Classifications: antiinfective; quinolone antibiotic
Pregnancy Category: C
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 patient is adequately hydrated, yet I&O ratio and pattern changes are noted, or if condition does not improve within a few days. Dosage may need to be modified.
Patient & Family Education
- Take drug at same times each day.
- Take drug exactly as prescribed. Erratic dosing can encourage emergence of resistant bacteria; underdosing or premature discontinuation of treatment can cause return of UTI symptoms.
- Keep fluid intake high (at least 2500–3000 mL/d if tolerated) to provide adequate urine output and hydration, important in the prevention of crystalluria (rare side effect).
- Do not breast feed while taking this drug without consulting physician.