spr10antibioticlectpart2

spr10antibioticlectpart2 - SusanHampson MiscellaneousAgents...

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Miscellaneous Antibiotics Susan Hampson
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Miscellaneous Agents Mechanism of action is something other  than cell wall disruption or disruption of  protein synthesis Groups include: fluoroquinolones,  rifampin, metronidiazole, polymixin B
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Ciprofloxacin (Cipro) Therapeutic Effects/Uses Treat UTI, lower respiratory tract, skin,  bone, joint infection Mode of Action Interferes with enzyme DNA gyrase,  needed for DNA synthesis. Result is  bacterial cell death.
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Contraindications/Precautions Ciprofloxacin(Cipro) Contraindications Pregnancy, lactation Known allergy to this group Age < 18 yrs. Precautions GI disease (colitis) Hepatic, renal dysfunction CNS disorders (Seizures)
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Adverse Effects Cipro SERIOUS- Athropathy COMMON- GI distress CNS effects rare Photosensitivity
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Nursing Implications Cipro Full pt. history Pregnancy status Use of antacids,  caffeine Take on empty  stomach Take until GONE! Avoid sun, UV rays Small frequent  meals Twice a day dosing
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Levofloxacin (Levaquin) Therapeutic Effects/Uses Treat lower respiratory tract, renal, bone,  joint infection Mode of Action Interferes with enzyme DNA gyrase,  needed for bacterial DNA synthesis
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Levofloxicin (Levaquin) Contraindications and precautions  similar to Ciprofloxacin Side Effects GI distress, dizziness, fatigue, rash,  tinnitus, photosensitivity Adverse Reactions Encephalopathy, seizures, colitis,  dysrhythmias
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This note was uploaded on 05/30/2011 for the course NUR 212 taught by Professor Susanhampson during the Spring '11 term at St. Xavier.

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spr10antibioticlectpart2 - SusanHampson MiscellaneousAgents...

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