MOXIFLOXACIN HYDROCHLORIDE


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(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 before initiation of therapy and baseline serum potassium with history of hypokalemia.

Patient & Family Education

  • Exercise care in timing of consumption of vitamins and antacids (see ADMINISTRATION).
  • Drink fluids liberally, unless directed otherwise.
  • Increased seizure potential is possible, especially when history of seizure exists.
  • Stop taking drug and notify physician if experiencing palpitations, fainting, skin rash, severe diarrhea, ankle/foot pain, agitation, insomnia.
  • Avoid engaging in hazardous activities until reaction to drug is known.
  • Do not breast feed while taking this drug.

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  • 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
  • AMPICILLIN SODIUM AND SULBACTAM SODIUM (am-pi-sill’in/sul-bak’tam) Unasyn Classifications: antiinfective; antibiotic; aminopenicillin Prototype: Ampicillin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Determine previous hypersensitivity reactions to penicillins, cephalosporins, and other allergens prior to therapy. Lab tests: Baseline C&S tests prior to initiation of therapy; start drug pending results. Report promptly unexplained
  • PIPERACILLIN SODIUM (pi-per’a-sill-in) Pipracil Classifications: antiinfective; beta-lactam antibiotic; antipseudomonal penicillin Prototype: Mezlocillin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Obtain history of hypersensitivity to penicillins, cephalosporins, or other drugs prior to administration. Lab tests: C&S prior to first dose of the drug; start drug pending results. Periodic CBC
  • LOPERAMIDE (loe-per’a-mide) Imodium, Imodium AD, Kaopectate III, Maalox Anti-diarrheal, Pepto Diarrhea Control Classifications: gastrointestinal agent; antidiarrheal Prototype: Diphenoxylate HCl with atropine sulfate Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Monitor therapeutic effectiveness. Chronic diarrhea usually responds within 10 d. If improvement does not occur within this time, it is unlikely that
  • AMLODIPINE (am-lo’di-peen) Norvasc Classifications: cardiovascular agent; calcium channel blocker; antihypertensive agent Prototype: Nifedipine Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor BP for therapeutic effectiveness. BP reduction is greatest after peak levels of amlodipine are achieved 6–9 h following oral doses. Monitor for S&S of dose-related peripheral

This entry was posted on Wednesday, September 19th, 2007 and is filed under Pharmacology. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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