This medication may cause mild diarrhea, stomach upset, nausea, vomiting or irritation at injection site during the first few days as your body adjusts to the medication.

If these symptoms persist or worsen, inform your doctor.

Notify your doctor immediately if you develop watery diarrhea, stomach cramps, fever, unusual bleeding or bruising, yellowing of the eyes or skin or unusual tiredness or weakness.

Use of this medication for prolonged or repeated periods may result in a secondary infection (e.g., oral, bladder or vaginal yeast infection). In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately

Symptoms of an allergic reaction include wheezing, difficulty breathing, skin rash, hives, itching.

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Precautions:

Before using this drug tell your doctor your medical history especially of any kidney disease, stomach/intestine diseases or allergies to penicillins, other antibiotics, procainamide, ester-type anesthetics (e.g., lidocaine) or PABA products (e.g., methylparaben).

Tell your doctor if you are pregnant before using this drug.

This drug is excreted into breast milk.

Consult your doctor before breast-feeding.

Generic Name: Penicillin G Procaine

Wycillin 600000 U/ml Disposable Syringe - Prescription

app03_dip_wksht.pdf

http://www.cdc.gov/nip/publications/surv-manual/app03_dip_wksht.pdf

unknown, doses, culture, vaccination, diphtheria, Antibiotics, Codes, age, Nasopharynx, throat, prophylaxis.

Were Antibiotics Given in the 24 Hours Before Culture?

Clinical swab Piece of membrane C. diphtheria isolate

Serum Specimen for Diphtheria Antitoxin Antibodies Obtained?

Known Exposure to Diphtheria Case or Carrier?

Has this Suspected Case been Reported to the State or Local Health Department?

7 days Suspected or Proven Diphtheria Identify Close Contacts!!

Notify lab and obtain culture for C. diphtheriae!

Maintain isolation until elimination of the organism is demonstrated by negative cultures of two samples obtained at least 24 hours apart after completion of antimicrobial therapy.

Detailed recommendations can be obtained from the package insert and other publications.

Antimicrobial therapy is not a substitute for antitoxin treatment.

penicillins.pdf

http://www.courses.ahc.umn.edu/pharmacy/6124/remmel_notes/penicillins.pdf

penicillins, infections, ampicillin, amoxicillin, piperacillin, ticarcillin, b-lactamase-producing, Enterobacter, clavulanic acid, inhibition, Strep.

SHV-1 & K1 found in Klebsiella Ps.aeruginosa Enterobacter sp.

1. Streptocococcal Infections - Pen G is the most potent compound of all the penicillins and cephalosporins for susceptible Gram + bacteria.

Clavulanic acid extends spectrum to b-lactamase-producing organisms.

Appendicitis or peritonitis caused by b-lactamase-producing E. coli or Bacteroides fragilis ii. Uncomplicated & complicated skin and skin structure infections caused by piperacillin-resistant b-lactamase-producing Staph.

1. Seizures may be precipitated if penicillins are infused intravenously at high doses too quickly.

For Groups A,C,G, H, L, M streptocococcal infections: 2.4 million units for adults For pneumococcal infections (except meningitis): 1.2 million units for adults, 600,000 for children.

PNE_Alpha_Data_Dict_High.pdf

CMS, Reporting Tool, CART order PNE, National Measurement Specifications, CMS National measurement, patient, Medications, discharges, documentation, admission, abstraction.

The General Abstraction Guidelines explain the different sections of the data element definitions and provide direction for common questions and issues that arise in medical record abstraction.

481 Pneumococcal pneumonia (Streptococcus pneumoniae pneumonia) 482.0 Bacterial pneumonia due to Klebsiella 482.

-Review only the acceptable sources to determine the earliest date the patient arrived at the hospital.

Select all that apply: Medicare (Title 18): Select this option if Medicare is listed as a payment source.

-Because this data element is critical in determining the population for many measures, the abstractor should NOT assume that the UB-92 claim information for the discharge date is correct.