Nitrofurantoin (Macrobid) PDF

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Summary

drug summary...

Description

ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

nitrofurantoin (Macrobid) MEDICATION __________________________________________________________________________

46 REVIEW MODULE CHAPTER ___________

UTI antibiotic CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Nitrofurantoin is a broad-spectrum urinary antiseptic with bacteriostatic and bactericidal action. It injures bacteria by damaging DNA.

Therapeutic Use Acute UTIs Prophylaxis for recurrent lower UTIs

Complications Gastrointestinal (GI) discomfort Hypersensitivity reactions Blood dyscrasias Peripheral neuropathy Headache, drowsiness, dizziness

Medication Administration oral only

Contraindications/Precautions Impaired kidney function and a creatinine clearance below 40 mL/min are contraindications. Impaired kidney function increases the risk of toxicity because of the inability to excrete nitrofurantoin.

Nursing Interventions - Do not open capsules because of the possibility of tooth staining

Interactions n/a

Client Education Evaluation of Medication Effectiveness - A decrease in the manifestations of UTI, such as frequency, burning, and dysuria - Negative urine cultures and lower WBC counts - Resolution of GI disturbances, such as anorexia, diarrhea, nausea, and vomiting

ACTIVE LEARNING TEMPLATES

- Turns urine rust-yellow to brown and can stain teeth - Take with milk or food if GI upset occurs - Instruct clients to avoid nitrofurantoin while pregnan (can cause birth defects).

THERAPEUTIC PROCEDURE

A7...