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 ◙ Instruct patient not to take
contraindicated in ciprofloxacin with dairy
Ciprofloxacin 500mg topoisomerase used to treat ♣ Vomiting
persons with a products such as milk or
(DNA gyrase) infections of the
Frequency: history of ♣ Stomach pain H – Prevention or treatment of yogurt, or with calcium-
enzymes, skin, lungs, infection; signs and symptoms fortified juice. He may eat
Brand name: BID which inhibits airways, bones, and hypersensitivity to ♣ Heartburn
ciprofloxacin, any of infection like fever an pain or drink dairy products or
Quinosyn Route: relaxation of joints caused by
member of the ♣ Diarrhea are reduced. calcium-fortified juice with
supercoiled susceptible
Per Orem quinolone class of a regular meal, but do not
DNA and bacteria. ♣ Feeling an
antimicrobial agents, use them alone when taking
Classification: promotes Ciprofloxacin is urgent need E – Twice a day exactly at 6 am ciprofloxacin. They could
breakage of also frequently used or any of the product to urinate and 12 noon; Make sure to
Antibacterial components. make the medication less
double to treat urinary drink plenty of water or other effective.
stranded infections caused ♣ Headache
fluids everyday while taking
DNA. by bacteria such as ♣ Hives Ciprofloxacine; Do not take or ◙Tell patient that
Source: E. coli.  Coadministration Ciprofloxacin can cause
of ciprofloxacin with eat a lot of caffeine products
Ciprofloxacin is ♣ Difficulty side effects that may impair
such as coffee, tea, energy
◙ Nursing 2007 effective in treating other drugs primarily breathing or
drinks, cola or chocolate his thinking or reactions.
Drug Handbook infectious diarrheas metabolized by swallowing
within 6 hours before or 2 Tell patient to be careful if
27th Edition, caused by E. coli, CYP1A2 results in he plans to drive or do
increased plasma ♣ Hoarseness hours after you take
Lippincot Campylobacter anything that requires him
concentrations of or throat ciprofloxacin.
Williams & jejuni, and Shigella to be awake and alert.
these drugs and tightness
Wilkins bacteria.
could lead to ♣ Rapid, ◙Instruct patient to take
clinically significant C - Instruct client to report any ciprofloxacin with a full
irregular, or adverse reaction to the
adverse events of the pounding glass of water (8 ounces).
coadministered drug. physician or nurse. Tell patient
heartbeat that antacids and mineral ◙ Instruct patient to avoid
♣ Fainting supplements may decrease the taking antacids, vitamin or
absorption of Ciprofloxacin mineral supplements,
 Contraindicated ♣ Fever sucralfate (Carafate), or
for the treatment of which makes it less effective
certain sexually ♣ Joint or when taken at the same time. didanosine (Videx) powder
or chewable tablets within 6
transmitted diseases muscle pain hours before or 2 hours
by some experts due after you take ciprofloxacin.
♣ Unusual K - Do not take the medication
to bacterial These other medicines can
bruising or in larger amounts, or take it
resistance. make ciprofloxacin much
bleeding for longer than recommended
less effective when taken at
by your doctor.
♣ Extreme the same time.
 Concomitant tiredness ◙Inform patient that
administration
♣ Lack of Ciprofloxacin may cause
with tizanidine is
energy of swelling or tearing of a
contraindicated.
appetite tendon (the fiber that
connects bones to muscles
♣ Seizures in the body), especially in
♣ Dizziness the Achilles' tendon of the
heel. These effects may be
♣ Confusion more likely to occur if you
♣ Nervousness are over 60, if you take an
oral steroid medication, or
♣ Restlessness if you have had a kidney,
♣ Anxiety heart, or lung transplant.

♣ Difficulty ◙Instruct patient to stop

falling asleep taking ciprofloxacin and
or staying call the doctor at once if he
asleep has sudden pain, swelling,
tenderness, stiffness, or
♣ Pain in the movement problems in any
upper right of your joints. Also instruct
part of the patient to rest his joint until
stomach he receive medical care or
♣ Yellowing of instructions.
the skin or
eyes
♣ Dark urine