Copyright 2017 Wolters Kluwer All Rights Reserved Nursing Considerations for

Copyright 2017 wolters kluwer all rights reserved

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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Patients Receiving Cephalosporins Nursing Considerations for Patients Receiving Cephalosporins Assess: For possible contraindications or cautions: known allergy to any cephalosporin or penicillin Perform physical assessment Skin for any rash or lesions Culture and sensitivity tests Renal function tests
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Summary: Cefaclor Prototype Summary: Cefaclor
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Question Question You are writing a plan of care for a patient receiving Cefaclor. What would be an appropriate nursing diagnosis for this patient? 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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Copyright © 2017 Wolters Kluwer • All Rights Reserved Answer 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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Copyright © 2017 Wolters Kluwer • All Rights Reserved Fluoroquinolones Fluoroquinolones Relatively new class of antibiotics with a broad spectrum of activity Common medications- ciprofloxacin ( Cipro ), which is the most widely used fluoroquinolone, gemifloxacin ( Factive ), levofloxacin ( Levaquin ), moxifloxacin ( Avelox ),norfloxacin ( Noroxin ), ofloxacin ( Floxin, Ocuflox ), and finafloxacin ( Xtoro )
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Fluroquinolones Cont. Fluroquinolones Cont. Bactericidal 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 and cross the placenta and enter breast milk
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Fluoroquinolones (cont.) Fluoroquinolones (cont.) Contraindications Known allergy, pregnancy, or lactating women and renal disfuntion Adverse Effects Most common: Headache, dizziness, insomnia and depression Drug-to-Drug Interactions Antacids, quinidine, theophylline
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Patients Receiving Fluoroquinolones Nursing Considerations for Patients Receiving Fluoroquinolones Assess: Known allergy to any fluoroquinolone Perform physical assessment Examine the skin for any rash or lesions Perform culture and sensitivity tests Orientation, affect, and reflexes VS, and renal function tests
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Summary: Ciprofloxacin Prototype Summary: Ciprofloxacin
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  • Bacteria, Wolters Kluwer Health, Wolters Kluwer

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