A. Deficient fluid volume and imbalanced nutrition: Less
than body requirements, related to diarrhea
B. Chronic pain related to GI, CNS effects of drug
C. Monitor renal function test values
D. Perform culture and sensitivity tests at the site of
infection

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Answer
a. Deficient fluid volume and imbalanced nutrition: Less
than body requirements, related to diarrhea
Rationale: Nursing diagnoses related to drug therapy might
include: Acute Pain related to GI, CNS effects of drug;
Risk for infection related to repeated injections; Deficient
fluid volume and imbalanced nutrition: Less than body
requirements, related to diarrhea; Deficient knowledge
regarding drug therapy

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Fluoroquinolones
•
Relatively new class of antibiotics with a broad spectrum of
activity
•
Indications:
Treating infections caused by susceptible
strains of gram-negative bacteria. Includes: urinary track,
respiratory track, and skin infections
•
Actions:
Interferes with DNA replication in susceptible
gram-negative bacteria, preventing cell reproduction
•
Pharmacokinetics:
–
Absorbed in GI tract
–
Metabolized in the liver
–
Excreted in urine and feces

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Fluoroquinolones (cont.)
•
Contraindications
–
Known allergy, pregnancy, or lactating women
•
Adverse Effects
–
Headache, dizziness, GI upset
•
Drug-to-Drug Interactions
–
Antacids, quinidine, theophylline

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Patients
Receiving Fluoroquinolones
•
Assessment: History and Examination
•
Nursing Diagnoses
•
Implementation With Rationale
•
Evaluation

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Summary:
Ciprofloxacin

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
What is a contraindication to receiving a fluoroquinolones?
A. Over 65 years
B. Weight under 100 pounds
C. Fluoroquinolones are contraindicated in patients with
known allergy to any fluoroquinolone.
D. History of cancer

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
c. Fluoroquinolones are contraindicated in patients with
known allergy to any fluoroquinolone.
Rationale: Fluoroquinolones are contraindicated in patients
with known allergy to any fluoroquinolone and in
pregnant or lactating patients
because potential effects
on the fetus and infant are not known.

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Penicillins and Penicillinase - Resistant
Antibiotics
•
Therapeutic Actions and Indications
•
Pharmacokinetics
•
Contraindications and Cautions
•
Adverse Effects
•
Clinically Important Drug
–
Drug Interactions

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Considerations for Patients
Receiving Penicillins and Penicillinase-
Resistant Antibiotics
•
Assessment: History and Examination
•
Nursing Diagnoses
•
Implementation With Rationale
•
Evaluation

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Prototype Summary:
Amoxicillin


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