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(ci-pro-flox’a-cin)
Cipro, Cipro IV, Cipro XR
CIPROFLOXACIN OPHTHALMIC

Ciloxan
Classifications:
antiinfective; quinolone antibiotic
Pregnancy Category: C

Assessment & Drug Effects

  • Report tendon inflammation or pain. Cipro needs to be discontinued.
  • Lab tests: Culture and sensitivity tests should be done prior to initial dose. Treatment may be implemented pending results.
  • Monitor urine pH; it should be less than 6.8, especially in the older adult and patients receiving high dosages of ciprofloxacin, to reduce the risk of crystalluria.
  • Monitor I&O ratio and patterns: Patients should be well hydrated; assess for S&S of crystalluria.
  • Monitor plasma theophylline concentrations, since drug may interfere with half-life.
  • Administration with theophylline derivatives or caffeine can cause CNS stimulation.
  • Assess for S&S of GI irritation (e.g., nausea, diarrhea, vomiting, abdominal discomfort) in clients receiving high dosages and in older adults.
  • Monitor PT and INR in patients receiving coumarin therapy.
  • Assess for S&S of superinfections (see Appendix F).

Patient & Family Education

  • Immediately report tendon inflammation or pain. Cipro should be discontinued.
  • Fluid intake of 2–3 L/d is advised, if not contraindicated.
  • Report sudden, unexplained joint pain.
  • Restrict caffeine due to the following effects (e.g., nervousness, insomnia, anxiety, tachycardia).
  • Report possible toxicity. If taking theophylline derivatives, there is potential for adverse effects.
  • Report nausea, diarrhea, vomiting, and abdominal pain or discomfort.
  • Use caution with hazardous activities until reaction to drug is known. Drug may cause light-headedness.
  • Do not breast feed while taking this drug.

What Do You Think?


Source: http://nursingcrib.com/drug-guides/ciprofloxacin-hydrochloride/


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