liver enzymes Prevent adverse renal effects Pharmacist will monitor BUN and serum creatinine Avoid misinterpretation of positive Note that false-positive Coomb’s Test have Coomb’s Test been reported Avoid CNS toxicity High dose therapy will be used with caution, especially in patients with renal dysfunction Minimize adverse hepatic effects Medication Therapy Protocol Copyright 2006 Care Partners Consulting Pharmacists, LLC. All Rights Reserved 6208/090906