Ciprofloxacin Unit 2 PDF

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Summary

Ciprofloxacin Drug Card...

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Student Name: Samantha Mendoza Classification: Antibiotics Generic Name: Ciprofloxacin Expected Pharmacological Action: Medical definition: Inhibits bacterial DNA synthesis, mainly by blocking DNA gyrase./Lay terminology: It is used to treat varieties of bacterial infections. Usual Dose: Tablets: 100 mg, 250 mg, 500 mg, 750 mg Usual routes: PO; IV Therapeutic Uses: Common Adverse Effects:

Expected

Severe or complicated UTI

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Headache

Severe or complicated bone or joint infection

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Nausea/vomiting

Lower respiratory tract infections

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Restlessness

Adverse Effects Requiring Nursing Action: Adverse Effects

Action: Prevention/Assessment/Intervention

Seizures

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Stop medication. Place patient safely on the floor with no hard objects around  Prevent patient from possibly biting tongue.  Assess ABC. 

Leukopenia

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Hypersensitiv ity

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Assess CBC Monitor signs of leukopnia Stop medication Assess for rash, hives, redness and itchiness Assess for patent airway

Likely Medication/Food Interactions: Iron salts: May decrease absorption of ciprofloxacin reducing antiinfective response. Give at least 2 hours apart. Steroids: May increase risk of tendinitis and tendon rupture. (Black Box Warning) Tizanidine: Increases tizanidine levels, causing low BP, somnolence,

dizziness, and slowed psychomotor skills. Use together is discouraged. Yerba Mate: May decrease clearance of herb’s methylxanthines and cause toxicity. Discourage use together.

Administration/Interventions/Evaluation of Effectiveness/Laboratory Work 

Black Box Warning: Fluoroquinolones have been associated with disabling and potentially irreversible serious adverse reactions that have occurred together, including tendinitis and tendon rupture, peripheral neuropathy, and CNS effects. Drug is associated with increased risk of serious adverse CNS reactions.

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May increase alkaline, phosphatase, ALT, AST, bilirubin, BUN, creatinine, LDH, and GGT levels.

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May decrease WBC, neutrophil, and platelet counts.

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Contraindicated in hypersensitivity to fluoroquinolones.

Patient Education: What will the safe nurse teach the client to DO or expect or report? Tell patient to take drug as prescribed, even after feeling better. Advise patient to drink plenty of fluids to reduce risk of urine crystals. Advise patient not to crush, split, or chew the extended-release tablets.  Tell patient that tendon rupture can occur with drug and to notify prescriber if pain or inflammation occurs.   

Citations: Lippincott Williams & Wilkins. (2020). Nursing2020 Drug Handbook. Philadelphia....