NURS 2466 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)

Generic NameBacitracin/Polymyxin B

Trade NamePolysporin

ClassificationAntibiotic ointment

Dosevariable

Routetopical

Time/frequency3x per day

PeakUnknown

OnsetUnknown

Durationunknown

Normal dosage rangeVariable

Why is your patient getting this medicationTo prevent infection from the large foley catheter after a TURP

For IV meds, compatibility with IV drips and/or solutionsN/A

Mechanism of action and indications(Why med ordered)Bacteriocidal for a large number of gram positive and gram negative bacteria

Nursing Implications (what to focus on) Contraindications/warnings/interactions.Hypersensitivity

Common side effectsNone

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)No significant amount enters the blood

Lab value alterations caused by medicineNone known

Be sure to teach the patient the following about this medicationClean the area with soap and water dailyApply as directed and after bathingWash hands with soap and warm water before applying ointment.

Nursing Process- Assessment(Pre-administration assessment)Assess for signs of infection (pain, redness, swelling, purulent discharge) and for signs of hypersensitivity (rash, hives, pruritis)

AssessmentWhy would you hold or not give this med?If pt is experiencing a hypersensitivity reaction, notify physician

EvaluationCheck after givingNo signs of infection or hypersensitivity