Lomefloxacin (levaquin)

INDEX Generic Name lomefloxacin

Trade Name Levaquin

Peak Onset unknown rapid Why is your patient taking this medication?

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency anti-infectives 500-750mg PO every 12 hour

Duration 24 hour

Mechanism of action and indications Treatment of UTIs; gyneclgic infections; gonorrhea; prostatis; RTIs including sinusitis; skin and skin structure infections; bone and joint infections; infectious diarrhea; intra-abdominal infections; perioperative prophylaxis before transurethral procedures; febrile neutopenia; post-exposure treatment of inhalational anthrax. Death of susceptible bacteria

For IV meds, compatability with IV drips and/or solutions

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivy; Pregnancy; underlying CNS pathology; renal impairment; cirrhosis; geriatic patients; dialysis patients; lactation.

Common side effects Seizures; dizziness; drowsiness; headache; insomnia; acute psychoses; agitation; confusion; hallucinations; increased intracranial pressure; tremors; pseudomembranous colitis; abdominal pain; diarrhea; nausea; altered taste; vaginitis; photsensitivity; hyperglycemia; hypoglycemia; hypersensitivy reactions including anaphylaxis, stevens-johnson syndrome Lab value alterations caused by medicine

Interactions with other patient drugs, OTC, or herbal 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.