INDICATION Relief of moderate to moderately severe pain
CONTRAINDICATION Contraindicated with allergy to tramadol or opioids or acute intoxication with alcohol, opioids, or psychoactive drugs Use cautiously with pregnancy, lactation; seizures; concomitant use of CNS depressants, MAOIs, SSRIs, TCAs, renal impairment; hepatic impairment
NURSING RESPONSIBILITY Control environment (temperature, lighting) if sweating or CNS effects occur †Warning Limit use in patients or present history of addiction to or dependence on opioids You may experience these side effects: Dizziness, sedation, drowsiness, impaired visual acuity (avoid driving or task that require alertness); nausea, loss of appetite (lie quietly, eat frequent small meals) Report severe nausea, dizziness, severe constipation
NAME
DOSE
CLASSIFICATION
INDICATION
CONTRAINDICATION
SIDE EFFECTS
NURSING RESPONSIBILITY note reason for therapy Assess patient for infection prior to and during therapy. Obtain specimens for culture and sensitivity before initiating therapy Observe patient for signs and symptoms of anaphylaxis (rash, pruritus, laryngeal edema, wheezing) Monitor prothrombin time closely in patients receiving fluoroquinolones and warafarin
Generic Name:Cipro floxacin Brand Names:Cipr obay
Ordered dose:500 mg 1 tab q12
Antibiotics (Quinolones)
Infections of the respiratory tract, middle ear, sinuses, eyes, kidneys and urinary tract, genital organs, abdomen, skin and soft tissues, bones and joints; further, septicemia, infections in patients with reduced host defense and for selective intestinal decontamination in immuno suppressed patients.
Hypersensitivity to quinolones Drugs that inhibit peristalsis Concurrent administration of tizanidine