NURS 1556 Clinical Medications Worksheets

Generic Trade Classification Dose Route Time/frequency

Name Name Anti infective 100 mg PO BID everyday
Nitrofurantoin Macrobid

Peak Onset Duration For IV meds, compatibility with IV drips and /or
30 min Unknown 6-12 solutions
N/A
(Why med ordered) Nursing Implications (what to focus on)
Contraindications/warnings/interactions
For prevention and treatment of UTI Appears on beers list. May increase risk for renal,
hepatic and pulmonary reactions.
Mechanism of action and indications Common side effects
Drowsiness, anorexia, nausea, vomiting,
Readily absorbed after oral administration. Where it is hypersensitivity reactions, photosensitivity, dizziness,
then partially metabolized by the liver; 30-50% of this diarrhea, rust or brown colored urine
drug is excreted unchanged by the kidneys

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
Pt on Prilosec which may decrease absorption and can
Interfere with bacterial enzymes.
Nursing Process- Assessment
(Pre-administration assessment)
Assess for signs and symptoms of UTI
(frequency, urgency, pain, burning, fever,
cloudy or fowl smelling urine) before and
during therapy. Obtain specimens for
culture. Monitor I&O’s
Lab value alterations caused by medicine
Pt should have her CBC monitored due to this
medication, may decrease the normal levels of serum
glucose, bilorubin, alkaline phosphtase and
creatinine.
Be sure to teach the patient the following about
this medication. May cause a rusty to brownish
yellow color in urine. Notify your nurse in charge if
any peripheral neuropathy occurs, fever, chills,
cough, chest pain, skin rash, or if any urine or mucus
contains blood.
Assessment Evaluation
Why would you hold or not give Check after giving
this med? Reassess vital signs
If hypotension occurs hold the med
because this med causes dizziness or
drowsiness.