Ciprofloxacin (Cipro) Nursing Considerations
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Outline
Generic Name
Ciprofloxacin
Trade Name
Cipro
Indication
Urinary tract infections, gonorrhea, respiratory tract infections, bronchitis,
pneumonia, skin and bone infections, infectious diarrhea, abdominal infections
Action
Inhibits bacterial DNA synthesis
Therapeutic Class
Anti-infectives
Pharmacologic Class
Fluoroquinolone
Nursing Considerations
• Contraindicated in allergies
• May cause QT prolongation, avoid use with other drugs that can cause QT
prolongation
• Can cause seizures, arrhythmias, pseudomembranous colitis, anaphylaxis,
Stevens Johnson syndrome
• May decrease effects of phenytoin
• Monitor renal panel
• Assess for infection, obtain cultures prior to therapy
• Monitor liver function tests
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Transcript
Hey guys, let’s talk about Ciprofloxacin also known as Cipro. This is an oral medication, as you can see here in the picture, and it also comes in an IV and topical form. So remember when we talk about the therapeutic class versus the pharmacologic class, the therapeutic class is what the drug does in the body while the pharmacologic class is the chemical effect. So for Cipro, the therapeutic class is anti-infective while the pharmacologic class is a fluoroquinolone. So how does Cipro work? So Cipro works by inhibiting bacterial DNA synthesis. Cipro is indicated for respiratory infections, skin and bone infections, gonorrhea, bronchitis, pneumonia, and infectious diarrhea.
Some of the side effects that we see with Cipro are abnormal liver function tests, rash, nausea, and sometimes diarrhea. So let’s take a look at a few nursing considerations for Cipro infection should be assessed during the administration of the medication and cultures should be obtained prior to the start of therapy. It’s important to mention ciprofloxacin can cause Steven Johnson syndrome, seizures, arrhythmias, pseudomembranous colitis, and anaphylaxis. Liver function and kidney functions should be monitored during Cipro therapy, Ciprofloxacin can decrease the effects of phenytoin. So remember that, be sure to educate the patient, to tell the provider of any allergies, inform the provider if a rash does occur, and they really should avoid use with drugs that cause QT prolongation. So an interesting and important fact, is there have been reports of Cipro causing tendon issues, specifically Achilles tendon ruptures, also retinal detachment, and should be avoided in patients with myasthenia gravis. That’s it for Ciprofloxacin or Cipro. Now go out and be your best self today. And as always happy nursing.
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nclex non med surg
Concepts Covered:
- Test Taking Strategies
- Respiratory Disorders
- Prenatal Concepts
- Prefixes
- Suffixes
- Legal and Ethical Issues
- Preoperative Nursing
- Bipolar Disorders
- Community Health Overview
- Immunological Disorders
- Childhood Growth and Development
- Medication Administration
- Adulthood Growth and Development
- Learning Pharmacology
- Anxiety Disorders
- Basic
- Factors Influencing Community Health
- Integumentary Disorders
- Trauma-Stress Disorders
- Somatoform Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Depressive Disorders
- Personality Disorders
- Cognitive Disorders
- Eating Disorders
- Substance Abuse Disorders
- Psychological Emergencies
- Hematologic Disorders
- Pregnancy Risks
- Concepts of Population Health
- Emotions and Motivation
- Delegation
- Oncologic Disorders
- Prioritization
- Postpartum Complications
- Endocrine and Metabolic Disorders
- Basics of NCLEX
- Fetal Development
- Labor and Delivery
- Gastrointestinal Disorders
- Communication
- Concepts of Mental Health
- Health & Stress
- Labor Complications
- Musculoskeletal Trauma
- EENT Disorders
- Urinary Disorders
- Urinary System
- Digestive System
- Central Nervous System Disorders – Brain
- Integumentary Disorders
- Tissues and Glands
- Developmental Theories
- Postpartum Care
- Cardiovascular Disorders
- Renal Disorders
- Newborn Care
- Disorders of Pancreas
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Renal and Urinary Disorders
- Newborn Complications
- Neurologic and Cognitive Disorders
- Cardiac Disorders
- Musculoskeletal Disorders
- Female Reproductive Disorders
- Shock
- Infectious Disease Disorders
- Nervous System
- Hematologic Disorders
- Disorders of the Posterior Pituitary Gland
- Psychotic Disorders