INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name Anti-infectives
ciprofloxacin 500-750mg PO every 12 hours (most infections)
250-500mg PO every 12 hours; or 1000mg every 24 hour for 10-14 days
for UTIs
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
1-2 hours rapid 12 hours
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Treatment of UTIs and gynecologic infections, Gonorrhea
Prostatis, skin and skin structure infections, bone and
joint infections, infectious diarrhea, intra-abdominal
infections, febrile neutropenia, post-exposure treatment
of inhalational anthrax
Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
theophylline levels; antacids; iron salts; bismuth subsalicylate;
sucralfate; zinc salts; warfarin; phenytoin; glyburide;
anti-diabetics; anti-neoplastics; cimetidine; nitrofurantoin;
Probenecid; cyclosporine; fosrine; corticosteroids; Fennel'
concurrent tube feeding; milk; yogurt; food and/or dairy
products
Nursing Process - Assessment Assessment
(Pre-administration assessment) Why would you hold or not give
Assess for infection (vital signs; appearance of this med?
wound, sputum, urine, and stool; WBC; urinalysis; allergy
frequency and urgency of urination; cloudy or anaphylaxis
foul-smelling urine); Signs and symptoms of
anaphylaxis (rash, pruritus, laryngeal edema and
wheezing)
Contraindications/warnings/interactions hypersensitivity; cross-sensitivity;
pregnancy; underlying CNS patholology; renal impairment;cirrhosis;
geriatric patients; lactation.
Common side effects seizures; dizziness; drowsiness; headache; insomnia;
acute psychoses; agitation; confusion; hallucinations; increased intracranial
pressure; tremors; pseudomembranous colitis; abdominal pain; diarrhea;
nausea; altered taste; vaginitis; photsensitivity; rash; hyperglycemia;
hypoglycemia; tendinitis; tendon rupture; anaphylaxis; Stevens-Johnson
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Maintain a fluid intake of at least 1500-2000ml/day; antacids will decrease the
absorption; use sunscreen; gonorrhea patients' partners must also be treated;
report signs of superinfection (furry overgrowth on tongue; vaginal itching; or
discharge; loose or foul-smelling stools); report fever and diarrhea especially if
stool contains blood, pus, or mucus; report rash, tendon pain or inflammation.
Evaluation
Check after giving
resolution of the signs and symptoms of
infection. Resolution of signs and symptoms
of UTIs. Negative urine culture; Post exposure
treatment of inhalational anthrax or
cutaneous anthrax.