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Azithromycin (Zithromax) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

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Outline

Generic Name

Azithromycin

Trade Name

Zithromax

Indication

URI, chronic bronchitis, lower respiratory infections, otitis media, skin infections, various STIs, prevention of bacterial endocarditis, treatment of cystic fibrosis

Action

Inhibits bacterial protein synthesis

Therapeutic Class

Agents for atypical mycobacterium, anti-infectives

Pharmacologic Class

Macrolide

Nursing Considerations

• May lead to pseudomembranous colitis, pain, diarrhea, nausea,
Stevens-Johnson syndrome, angioedema
• May increase risks for warfarin toxicity
• Monitor patient for signs of anaphylaxis
• Instruct patient to notify physician for diarrhea, or blood or pus in stool
• Instruct patient to take medication exactly as prescribed

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Transcript

Hey guys, I’m gonna talk to you a little bit about azithromycin also known as Zithromax. Azithromycin comes in an oral form, like seen here in the picture, and also as an intravenous powder for injection. So it’s important to remember that the therapeutic class is what the drug does in the body while the pharmacologic class is the actual chemical effect. So azithromycin’s therapeutic class are agents for atypical mycobacteria and is also an anti-infective. The pharmacologic class of azithromycin is it’s a macrolide. So azithromycin works by inhibiting bacterial protein synthesis. And it’s indicated for respiratory infections like upper lower and chronic bronchitis, otitis media skin infection, the prevention of bacterial endocarditis, and some sexually transmitted infections.

So some common side effects of azithromycin are abdominal pain, nausea, and diarrhea, which are pretty typical with anti-infective agents. So let’s take a look at some nursing considerations for azithromycin. You’re going to want to monitor signs of anaphylaxis in your patient. This medication may lead to pseudomembranous colitis, Steven Johnson syndrome, and angioedema. Azithromycin can increase the risk of warfarin toxicity when the patient is on warfarin. Teach your patient to take it exactly as prescribed and also to report diarrhea and blood or pus in the stool. So, guys, I have actually only once seen a patient with Steven Johnson syndrome that I said, this drug may lead to. So you definitely, if you haven’t seen this, you definitely need to look this syndrome up so you can see what it looks like. So that’s it for azithromycin or Zithromax. Now go out and be your best self today and as always happy nursing.

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Concepts Covered:

Gastrointestinal
Upper GI Disorders
Respiratory Emergencies
Immunological Disorders
Hematologic Disorders
Intraoperative Nursing
Medication Administration
Newborn Complications
Noninfectious Respiratory Disorder
Peripheral Nervous System Disorders
Studying
Central Nervous System Disorders – Brain
Sexually Transmitted Infections
Infectious Respiratory Disorder
Disorders of Pancreas
Liver & Gallbladder Disorders
Disorders of Thermoregulation
Musculoskeletal Trauma
Disorders of the Posterior Pituitary Gland
Cardiac Disorders
Emergency Care of the Cardiac Patient
Emergency Care of the Trauma Patient
Neurological Trauma
Disorders of the Thyroid & Parathyroid Glands
Male Reproductive Disorders
Oncology Disorders
Postoperative Nursing
Renal Disorders
Renal and Urinary Disorders
Central Nervous System Disorders – Spinal Cord
Integumentary Disorders
Shock
Acute & Chronic Renal Disorders
Respiratory Disorders
Vascular Disorders
Lower GI Disorders
Respiratory System
Disorders of the Adrenal Gland
Neurologic and Cognitive Disorders
Infectious Disease Disorders
Female Reproductive Disorders
EENT Disorders
Respiratory
Emergency Care of the Respiratory Patient
Neurological Emergencies
Communication

Study Plan Lessons

05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review

Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)

AIDS Case Study (45 min)

Airway Suctioning

Anemia for Progressive Care Certified Nurse (PCCN)

Anesthetic Agents

Anesthetic Agents

ARDS Case Study (60 min)

ARDS causes Nursing Mnemonic (GUT PASS)

Artificial Airways

Aspiration for Certified Emergency Nursing (CEN)

Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)

Asthma for Certified Emergency Nursing (CEN)

AVPU Mnemonic (The AVPU Scale)

Azithromycin (Zithromax) Nursing Considerations

Brain Death v. Comatose

Carbon Dioxide (Co2) Lab Values

Chest Tube Management

Chest Tube Management Case Study (60 min)

Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)

Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)

Cirrhosis Case Study (45 min)

Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)

Complications of Immobility

Coronavirus (COVID-19) Nursing Care and General Information

Day in the Life of a Med-surg Nurse

Diabetes Insipidus Case Study (60 min)

Diabetes Mellitus Case Study (45 min)

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Disseminated Intravascular Coagulation Case Study (60 min)

Dysrhythmias for Certified Emergency Nursing (CEN)

Enteral & Parenteral Nutrition (Diet, TPN)

Erythromycin (Erythrocin) Nursing Considerations

Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)

General Anesthesia

Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)

