NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Levofloxacin Levaquin Peak Onset 1-2 hr Rapid
Classification Dose Route Time/frequency Anti-infectives 500 mg PO Q Day Duration Normal dosage range 24 hr 250-750 mg Q 24 hr
Why is your patient getting this medication Treatment of infection
For IV meds, compatibility with IV drips and/or solutions N/A
Mechanism of action and indications (Why med ordered) Inhibit bacterial DNA synthesis by inhibiting DNA gyrase. Sepctrum: Broad activity includes many Gram + Bacteria
Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity , Use cautiously in Geri patients. Common side effects Dizziness, drowsiness, headache, insomnia, abdominal pain, diarrhea, nausea, Arrhythmias
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Unknown
Nursing Process- Assessment (Pre-administration assessment) Assess for infection prior to and during therapy. Obtain specimens for culture and sensitivity before initiating therapy.
Lab value alterations caused by medicine May cause decreased WBC, increased or decreased serum glucose, and glucosuria, hematuria, proteinuria, and albuminuria Be sure to teach the patient the following about this medication Take medication as directed even if feeling better. Take missed doses as soon as possible, unless almost time for next dose, do not double. Maintain a fluid intake of at least 1500-2000 mL/day. May cause dizziness and drowsiness. Photosensitivity. Report signs of superinfection. Assessment Evaluation Why would you hold or not give this med? Hypersensitivity
Check after giving Resolution of the signs and symptoms of infection.