Cefaclor (Ceclor) Nursing Considerations

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Generic Name


Trade Name



Treatment of respiratory tract infections, skin infections, otitis media


Bactericidal, binds to bacterial cell wall causing cell death

Therapeutic Class


Pharmacologic Class

Cephalosporin 2nd generations

Nursing Considerations

• Contraindicated in cephalosporin and possibly penicillin allergies
• May need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at
IV site, anaphylaxis
• Assess infection and allergies
• Obtain cultures prior to therapy
• Monitor bowel function
• May lead to superinfection

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Hey guys, let’s talk about, Cefaclor also known as Ceclor. This is an oral medication, as you can see here in the picture, this is the packaging of the medication in its capsule form. It also can be given as an injectable. Okay, guys. So, remember when we talk about the therapeutic class, this is the action of medication in the body while the pharmacologic class is its actual chemical effect. So for Cefaclor, its therapeutic class is an anti-infective while the pharmacologic class is a second-generation cephalosporin. So how does Cefaclor work? So it’s bactericidal, which means it binds to the bacterial cell wall causing cell death. We use this medication for respiratory tract infections, skin, soft tissue infections, and also otitis media. Okay. So what are the common side effects of Cefaclor? Well, of course, sometimes we see diarrhea because those good bacteria are also being destroyed along with the bad. And with that, we can also see headaches, nausea, and vomiting. 

Okay. Let’s take a look at some of the nursing considerations for Cefaclor. Of course, you are going to want to ask your patients about any allergies and assess their signs of infection during therapy. Before therapy, obtaining cultures is super important. Also know that Cefaclor may lead to serious issues like seizures, pseudomembranous colitis, anaphylaxis, and also superinfection. Know that if you are giving this medication in its injectable form, there is a risk of phlebitis at the injection site. So make sure you’re aware of this and finally teach the patient to monitor their bowel function and also tell the provider if they are allergic to cephalosporins or penicillin. One interesting fact regarding Cefaclor when compared to other cephalosporin medications, there is no need for dosage adjustments for patients with diminished renal function. So that is definitely some good information. That’s it for Cefaclor or Ceclor. Now go out and be your best self today and as always happy nursing.

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