Heart Failure Case Study (45 min)

Heart Failure for Certified Emergency Nursing (CEN)

Hemorrhagic Fevers for Certified Emergency Nursing (CEN)

Histamine 1 Receptor Blockers

Hyperthyroidism Case Study (75 min)

Hypothermia (Thermoregulation)

Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)

Intraoperative (Intraop) Complications

Leukemia Case Study (60 min)

Levofloxacin (Levaquin) Nursing Considerations

Local Anesthesia

Malignant Hyperthermia

Meperidine (Demerol) Nursing Considerations

Metabolic Acidosis (interpretation and nursing diagnosis)

Miscellaneous Nerve Disorders

Moderate Sedation

Montelukast (Singulair) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Myocardial Infarction (MI) Case Study (45 min)

Nephrotic Syndrome Case Study (Peds) (45 min)

Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)

Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care and Pathophysiology for Anaphylaxis

Nursing Care and Pathophysiology for Asthma

Nursing Care and Pathophysiology for Influenza (Flu)

Nursing Care and Pathophysiology for Myasthenia Gravis

Nursing Care and Pathophysiology for Psoriasis

Nursing Care and Pathophysiology for Scleroderma

Nursing Care and Pathophysiology for Sepsis

Nursing Care and Pathophysiology for SIRS & MODS

Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care and Pathophysiology of Glomerulonephritis

Nursing Care and Pathophysiology of Pneumonia

Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)

Nursing Care Plan (NCP) for Activity Intolerance

Nursing Care Plan (NCP) for Acute Bronchitis

Nursing Care Plan (NCP) for Acute Kidney Injury

Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome

Nursing Care Plan (NCP) for Anaphylaxis

Nursing Care Plan (NCP) for Anemia

Nursing Care Plan (NCP) for Angina

Nursing Care Plan (NCP) for Aortic Aneurysm

Nursing Care Plan (NCP) for Aspiration

Nursing Care Plan (NCP) for Asthma / Childhood Asthma

Nursing Care Plan (NCP) for Blunt Chest Trauma

Nursing Care Plan (NCP) for Bowel Obstruction

Nursing Care Plan (NCP) for Brain Tumors

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Nursing Care Plan (NCP) for Cardiogenic Shock

Nursing Care Plan (NCP) for Chronic Kidney Disease

Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)

Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Diabetes Insipidus

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)

Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis

Nursing Care Plan (NCP) for Emphysema

Nursing Care Plan (NCP) for Encephalopathy

Nursing Care Plan (NCP) for Endocarditis

Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)

Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed

Nursing Care Plan (NCP) for Guillain-Barre

Nursing Care Plan (NCP) for Heart Valve Disorders

Nursing Care Plan (NCP) for Hydrocephalus

Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)

Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypovolemic Shock

Nursing Care Plan (NCP) for Lung Cancer

Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)

Nursing Care Plan (NCP) for Mumps

Nursing Care Plan (NCP) for Myasthenia Gravis (MG)

Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Nephrotic Syndrome

Nursing Care Plan (NCP) for Osteoporosis

Nursing Care Plan (NCP) for Pancreatitis

Nursing Care Plan (NCP) for Pericarditis

Nursing Care Plan (NCP) for Restrictive Lung Diseases

Nursing Care Plan (NCP) for Rubeola – Measles

Nursing Care Plan (NCP) for Spinal Cord Injury

Nursing Care Plan (NCP) for Syncope (Fainting)

Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Nursing Care Plan (NCP) for Thoracentesis (Procedure)

Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)

Nursing Care Plan (NCP) for Tuberculosis

Nursing Care Plan for Cirrhosis (Liver)

Nursing Care Plan for Distributive Shock

Nursing Care Plan for Nasal Disorders

Nursing Care Plan for Pulmonary Edema

Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)

Nursing Care Plan for Scleroderma

Nursing Case Study for Breast Cancer

Nursing Case Study for Cardiogenic Shock

Nursing Case Study for Hepatitis

Nursing Case Study for Pneumonia

Nursing Case Study for Type 1 Diabetes

Obstruction for Certified Emergency Nursing (CEN)

Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)

Ondansetron (Zofran) Nursing Considerations

Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)

Patient Positioning

Pentobarbital (Nembutal) Nursing Considerations

Peritonitis for Certified Emergency Nursing (CEN)

Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)

Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)

Post-Anesthesia Recovery

PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)

Propofol (Diprivan) Nursing Considerations

Respiratory A&P Module Intro

Respiratory Alkalosis

Respiratory Course Introduction

Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)

Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)

Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)

Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)

Respiratory Infections Module Intro

Respiratory Procedures Module Intro

Respiratory Trauma for Certified Emergency Nursing (CEN)

Respiratory Trauma Module Intro

Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)

Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)

Spinal Cord Injury Case Study (60 min)

Stroke Assessment (CVA)

Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)

Systemic Lupus Erythematosus (SLE)

The Medical Team

Trach Suctioning

Tuberculosis for Certified Emergency Nursing (CEN)

Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)

Ventilator Settings

Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)