Ateneo de Zamboanga University College of Nursing RELATED LEARNING EXPERIENCE DRUG STUDY FORMAT DRUG
RAND NAME" Vibramycin GENERIC NAME" Doxycycline DOSAGE AND FRE#UENCY" 200 mg STAT, / 100 mg B.I.D. for 3 days ROUTE" er !rem
INDICATIONS
ACTIONS
Doxycycline is some"imes effec"i#e for "ri#ial infec"ions of "$e %&&er res&ira"ory "rac" or of "$e 'geni"o()%rinary "rac" b%" i" does no" re&resen" "$e dr%g of c$oice.
+ay exer" bac"erios"a"ic effec" by binding "o "$e 30S and &ossib &ossibly ly 0S ribosomal %ni"s of microorganis ms and in$ibi in$ibi"in "ing g "$e &ro"ein syn"$esis. +ay also al"er "$e cy"o&lasmic membran membrane e of s%sce&"ible microorganis ms.
I" is &ar"ic%larly *ell s%i"ed for atypical pneumonia 'as pneumonia 'as long as a legionella infec"ion can be excl%ded), for disease follo*ing Chlamydia trachomatis 'non( gonorr$oeal %re"$ri"is, ac%"e %re"$ral syndrome, #enereal
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SIDE EFFECTS/ NURSING ADVERSE RESPONSIILITIES REACTIONS S$e%&'%ul'r !b"ain !b"ain s&ecimen s&ecimen Senses" In"erfe Senses" In"erfe for for c%l" c%l"%r %re e and and rence *i"$ color sensi"i#i"y. $ec for #ision. ex&i ex&ira ra"i "ion on da"e da"e GI" Anorexia, GI" Anorexia, beca%se o%"da"ed na%sea, "e"racy "e"racycli cline ne may #omi"ing, ca%se ca%se re#ers re#ersibl ible e diarr$ea, ne&$ro"oxici"y. en"erocoli"is+oni"or +oni"or for signs eso&$ageal and sym&"oms of irri ir ri"a "a"i "ion on 'ora 'o rall s%&erinfec"io s%&erinfec"ion n in ca&s%le and &a"ien"s *i"$ long "able"). " er erm and $ig$ dose dose %se %se of "$is "$is S(in" as$es, S(in" as$es, dr%g. &$o"osensi"i#i"y $ec "$e reac"ion. &a"ien &a"ien"s "s "ong%e "ong%e for f%ngal O&)ers" T$rom O&)ers" T$rom infec"i infec"ion. on. S"ress S"ress •
CLIENT TEAC!ING
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Ins"r% Ins"r%c" c" &a"i &a"ien en"" "o "ae "$e f%ll co%rse &rescr &rescribe ibed. d. Do no" "ae *i"$ *i"$ an"aci an"acids. ds. Table" ble"s s and and oral oral s%s&ens s%s&ension ion can be "aen *i"$ or *i"$o%" food. Ins"r%c" &a"ien" "o "ae ca&s%le or "able" forms *i"$ a f%ll glass '20 m) of *a"er "o ens%re &assage in"o s"omac$ and &re#en" eso&$ageal %lcera"ion. A#oid "aing ca&s%le or "able" *i"$in 1 $ of lying do*n or
lym&$ogran%loma, e"c.), for br%cellosis 'in combina"ion *i"$ e.g. rifam&icine), for rice""sial diseases 's&o""ed fe#er, 4 fe#er), for c$olera and for an"$rax. Doxycycline can be a&&lied in s"age I of Lyme disease.
bo&$lebi"is 'IV %se), s%&erinfec"ions.
for oral $ygiene. • •
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Doxycycline is considered an al"erna"i#e dr%g for syphilis *$en "$ere is e.g. a $y&ersensi"i#i"y "o &enicillin. I" is recommended as a follo*(%& "rea"men" "o a single dose of cef"riaxone for "$e "rea"men" of &ossible c$lamydia infec"ions in con"ex" *i"$ gonorrhoea. I" is %sed in combina"ion *i"$ o"$er an"ibio"ics for acute inflammatory pelvic disease ca%sed by mixed infec"ions. I" can also be %sed for "$e &ro&$ylaxis of "ra#eler5s
e&or" se#ere or *a"ery diarr$ea, se#ere na%sea or #omi"ing, ras$ or i"c$ing, mo%"$ sores, #aginal sores. e&or" s%dden onse" of &ainf%l or diffic%l" s*allo*ing &rom&"ly "o &$ysician. Doxycycline 'ca&s%le and "able" forms) is associa"ed *i"$ a com&ara"i#ely $ig$ incidence of eso&$agi"is, es&ecially in &a"ien"s 60 y.
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re"iring. Ad#ice &a"ien" "o a#oid ex&os%re "o direc" s%nlig$" and %l"ra#iole" lig$" d%ring and for or d af"er "$era&y is "ermina"ed "o red%ce ris of &$o"o"oxic reac"ion. $o"o"oxic reac"ion a&&ears lie exaggera"ed s%nb%rn. S%nscreens &ro#ide li""le &ro"ec"ion. Ad#ice mo"$ers, do no" breas" feed *$ile "aing "$is dr%g. Ad#ice &a"ien" "$a" s$e/$e may ex&erience "$ese side effec"s7 discomfor", diarr$eafa"ig%e, $eadac$e 'medica"ion may $el&)addi"ional infec"ions in "$e mo%"$ or #agina 'cons%l" *i"$ $eal"$ care &ro#ider for
diarr$ea. Doxycycline can also be considered for "$e &re#en"ion or "rea"men" of m%l"iresis"an" malaria 'e.g. in T$ailand).
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PREPARED Y" !'if' U* Ali+'s', SN, AD-U
C!EC.ED Y"
Ad#ice &a"ien" "o re&or" se#ere or *a"ery diarr$ea, se#ere na%sea or #omi"ing, ras$ or i"c$ing, mo%"$ sores, #aginal sores. Ad#ice &a"ien" "o re&or" s%dden onse" of &ainf%l or diffic%l" s*allo*ing &rom&"ly "o &$ysician. Doxycycline 'ca&s%le and "able" forms) is associa"ed *i"$ a com&ara"i#ely $ig$ incidence of eso&$agi"is, es&ecially in &a"ien"s 60 y.
Mr* E0in A+u, RN, MN 1111111111111111111111111 Clini%'l Ins&ru%&or