DRUG MECHANISM OF INDICATION SIDE EFFECTS/ADVERSE CONTRAINDICATIO NURSING CONSIDERATION

NAME ACTION EFFECT N

Bactericidal: Inhibits • Acute infection CNS: Headache, dizziness, Contraindicated with
Brand Name: DNA synthesis in with susceptible ataxia, vertigo, hypersensitivity to Assessed the patient’s history of CNS or hepatic
specific (obligate) anerobic bacteria incordination, insomnia, metronidazole; disease ; candidiasis (moniliasis); blood dyscrasias
Flagyl anaerobes causing • Acute intestinal seizures, peripheral pregnancy (do not
cell death; amebiasis neuropathy, fatigue use for
Generic antiprotozoal- • Amebic liver trichomoniasis in first Assessed the reflexes, affect; skin lesions, color ( with
Name: trichomonacidal, abscess GI: Unpleasant metallic trimester). topical application); abdominal examination, liver
Metronidazol ambecidal: • Trichomoniasis taste, anorexia, nausea, palpation; urinalysis, CBC, LFT’s.
e Bioechemical (acute and partners vomiting, diarrhea, GI •Use cautiously with
mechanism of action of patients with upset, cramps CNS diseases, •Take full course of drug theraphy; take the drug with
is not known. acute infection) hepatic disease, food if GI upset occurs.
Classification • Bacterial GU:Dysuria, incontinence, candidiasis
Antibiotic, vaginosis darkening of the urine (moniliasis), blood • Advised patient not to drink ( alcohol, cough syrups)
Antibacterial, • Preoperative, dyscrasias, lactation. severe reactions may occur.
Amebicide, intraoperative, Local:Thrombophlebitis
Antiprotozoal postoperative (IV); redness, burning, • Educate patient baout his urine may be darker color
prophylaxis for dryness, and skin irritation than usual; this is expected.
patients (topical)
DOSAGE: undergoing • Explained to the patient to refrain from sexual
500 mg tab 1 colorectal surgery. Other: Severe, disulfiram- intercourse during treatment for trichomoniasis, unless
bid • Topical like interaction with alcohol, partner wears a condom.
application: candidiasis (superinfection) • Applied the topical preparation by cleansing the area
Treatment of and then rubbing a thin film into the affected area.
inflammatory Avoid contact with eyes cosmetics may be applied to
papules, pustules, the area after application.
and erythema\ of
rosacea • Warned patient that he may experience these side
• Unabeled uses: effects: Dry mouth with strange metallic taste
Prophylaxis for (frequent mouth care, sucking sugarless candies may
patients help);nausea, vomiting, diarrhea (eat frequent meals).
undergoing
gynecologic, • Advised patient to report to health care provider if
abdominal surgery; there is severe GI upset, dizziness, unusual fatigue or
hepatic weakness, fever, and chills.
encephalopathy;
Crohn’s disease;
antibiotic-
associated
pseudomembranou
s colitis; treatment
of
Gardnellavaginalis,
giardiasis (use
recommended by
CDC); infected
decubitus ulcers;
perioral dermatitis