CIPROFLOXACIN HYDROCHLORIDE

To receive automatic updates of Nursing News, Nursing Care Plans, Case Studies and the November 2008 Nursing Board Exam Result: click Subscribe to NursingCrib.com by Email or via RSS. If you have other topics to discuss, make a post on our Nursing Crib Forum. Thanks for visiting and enjoy your stay!

(ci-pro-flox’a-cin)
Cipro, Cipro IV, Cipro XR
CIPROFLOXACIN OPHTHALMIC
Ciloxan
Classifications: antiinfective; quinolone antibiotic
Pregnancy Category: C

NURSING IMPLICATIONS

Assessment & Drug Effects

• Report tendon inflammation or pain. Cipro needs to be discontinued.
• Lab tests: Culture and sensitivity tests should be done prior to initial dose. Treatment may be implemented pending results.
• Monitor urine pH; it should be less than 6.8, especially in the older adult and patients receiving high dosages of ciprofloxacin, to reduce the risk of crystalluria.
• Monitor I&O ratio and patterns: Patients should be well hydrated; assess for S&S of crystalluria.
• Monitor plasma theophylline concentrations, since drug may interfere with half-life.
• Administration with theophylline derivatives or caffeine can cause CNS stimulation.
• Assess for S&S of GI irritation (e.g., nausea, diarrhea, vomiting, abdominal discomfort) in clients receiving high dosages and in older adults.
• Monitor PT and INR in patients receiving coumarin therapy.
• Assess for S&S of superinfections (see Appendix F).

Patient & Family Education

• Immediately report tendon inflammation or pain. Cipro should be discontinued.
• Fluid intake of 2–3 L/d is advised, if not contraindicated.
• Report sudden, unexplained joint pain.
• Restrict caffeine due to the following effects (e.g., nervousness, insomnia, anxiety, tachycardia).
• Report possible toxicity. If taking theophylline derivatives, there is potential for adverse effects.
• Report nausea, diarrhea, vomiting, and abdominal pain or discomfort.
• Use caution with hazardous activities until reaction to drug is known. Drug may cause light-headedness.
• Do not breast feed while taking this drug.

Other Nursing Articles you may want to look at:

• ESOMEPRAZOLE MAGNESIUM (e-so-me’pra-zole) Nexium Classifications: gastrointestinal agent; proton pump inhibitor Prototype: Omeprazole Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients. Monitor phenytoin levels with concurrent use. Monitor INR/PT with concurrent
• TRAMADOL HYDROCHLORIDE (tra’ma-dol) Ultram, Zydol  Classifications: central nervous system (cns) agent; analgesic; narcotic (opiate) agonist Prototype: Morphine sulfate Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Assess for level of pain relief and administer prn dose as needed but not to exceed the recommended total daily dose. Monitor vital signs and
• NORFLOXACIN (nor-flox’a-sin) Chibroxin, Noroxin Classifications: antiinfective; quinolone antibiotic Prototype: Ciprofloxacin Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Collect urine specimens for testing before initiating antibiotic. Lab tests: Periodic WBC with differential, liver enzymes, and alkaline phosphatase, especially with prolonged use. Report to the physician if
• MOXIFLOXACIN HYDROCHLORIDE (mox-i-flox’a-sin) Avelox, Vigamox Classifications: antiinfective; antibiotic; quinolone Prototype: Ciprofloxacin Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor therapeutic effectiveness indicated by clinical improvement of infection. Monitor for and notify physician immediately of adverse CNS effects. Notify physician immediately for S&S of hypersensitivity (see Appendix F). Lab tests: C&S
• CEFUROXIME SODIUM (se-fyoor-ox’eem) Kefurox, Zinacef CEFUROXIME AXETIL Ceftin Classifications: antiinfective; antibiotic; second-generation cephalosporin Prototype: Cefonicid sodium Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Determine history of hypersensitivity reactions to cephalosporins, penicillins, and history of allergies, particularly to drugs, before therapy is initiated. Lab tests: Perform culture and sensitivity tests before