General

1. Document type and onset of symptoms, location and source of infection (if known).

2. Note any unusual reaction or problems with any anti-infectives (usually penicillin).

3. Conspicuously mark allergy in the chart.

4. Assess for side effects such as hives, rashes, difficulty breathing, which may indicate a hypersensitivity or allergic response; stop drug and report.

5. If drug mainly excreted by the kidneys, reduce dose with renal dysfunction. Nephrotoxic drugs are usually contraindicated with renal dysfunction because toxic levels of the drugs are rapidly attained when renal function is impaired.

6. Assess for superinfections, particularly of fungal origin, characterized by black furred tongue, nausea, and/or diarrhea. Client/Family Teaching

1. Take meds at prescribed intervals; use only under medical supervision.

2. Do not share with friends or family members. Prevent recurrence by completing entire prescription, despite feeling well. This ensures that the organism is eradicated and diminishes the emergence of drug-resistant bacterial strains. Incomplete therapy may render client unresponsive to the antibiotic with the next infection.

3. Report any unusual bruising or bleeding, e.g., bleeding gums, blood in stool, urine, or other secretions; S&S of allergic reactions, including rash, fever, pruritis, and urticaria or superinfections such as pain, swelling, redness, drainage, perineal itching, diarrhea, rash, or a change in symptoms.

4. Discard any unused drug after therapy completed.

5. Take antipyretics as prescribed RTC (q 4 hr) for fever reduction when needed.

6. Women taking OCs should use a back-up method of birth control for their current cycle of antibiotic therapy.

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