Penicillin G
Therapeutic and Pharmacologic Class
Therapeutic Class: Antibacterial
Pharmacologic Class: Cell wall inhibitor, natural penicillin
Uses/Actions
Effective against Streptococci, Pneumococci, and Staphylococci
Administration Alerts
Observe for allergic reactions for 30 minutes after administration
Safe for use in pregnancy and breastfeeding
Adverse Effects
Main adverse reaction: Anaphylaxis
Other effects include diarrhea, nausea, and vomiting
Contraindications
Use cautiously in Chronic Kidney Disease (CKD)
Avoid in cases of hypersensitivity
Interactions
Drug-drug interaction with oral contraceptives
Nursing Implications
Monitor for anaphylaxis reactions
Regularly assess kidney function
Cefazolin
, Therapeutic and Pharmacologic Class
Therapeutic Class: Antibacterial
Pharmacologic Class: Cell wall inhibitor, first-generation cephalosporin
Uses
Treats respiratory, urinary, bone, and joint infections
Commonly used for surgical prophylaxis
Administration Alerts
Administer deep IM injections to prevent tissue injury
Safe for use in pregnancy and breastfeeding
Adverse Effects
Rash is a common adverse effect
Less likelihood of allergic reactions
Contraindications
Avoid in Chronic Kidney Disease (CKD)
Interactions
Interacts with vancomycin (nephrotoxicity) and heparin (increased bleeding time)
Nursing Implications
Monitor kidney function
Watch for skin hypersensitivity reactions
Tetracycline
Therapeutic and Pharmacologic Class
Therapeutic Class: Antibacterial Broad Spectrum
Pharmacologic Class: Tetracycline; protein synthesis inhibitor