INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name anti-infectives
lomefloxacin Levaquin 500-750mg PO every 12 hour

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
unknown rapid 24 hour
Why is your patient taking this medication?

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

Treatment of UTIs; gyneclgic infections; gonorrhea; Contraindications/warnings/interactions Hypersensitivy; Pregnancy;
prostatis; RTIs including sinusitis; skin and skin structure underlying CNS pathology; renal impairment; cirrhosis; geriatic patients;
infections; bone and joint infections; infectious diarrhea; dialysis patients; lactation.
intra-abdominal infections; perioperative prophylaxis
before transurethral procedures; febrile neutopenia;
post-exposure treatment of inhalational anthrax. Common side effects Seizures; dizziness; drowsiness; headache; insomnia;
acute psychoses; agitation; confusion; hallucinations; increased intracranial
Death of susceptible bacteria pressure; tremors; pseudomembranous colitis; abdominal pain; diarrhea;
nausea; altered taste; vaginitis; photsensitivity; hyperglycemia; hypoglycemia;
hypersensitivy reactions including anaphylaxis, stevens-johnson syndrome
Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
amiodarone; disopyramide; erythromycin; pentamidine;
phenothiazines; pimozide; procainamide; quinidine;
sotalol; tricyclic; antidepressants; theophylline; anacids; Be sure to teach the patient the following about this medication
iron salts; bismuth subsalicylate; sucralfate; zinc salts; rash/tendon pain or inflammation occur. Fluid intake of at least 1500-2000 ml/day
warfarin; phenytoin; glyburide; antidiabetics; antieoplastics; to prevent crystallura; antacids or meds containing iron will decrease absorption
Cimetidine; nitrofurantoin; probenecid; cyclosporine; should not be taken 6 hr before; fever and idarrhea develop call doctor
foscarnet; corticosteroids; Fennel; concurrent tube feeding; use sunscreen; gonorrhea (partners must be treated also); Superinfection: furry
milk; yogurt; food and/or dairy products. overgrowth on tongue, vaginal itching or discharge, loose foul-smelling stools.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
Vital signs; appearance of wound, sputum,urine, this med? Resolution of the signs and symptoms of
and stool; WBC; urinalysis; frequency and allergy infection. Resolution of the signs and
urgency of urination; cloudy or foul-smelling anaphylaxis symptoms of UTI.
urine prior to and during therapy. rash or tendon pain or inflammation occur Negative urine culture
Post exposure treatment of inhalational
anthrax or cutaneous anthrax.