Rocephin (Ceftriaxone) Overview and Uses
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Questions and Answers

What is the therapeutic class of Rocephin (ceftriaxone)?

  • Antipyretics
  • Antivirals
  • Analgesics
  • Anti-infectives (correct)
  • What pharmacologic class does Rocephin (ceftriaxone) belong to?

  • Third generation cephalosporins (correct)
  • First generation cephalosporins
  • Second generation cephalosporins
  • Macrolides
  • List some indications for Rocephin (ceftriaxone).

    Treatment of skin and skin structure infections, bone and joint infections, complicated and uncomplicated UTI, uncomplicated gynecological infections including gonorrhea, lower respiratory tract infections, intra-abdominal infections, septicemia, meningitis, otitis media, and perioperative prophylaxis.

    What is the mechanism of action (MOA) of Rocephin (ceftriaxone)?

    <p>Binds to the bacterial cell wall membrane, causing cell death.</p> Signup and view all the answers

    What is the therapeutic effect of Rocephin (ceftriaxone)?

    <p>Bactericidal action against susceptible bacteria.</p> Signup and view all the answers

    What assessments should be made for a patient receiving Rocephin (ceftriaxone)?

    <p>Assess for infection (vital signs, appearance of wound, sputum, urine, and stool, WBC), reactions to penicillin or cephalosporins, and monitor bowel function.</p> Signup and view all the answers

    What laboratory results may occur with Rocephin (ceftriaxone) use?

    <p>May cause positive results for Coombs' test, increased serum AST, ALT, alkaline phosphatase, bilirubin, LDH, BUN, and creatinine.</p> Signup and view all the answers

    What should patients be taught regarding Rocephin (ceftriaxone)?

    <p>Report signs of superinfection and notify healthcare provider if fever and diarrhea develop, especially if diarrhea contains blood, mucus, or pus.</p> Signup and view all the answers

    What are some side effects of Rocephin (ceftriaxone)?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Rocephin (ceftriaxone) Overview

    • Rocephin is classified as an anti-infective, used to treat various bacterial infections.
    • It belongs to the third generation of cephalosporins, offering broad-spectrum coverage.

    Indications for Use

    • Effective against a range of infections, including:
      • Skin and skin structure infections
      • Bone and joint infections
      • Both complicated and uncomplicated urinary tract infections (UTIs)
      • Uncomplicated gynecological infections, notably gonorrhea
      • Lower respiratory tract infections
      • Intra-abdominal infections
      • Septicemia and meningitis
      • Otitis media
      • Used for perioperative prophylaxis to prevent surgical infections

    Mechanism of Action

    • Works by binding to the bacterial cell wall membrane, leading to cell death and bactericidal effects.

    Therapeutic Effects

    • Exhibits a strong bactericidal action against susceptible bacteria, making it effective for serious infections.

    Assessment Prior to Administration

    • Monitor vital signs, wound appearance, sputum, urine, and stool for signs of infection.
    • Check for history of allergic reactions to penicillin or cephalosporins, along with signs of anaphylaxis.
    • Evaluate bowel function; report any signs of Clostridium difficile-associated colitis such as diarrhea and abdominal cramping.

    Laboratory Considerations

    • May lead to false positives in Coombs' test.
    • Can cause increased levels of liver enzymes (AST, ALT), alkaline phosphatase, bilirubin, LDH, BUN, and creatinine.
    • Rarely associated with blood disorders like leukopenia and thrombocytopenia.

    Patient Education

    • Instruct patients to report any signs of superinfection, such as unusual growth in the mouth or changes in bowel habits.
    • Advise to notify healthcare provider if fever or diarrhea develops, especially if accompanied by blood or mucus.

    Side Effects

    • Serious, though rare, side effects include anaphylaxis, seizures, and Clostridium difficile-associated diarrhea (CDAD).
    • Common side effects may include pain at the IM injection site and phlebitis at the IV site.
    • Other potential issues involve acute renal failure and bleeding complications.

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    Description

    This quiz covers the essential information about Rocephin (ceftriaxone), an important anti-infective medication used for various bacterial infections. Participants will learn about its indications for use, mechanism of action, and therapeutic effects, as well as key assessment considerations before administration.

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