NURS 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency

Ciprofloxacin Cipro antibiotic
fluoroquinalone 400 mg IV Q 12 hr
Peak Onset Duration Normal Dosage Range
End of infusion Rapid 12 hr 400 mg Q 12 hr

Why is your patient getting this medication: For IV meds, compatibility with IV drips and/or solutions
May be used for intra-abdominal infections Recommended temporary suspension of other fluids when
administering Cipro.

Mechanism of action and indications: Nursing Implications (what to focus on)

(Why med ordered.) Contraindications/warnings/interactions
Hypersensitivity.
Rx inhibits bacterial DNA synthesis by inhibiting DNA gyrase. Geri: Increased risk of adverse reactions.
Therapeutic effect: death of susceptible bacteria.

Common side effects: CNS: SEIZURES, dizziness, H/A, insomnia,

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically):
MOM may decrease the absorption of Cipro
Nursing Process- Assessment
(Pre-administration assessment)
Vital signs,
Observe for signs of anaphylaxis, tendon pain.
acute psychosis, agitation, confusion, drowsiness.
GI: PSEUDOMEMBRANOUS COLITIS, diarrhea, N/V, abdominal
pain, increased LFTs.
Derm: photosensitivity, rash.
Endo: hyperglycemia, hypoglycemia.
MS: tendinitis, tendon rupture.
Misc: hypersensitivity reactions: ANAPHYLAXIS, STEVENS-
JOHNSON SYDROME
Lab value alterations caused by medicine:
May increase serum AST, ALT, LDH, bilirubin, and alkaline
phosphatase. May increase or decrease serum glucose.
Be sure to teach the patient the following about this medication:
May take with food to decrease GI irritation. Take 1 hour before or 2 hours
after dairy products. Encourage pt to maintain fluid intake of at least
1500- 2000 ml /day to prevent crystalluria. Report signs of superinfection;
(furry tongue, loose stools.)
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Resolution of S/S of infection, No
signs of superinfection.
Signs of tendon pain, swelling, redness.
Severe rash, pruritis.
Severe diarrhea, signs of
pseudomembranous colitis.