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Drug Cipro

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NURS 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency


Ciprofloxacin Cipro antibiotic
fluoroquinalone 400 mg IV Q 12 hr
Peak Onset Duration Normal Dosage Range
End of infusion Rapid 12 hr 400 mg Q 12 hr

Why is your patient getting this medication: For IV meds, compatibility with IV drips and/or solutions
May be used for intra-abdominal infections Recommended temporary suspension of other fluids when
administering Cipro.

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


(Why med ordered.) Contraindications/warnings/interactions
Hypersensitivity.
Rx inhibits bacterial DNA synthesis by inhibiting DNA gyrase. Geri: Increased risk of adverse reactions.
Therapeutic effect: death of susceptible bacteria.

Common side effects: CNS: SEIZURES, dizziness, H/A, insomnia,


acute psychosis, agitation, confusion, drowsiness.
GI: PSEUDOMEMBRANOUS COLITIS, diarrhea, N/V, abdominal
pain, increased LFTs.
Derm: photosensitivity, rash.
Endo: hyperglycemia, hypoglycemia.
MS: tendinitis, tendon rupture.
Misc: hypersensitivity reactions: ANAPHYLAXIS, STEVENS-
JOHNSON SYDROME
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine:
medicines (ask patient specifically): May increase serum AST, ALT, LDH, bilirubin, and alkaline
phosphatase. May increase or decrease serum glucose.
MOM may decrease the absorption of Cipro
Be sure to teach the patient the following about this medication:
May take with food to decrease GI irritation. Take 1 hour before or 2 hours
after dairy products. Encourage pt to maintain fluid intake of at least
1500- 2000 ml /day to prevent crystalluria. Report signs of superinfection;
(furry tongue, loose stools.)
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
med? Resolution of S/S of infection, No
Vital signs, signs of superinfection.
Observe for signs of anaphylaxis, tendon pain. Signs of tendon pain, swelling, redness.
Severe rash, pruritis.
Severe diarrhea, signs of
pseudomembranous colitis.

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