XII.

Drug Study

Mechanism Indication Contraindication Adverse Nursing Responsibilities Nursing Implication

of Action Reactions

Generic Name: Dosage: Inhibition of Ciprofloxacin is  Ciprofloxacin is ♣ Nausea C – Antibacterial ◙Tell patient that
contraindicated in Ciprofloxacin can cause
Ciprofloxacin 500mg topoisomerase used to treat ♣ Vomiting
persons with a side effects that may impair
(DNA gyrase) infections of the
Frequency: history of ♣ Stomach pain H – Prevention or treatment of his thinking or reactions.
enzymes, skin, lungs, infection; signs and symptoms Tell patient to be careful if
Brand name: BID which inhibits airways, bones, and hypersensitivity to ♣ Heartburn
ciprofloxacin, any of infection like fever an pain he plans to drive or do
Quinosyn Route: relaxation of joints caused by
member of the ♣ Diarrhea are reduced. anything that requires him
supercoiled susceptible
Per Orem quinolone class of to be awake and alert.
DNA and bacteria. ♣ Feeling an
promotes Ciprofloxacin is antimicrobial agents, ◙Inform patient that
Classification: urgent need E – Twice a day exactly at 6 am
breakage of also frequently used or any of the product to urinate and 12 noon; Make sure to Ciprofloxacin may cause
Antibacterial double to treat urinary components. swelling or tearing of a
drink plenty of water or other
stranded infections caused ♣ Headache tendon (the fiber that
fluids everyday while taking
DNA. by bacteria such as ♣ Hives Ciprofloxacine; Do not take or connects bones to muscles
Source: E. coli.  Coadministration in the body), especially in
of ciprofloxacin with eat a lot of caffeine products
Ciprofloxacin is ♣ Difficulty the Achilles' tendon of the
such as coffee, tea, energy
◙ Nursing 2007 effective in treating other drugs primarily breathing or
drinks, cola or chocolate heel. These effects may be
Drug Handbook infectious diarrheas metabolized by swallowing
within 6 hours before or 2 more likely to occur if you
27th Edition, caused by E. coli, CYP1A2 results in are over 60, if you take an
increased plasma ♣ Hoarseness hours after you take
Lippincot Campylobacter oral steroid medication, or
concentrations of or throat ciprofloxacin.
Williams & jejuni, and Shigella if you have had a kidney,
these drugs and tightness
Wilkins bacteria. heart, or lung transplant.
could lead to ♣ Rapid,
clinically significant C - Instruct client to report any ◙Instruct patient to stop
irregular, or adverse reaction to the
adverse events of the pounding taking ciprofloxacin and
coadministered drug. physician or nurse. Tell patient call the doctor at once if he
heartbeat that antacids and mineral has sudden pain, swelling,
♣ Fainting supplements may decrease the tenderness, stiffness, or
 Contraindicated absorption of Ciprofloxacin movement problems in any
♣ Fever which makes it less effective
for the treatment of of your joints. Also instruct
certain sexually ♣ Joint or when taken at the same time. patient to rest his joint until
transmitted diseases muscle pain he receive medical care or
by some experts due instructions.
♣ Unusual K - Do not take the medication
to bacterial
bruising or in larger amounts, or take it
resistance.
bleeding for longer than recommended
by your doctor.
♣ Extreme
 Concomitant tiredness
administration
with tizanidine is ♣ Lack of
contraindicated. energy of
appetite
♣ Seizures
♣ Dizziness
♣ Confusion
♣ Nervousness
♣ Restlessness
♣ Anxiety
♣ Difficulty
falling asleep
or staying
asleep
♣ Pain in the
upper right
part of the
stomach
♣ Yellowing of
the skin or
eyes
♣ Dark urine