Metronidazole (Flagyl) Nursing Considerations

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Outline

Generic Name

metronidazole

Trade Name

Flagyl

Indication

intra-abdominal infections, gynecoligical infections, skin infections, bone and joint infections, CNS
infections, septicemia, endocarditis, amebic liver abscess, peptic ulcer disease

Action

Inhibits DNA and protein synthesis in bacteria, bactericidal

Therapeutic Class

anti-infectives, antiprotozoals, antiulcer agents

Pharmacologic Class

none

Nursing Considerations

• do not take with alcohol-disulfiram reaction
• assess for infection before and during treatment
• obtain cultures before therapy
• monitor neurologic status: parasthesia, weakness, ataxia, or seizures
• monitor intake and output, daily weights
• may alter liver enzyme tests

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Transcript

Okay, let’s take a look at the drug metronidazole. Also known as fragile. This is an oral medication, but it also comes in other forms like Topol, as you can see here, vaginal rectal and IV forms, the therapeutic class, or how metronidazole works in the body is an anti-infective and anti proteol. And also an anti ulcer agent, the pharmacologic class, or the chemical effect of this drug is a nitro imidazole metronidazole works as a bacterial Cytal agent inhibiting DNA and protein synthesis in bacteria. We use this drug for intraabdominal infections for gynecologic infections, skin infections, bone and joint infections, central nervous system infections septicemia also for endocarditis am EIC liver disease and peptic ulcer disease. 

So remember metronidazole is Ayal agent. So sometimes good bacteria is destroyed with the bad bacteria, which can create some side effects, including abdominal cramps diarrhea. Also, we can see things like anorexia and dry mouth. So some of the nursing considerations assess for infection in your patient before an during treatment with fragile obtain cultures prior to the start of therapy, monitory your patients, eyes and OS daily weights, as well as their logic status, including weakness paresthesia and seizures. Make sure to teach your patient to not take with alcohol as this can result in a diol reaction. So guys, one more thing with this drug is it is not uncommon for patients to get the, is metallic taste in their mouth, which is kind of weird. Um, but just recognize that and make them aware of that before it happens and also fragile or meite is always only active against anaerobic bacteria and has little to no effect against aerobic bacteria, which means it’s really important that this drug is prescribed for the correct infection. That’s it for metronidazole or fragile now go out and be your best self today and as always happy nursing the.

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S25 Week 3 Study Plan (Hematology, Oncology, Skin, MS, Sensory, Mental Health, Pharm)

Concepts Covered:

  • Test Taking Strategies
  • EENT Disorders
  • Prefixes
  • Suffixes
  • Disorders of the Adrenal Gland
  • Integumentary Disorders
  • Bipolar Disorders
  • Disorders of the Posterior Pituitary Gland
  • Hematologic Disorders
  • Immunological Disorders
  • Medication Administration
  • Musculoskeletal Disorders
  • Labor Complications
  • Musculoskeletal Trauma
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Important Points
  • Learning Pharmacology
  • Anxiety Disorders
  • Disorders of Pancreas
  • Trauma-Stress Disorders
  • Oncology Disorders
  • Somatoform Disorders
  • Dosage Calculations
  • Depressive Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Psychological Emergencies
  • Liver & Gallbladder Disorders
  • Upper GI Disorders
  • Urinary System
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Shock
  • Respiratory Disorders
  • Nervous System
  • Urinary Disorders
  • Pregnancy Risks
  • Psychotic Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Glaucoma
Glaucoma
54 Common Medication Prefixes and Suffixes
Addisons Disease
Burn Injuries
Burn Injuries
Cataracts
Cataracts
Nursing Care and Pathophysiology for Cushings Syndrome
Macular Degeneration
Macular Degeneration
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Ulcers/Pressure injuries (Braden scale)
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Essential NCLEX Meds by Class
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
6 Rights of Medication Administration
Hearing Loss
Hearing Loss
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoporosis
Thrombocytopenia
Blood Transfusions (Administration)
Fractures
Fractures
Nursing Care and Pathophysiology for Hyperthyroidism
Integumentary (Skin) Important Points
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Hypothyroidism
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Anxiety
Basics of Calculations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Generalized Anxiety Disorder
Leukemia
Diabetes Management
Lymphoma
Oral Medications
Post-Traumatic Stress Disorder (PTSD)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Injectable Medications
Oncology Important Points
Somatoform
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Mood Disorders (Bipolar)
Depression
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Alcohol Withdrawal (Addiction)
Grief and Loss
Suicidal Behavior
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Benzodiazepines
MAOIs
SSRIs
TCAs
Insulin
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
Renin Angiotensin Aldosterone System
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Calcium Channel Blockers
Cardiac Glycosides
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
Autonomic Nervous System (ANS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
HMG-CoA Reductase Inhibitors (Statins)
Magnesium Sulfate
NSAIDs
Corticosteroids
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Vasopressin
Dissociative Disorders
Proton Pump Inhibitors
Schizophrenia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)