Med Card Levofloxacin PDF

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Levofloxacin...

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INSTRUCTIONS: 1. For each chapter that teaches about medications, fill in the following table regarding the chosen meds. CLASS: Fluoroquinolones GENERIC NAME: Levofloxacin TRADE NAMES: N/A MOA: Inhibits bacterial DNA synthesis by inhibiting DNA gyrase enzyme. (antibiotic) INDICATIONS: UTI’s, bacterial prostatitis, pneumonia, acute bacterial exacerbations of chronic bronchitis, bacterial sinusitis, skin infections, post-exposure to inhalational anthrax, treatment and prophylaxis of plague. CONTRAINDICATIONS/PRECAUTIONS: Contraindications: hypersensitivity, QTc interval prolongation, hypokalemia, hypomagnesemia, antiarrhythmics, HX of myasthenia gravis, lactation. Precautions: known or suspected CNS disorder, depression, renal impairment, cirrhosis, use of corticosteroids, kidney/heart/or lung transplants, pts with or at risk of aortic aneurysms, dialysis pts, pregnancy. INTERACTIONS with other Drugs/Substances: amiodarone, disopyramide, procainamide, quinidine, dofetilide, sotatlol, increase in serum levels of theophylline and can lead to toxicity, (antacid, iron salts, bismuth subsalicylate, sucralfate, and zinc salts can decrease absorption of the antibiotic.), warfarin (cause bleeding), cimetidine, probenecid (decrease urine elimination), cyclosporine, corticosteroids (risk=tendon rupture), may increase risk of hypoglycemia with antidiabetic agents. PATIENT RESPONSE / COMMON SIDE ADVERSE REACTIONS: S/S TOXICITY: TOXICITY/OVERDOSE REACTIONS: EFFECTS: Elevated intracranial TX: Could lead to liver toxicity DESIRED OUTCOME: Nausea, abdominal pain, pressure, seizures, suicidal diarrhea, vomiting, thoughts/behaviors, Death of susceptible bacteria photosensitivity, agitation, anxiety, lightheadedness, confusion, depression, dizziness, hallucinations, headache, insomnia, nightmares, paranoia, toxic psychosis, aortic aneurysm, QT interval prolongation, stevens-johnson syndrome, rash, hyperglycemia, hypoglycemia, vaginitis, phlebitis at IV site, arthralgia, myalgia, tendinitis, tendon rupture, peripheral neuropathy, tremor, hypersensitivity (anaphylaxis). NURSING ACTIONS: ASSESS: CARE/IMPLEMENT: TEACH: EVALUATE: • Administer medication for Asses for infection (vitals, Do not confuse • Resolution of the appearance of wound, levofloxacin with Infection. • Instruct pt to take signs and sputum, urine and stool, levetiracetam. • Assess pt for medication as symptoms of WBC’s,), observe for PO: may be administer with directed and to bacterial infection. contraindications and symptoms of anaphylaxis, or without meals. Products finish completely possible drug interactions monitor BM, assess for containing calcium, before administration

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Educate pt and family on administration and side/adverse effects. Evaluate pt for desired effects.

rash, signs of peripheral neuropathy, assess for suicidal tendencies, depression or changes in behavior. Look for increase of AST, ALT, LDH, bilirubin, and alkaline as it may increase these levels.

magnesium, aluminum, iron, or zinc should not be ingested for 4hr before or 2 hr after administration. IV: Dilute to a with 0.9% NaCl, D5W, D5/0.9% NaCl, D5/0.45% NaCl, or D5/LR.

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even if feeling better. Advise healthcare provider immediately if taking theophylline. Encourage pt to maintain a fluid intake of at leae 1500-2000 mL/day. Advise pt that antacids or medications with calcium, magnesium, aluminum, iron, or zinc will decrease absorption and should not be taken within 4hr before and 2hr after taking medication. May cause dizziness and drowsiness. Avoid driving or doing anything requiring alertness until response to medication is established. Report heart conditions to doctor Wear sunscreen and protective clothing to prevent phototoxicity reactions Notify doctor of any other medications,

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Avoidance of signs and symptoms of inhalation anthrax Prevention and treatment of plague.

vitamins, minerals, or herbal products. • Notify is fever and diarrhea develop, especially if pus or blood is seen. • Notify of rash jaundice, hypersensitivity or tendon rupture. • Notify pt and family to watch for signs of suicidal behaviors. • Advise female pt’s to notify if pregnant or plans to become pregnant and to avoid breastfeeding during and 2 days after drug therapy. SPECIAL CONSIDERATIONS/NOTES: Pt’s with existing heart conditions should be closely monitored due to aortic aneurysm....