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 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.

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