Amoxicillin Clavulanate Potassium

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GENERIC NAME: Amoxicillin / Clavulanate Potassium

BRAND NAME: Augmentin

ACTION CLASSIFICATION:

Penicillin and Beta – Lactamase Inhibitor Combination

Antibiotics

MODE OF ACTION:

Amoxicillin binds to penicillin- binding proteins, thus inhibiting final

transpeptidation step of peptidoglycan synthesis in bacterial cell walls; addition of

clavulanate inhibits beta-lactamase- producing bacteria, allowing amoxicillin extended

spectrum of action. It is a semisynthetic antibiotic with a broad spectrum of bactericidal

activity, covering both gram-negative and gram-positive microorganisms. Not effective

against Mycoplasma and Legionella spp. Therapeutic Effect: Amoxicillin is bactericidal

in susceptible microorganisms. Clavulanate protects amoxicillin from enzymatic

degradation.

DOSE AND ROUTE:

PO: Children older than 3 months, weighing 40 kg or more: (Mild – Moderate): 500

mg q12h or 250 mg q8h. (Severe): 875 mg q12h or 500 mg q8h. (Extended-Release):

2,000 mg q12h. Weighing less than 40 kg: (Mild-Moderate): 25 mg /kg/day in 2

divided doses or 20 mg/kg/day in 3 divided doses. (Severe): 45 mg/kg/day in 2 divided

doses or 40 mg/kg/day in 3 divided doses. Maximum Single Dose: 500 mg. Less than 3

months: Amoxicillin 30 mg/kg/day divided q12h using 125mg/5 ml suspension only.


INDICATIONS:

 Lower respiratory tract infection

 Chronic obstructive pulmonary disease

 Acute bacterial sinusitis

 UTI

 Erysipelas

 Pyelonephritis

 Skin Abscess

 Diabetic Foot

 Group A Streptococci, Chronic Carrier

CONTRAINDICATIONS:

 Hypersensitivity to amoxicillin, clavulanate, any penicillins.

 History of cholestatic jaundice or hepatic impairment with amoxicillin/ clavulanate

therapy

SIDE EFFECTS:

 Diarrhea

 Rash

 Nausea

 Vomiting
ADVERSE EFFECTS:

Antibiotic-associated colitis, other superinfections (abdominal cramps, severe

watery diarrhea; fever) may result from altered bacterial balance in GI tract. Severe

hypersensitivity reactions, including anaphylaxis, acute interstitial nephritis, occur rarely.

DRUG INTERACTIONS:

 Allopurinol may increase incidence of rash.

 Probenecid may increase concentration, toxicity risk.

NURSING RESPONSIBILITIES:

1. Assess client for any history of allergies, especially penicillins, cephalosporins,

renal impairment

R: For baseline data and to avoid occurrence of allergic reactions

2. Instruct client to report if any of the following occurs:

 Rash

 Diarrhea (fever, abdominal pain, mucus and blood in stool)

R: this may indicate antibiotic-associated colitis

3. Monitor client for fever, vomiting, diarrhea. Black “hairy” tongue, ulceration or

changes of oral mucosa, anal or genital pruritus

R: these are signs of superinfections.

4. Monitor Renal and Hepatic tests with prolonged therapy


R: to assess for the effectiveness of the drug

5. Instruct client to increase oral fluid intake

R: to maintain adequate hydration

REFERENCES:

Augmentin, Augmentin XR (amoxicillin/clavulanate) dosing, indications, interactions,

adverse effects and more. (2019, September 28). Retrieved from

https://reference.medscape.com/drug/augmentin-amoxicillin-clavulanate-

342474#10

Kizior, R. J., & Hodgson, K. J. (2020). Saunders nusing drug handbook 2020. St. Louis,

MO:Elsevier.

MIMS Australia. (2019). Mims annual: June 2019. St Leonards, N.S.W.

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