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Daptomycin Overview: Uses & Guidelines

Daptomycin is a cyclic lipopeptide antibacterial agent indicated for complicated skin and skin structure infections caused by Gram-positive bacteria, with contraindications including hypersensitivity and severe renal impairment. Nursing responsibilities include monitoring CPK levels, renal function, and signs of superinfection, as well as educating patients on potential adverse reactions. The drug has a rapid onset with a half-life of 8.1 hours and is primarily excreted by the kidneys.

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Janneen Montero
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0% found this document useful (0 votes)
7 views3 pages

Daptomycin Overview: Uses & Guidelines

Daptomycin is a cyclic lipopeptide antibacterial agent indicated for complicated skin and skin structure infections caused by Gram-positive bacteria, with contraindications including hypersensitivity and severe renal impairment. Nursing responsibilities include monitoring CPK levels, renal function, and signs of superinfection, as well as educating patients on potential adverse reactions. The drug has a rapid onset with a half-life of 8.1 hours and is primarily excreted by the kidneys.

Uploaded by

Janneen Montero
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

Drug Name Classification Mechanism of Action Indication Contraindication Adverse Reaction Nursing Responsibilities

Generic Name: Pharmacologic: > Causes rapid depolarization It is indicated for: Contraindicated CNS : Before
of membrane potential in
Daptomycin Cyclic following binding to bacterial dizziness > Obtain CPK and blood
hypersensitivity
lipopeptide membrane; this results in > Complicated skin cultures.
to daptomycin.
antibacterial inhibition of protein, DNA, and and skin structure
RNA synthesis.
> Assess renal function
agents infections caused by CV:
history.
Gram-positive
Brand Name: bacteria hypertension,
> Screen for statin use.
Therapeutic Effects: hypotension
Cubicin, Cubicin Precaution:
RF Death of bacteria with
Therapeutic: > Staphylococcus CCr 30 mL/min,
resolution of infection. moderate-to-
aureus bacteremia GI:
Anti-infectives severe renal
(in adults)
impairment, CLOSTRIDIUM
Geriatric patients, DIFFICILE- During
Minimum Dose: Pregnancy, ASSOCIATED
Pharmacokinetics > Staphylococcus > Monitor for myopathy,
Lactation; Children DIARRHEA (CDAD),
4 mg/kg q48h IV aureus bacteremia
Absorption: <18 yr. constipation, CPK levels, and renal
(in pediatric
diarrhea, nausea, function.
Pregnancy IV administration results in patients)
vomiting, increase
Category: complete bioavailability > Assess oral cavity for
liver enzymes
thrush.
Maximum B
Drug Interaction:
Dose: Distribution: > Monitor bowel patterns
Drug-drug: GU: for diarrhea or colitis.
12 mg/kg q24h Unknown
Tobramycin renal failure
QD IV > Observe for signs of
increase blood superinfection
levels. Concurrent
Metabolism: HMG-CoA Hematologic: > Monitor for dizziness.
Availability and reductase
color: Unknown inhibitors may anemia
increase the risk of
Lyophilized myopathy.
powder for Excretion: LOCAL:
injection
(requires Mostly excreted by kidneys injection site
reconstitution): reactions.
350 mg/vial, 500 After
mg/vial. Half life: > Educate patient to report
Skin:
8.1 hr rash, headache, nausea,
DRUG RASH WITH dizziness, constipation,
Route: EOSINOPHILIA AND diarrhea, muscle pain, or
SYSTEMIC any new symptoms.
IV Onset:
SYMPTOMS (DRESS),
Rapid pruritus, rash

Peak: Resp:
End of infusion EOSINOPHILIC
PNEUMONIA,
dyspnea.
Duration:
24 hr Others:

kinase,
ANGIOEDEMA, fever.
Reference:

Vallerand, A. H., & Sanoski, C. A. (2021). Davis's drug guide for nurses. Seventeenth edition. Philadelphia, PA, F.A. Davis Company.

Vallerand, A. H., & Deglin, J. H. (2009). Davis's Drug Guide for Nurses Eleventh Edition - 20th Anniversary Edition. Eleventh edition. Philadelphia,
PA, F.A. Davis Company.

NOTE: The total grading scale for the drug study is 50 points

Grading Rubrics:
● Content/Completeness: 20 points
● Organization: 15 points
● Neatness: 5 points
● Adherence to the format and timely submission: 10 points

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