Drug Classificat Mode of Indicatio Contraindic Side Nursing consideration

ion action n ation effects

Levofloxacin antiinfective; A broad- Treatment of Hypersensitivity to CNS: Assessment & Drug Effects
antibiotic; spectrum maxillary levofloxacin and Headache,
quinolone fluoroquinolone sinusitis, acute quinolone antibiotics; insomnia,  Lab tests: Do C&S test prior to
antibiotic that exacerbations hypokalemia, tendon dizziness. GI: beginning therapy and
inhibits DNA of bacterial pain, pregnancy Nausea, periodically.
bacterial bronchitis, (category C); syphilis; diarrhea,  Withhold therapy and report
topoisomerase II, community- viral infections; constipation, to physician immediately any
an enzyme acquired phototoxicity; vomiting, of the following: Skin rash or
required for DNA pneumonia, lactation. abdominal other signs of a
replication, uncomplicated pain, hypersensitivity reaction (see
transcription, skin/skin dyspepsia. Appendix F); Patient & Family
repair, and structure Skin: Rash, Education
recombination. infections, UTI, pruritus.
acute Special Senses:  Learn important indications
pyelonephritis Decreased for discontinuing drug and
caused by vision, foreign immediately notifying
susceptible body physician.
bacteria; sensation,  Consume fluids liberally while
chronic transient taking levofloxacin.
bacterial ocular
 Allow a minimum of 2 h
prostatitis; burning,
between drug dosage and
bacterial ocular pain,
taking any of the following:
conjunctivitis. photophobia.
Aluminum or magnesium
Urogenital:
antacids, iron supplements,
Vaginitis. Body
multivitamins with zinc, or
as a Whole:
sucralfate.
Injection site
 Avoid exposure to excess
pain or
sunlight or artificial UV light.
inflammation,
 Avoid NSAIDs while taking
chest or back
levofloxacin, if possible.
pain, fever,
 Do not breast feed while
pharyngitis.
taking this drug.
Drug Classificat Mode of Indicati Contraind Side effects Nursing
ion action on ication consideration
aminophy Relaxes Symptomatic Contraindicated CNS: Irritability  Caution patient not to
lline bronchial relief or with (especially children); chew or crush enteric-
smooth prevention of hypersensitivity restlessness, dizziness, coated timed-release
muscle, bronchial to any xanthine muscle twitching, forms.
causing asthma and or to seizures, severe
bronchodilati reversible ethylenediamine depression, stammering  Give immediate-
on and bronchospas , peptic ulcer, speech; abnormal release, liquid dosage
increasing m associated active gastritis; behavior characterized by forms with food if GI
vital capacity, with chronic rectal or colonic withdrawal, mutism, and effects occur.
which has bronchitis irritation or unresponsiveness
been and infection (use alternating with  Do not give timed-
impaired by emphysema rectal hyperactive periods release forms with
bronchospas preparations). food; these should be
m and air >CV: Palpitations, sinus given on an empty
trapping; in tachycardia, ventricular stomach 1 hr before or
higher tachycardia, life- 2 hr after meals.
concentration threatening ventricular
s, it also arrhythmias, circulatory  Maintain adequate
inhibits the failure hydration.
release of
slow-reacting > GI: Loss of appetite,  Monitor results of
substance of hematemesis, epigatric serum theophylline
anaphylaxis
levels carefully, and
(SRS-A) and
> GU: Proteinuria, arrange for reduced
histamine.
increased excretion of dosage if serum levels
renal tubular cells and exceed therapeutic
RBCs; diuresis range of 10–20
(dehydration), urinary mcg/mL.
retention in men with
prostate enlargement  Take serum samples to
 determine peak
>Respiratory: theophylline
Tachypnea, respiratory concentration drawn
arrest 15–30 min after an IV
loading dose.

 Monitor for clinical

signs of adverse
effects, particularly if
serum theophylline
levels are not available.

 Ensure that diazepam

is readily available to
treat seizures.
-
Drug Classific Mode of Indicati Contraind Side effects Nursing
ation action on ication consideration
albutero  Bronchodila It To control Hypersensitivity CNS: Restlessness,  Use minimal doses for
l tor relieves nasal and prevent to adrenergic apprehension, anxiety, fear, minimal periods; drug
(therapeutic congestion an reversible amines, CNS stimulation, tolerance can occur
); d reversible airway Hypersensitivity hyperkinesia, insomnia, with prolonged use.
adrenergics bronchospasm obstruction to tremor, drowsiness,  Maintain a beta-
(pharmacolo by relaxing the caused by fluorocarbons irritability, weakness, adrenergic blocker
gic) smooth asthma or vertigo, headache (cardioselective beta-
muscles of the chronic CV: Cardiac arrhythmias, blocker, such as
bronchioles. obstructive tachycardia, palpitations, atenolol, should be
The relief pulmonary PVCs (rare), anginal pain used with respiratory
from nasal disorder Dermatologic: Sweating, distress) on standby in
congestion an (COPD), pallor, flushing case cardiac
d Quick relief GI: Nausea, vomiting, arrhythmias occur.
bronchospasm for heartburn, unusual or bad  Do not exceed
is made bronchospas taste in mouth recommended dosage;
possible by m, For the GU: Increased incidence of administer pressurized
the following prevention leiomyomas of uterus when inhalation drug forms
mechanism of exercise- given in higher than human during second half of
that takes induced doses in preclinical studies inspiration, because
place when bronchospas Respiratory: Respiratory the airways are open
Salbutamol is m, Long- difficulties, pulmonary wider and the aerosol
administered term control edema, coughing, distribution is more
agent for bronchospasm, paradoxical extensive.
patients with airway resistance with
chronic or repeated, excessive use of
persistent inhalation preparations
bronchospas
m