Name: Patients Name Drug Study: Generic Name Ciprofloxacin Dosage: 500mg Frequency: BID Route: Per Orem

Classification: Antibacteria Brand Name Quinosyn

Yr/Block: Diagnosis:

Date: Hospital:

Indication Ciprofloxacin isused to treatinfections of theskin, lungs,airways, bones, and joints caused bysusceptible bacteria.Ciprofloxacin isalso frequently usedto treaturinaryinfectionscaused by bacteria such asE. coli.Ciprofloxacin iseffective in treatinginfectious diarrheas caused by E. coli, Campylobacter jejuni , and Shigellabacteria

Action Inhibition of topoisomerase(DNA gyrase)enzymes,which inhibitsrelaxation of supercoiledDNA and promotes breakage of doublestrandedDNA

Side Effects Nausea Vomiting Stomach pain Heartburn Diarrhea Feeling an urgent need tourinate Headache Difficulty breathing or swallowing Hoarseness or throattightness Rapid, irregular, or pounding heartbeat Fainting Fever Joint or muscle pain Unusual bruising or bleeding Extreme tiredness Lack of energy ofappetite Seizures Dizziness Confusion Nervousness Restlessness Anxiety Difficulty falling asleepor staying asleep Pain in the upper right part of the stomach Yellowing of the skin

Nursing Management -Instruct patient not to take ciprofloxacin withdairy products such as milk or yogurt, or withcalcium-fortified juice. He may eat or drink dairy products or calciumfortified juice with a regular meal, but do not use them alone when takingciprofloxacin. They could make the medicationless effective - Tell patient that Ciprofloxacin can cause sideeffects that may impair his thinking or reactions.Tell patient to be careful if he plans to drive or doanything that requires him to be awake and alert .Instruct patient to take ciprofloxacin with a fullglass of water (8 ounces) . Instruct patient to avoid taking antacids, vitaminor mineral supplements, sucralfate (Carafate), or didanosine (Videx) powder or chewable tabletswithin 6 hours before or 2 hours after you takeciprofloxacin. These other medicines can makeciprofloxacin much

less effective when taken atthe same time Inform patient that Ciprofloxacin may causeswelling or tearing of a tendon (the fiber thatconnects bones to muscles in the body),especially in the Achilles' tendon of the heel.These effects may be more likely to occur if youare over 60, if you take an oral steroidmedication, or if you have had a kidney, heart, or lung transplant. Instruct patient to stop taking ciprofloxacin andcall the doctor at once if he has sudden pain,swelling, tenderness, stiffness, or movement problems in any of your joints. Also instruct patient to rest his joint until he receive medicalcare or instructions.

Nursing Pharmacology

Sir Rellie Castro