Medication Administration Documentation Form-metronidazole

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University of Texas, Arlington *

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3361

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Medicine

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Feb 20, 2024

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docx

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Medication Administration Documentation Form Student______________________________ Patient Age/Sex:____________ Weight:____________ Allergies_______________________________ Drug Dose Route Reason Risks Safety Teaching/Evaluation Name (Generic/Brand): Metronidazole (Flagyl) Class (Pharm/ Therapeutic): anti-infectives, antiprotozoals, antiulcer agent Ordered Dose: Frequency: Time due: Route: Administration Instructions (specific to the route ): PO: administer on an empty stomach or may give with food or milk to minimize GI irritation. tablets may be crushed for patients with difficulty swallowing IV: administer premixed injection undiluted. do not refrigerate Vag: take dose at nighttime Indication(s)? Why is this patient receiving? What are the serious &/or most common adverse effects associated with this medication (general)? Stevens-johnson syndrome, abdominal pain, anorexia, nausea, seizures, dizziness, headache, aseptic meningitis (IV), encephalopathy (IV) Safe to administer? Y or N Why or why not? (Defend your answer with evidence collected in column 4 & 5) Planned Patient Teaching: -take medication as directed with evenly spaced times between doses, even if feeling better. do not skip or double up on doses. take missed dose asap -advise patients treated for trichomoniasis that sexual partners may be asymptomatic sources of reinfection and should be treated concurrently. patient should refrain from intercourse or use a condom to prevent reinfection -avoid intake of alcohol for at least 3 days after treatment, may cause N/V, flushing, headache, abd cramps -may cause dizziness or light-headedness -notify promptly if rash occurs -med may cause an unpleasant metallic taste -may cause urine to turn dark -avoid intercourse with vaginal gel -cosmetics may be used after application of topical gel Mechanism of Action: Disrupts DNA and protein synthesis in susceptible organisms Home or new medication? If Y is dose same or different? What are indications this medication is needed (Provide supporting evidence from VS, assessment, lab/dx findings)? Any Specific contraindications/ Black box warnings? Hypersensitivity, first trimester of pregnancy Drug Library What are the adverse

safe/usual dose range: PO adults: anaerobic infections (7.5 mg/kg every 6 hr not to exceed 4 g/day) Trichomoniasis (250 mg every 8 hr for 7 days) Amebiasis (500-750 mg every 8 hr for 5- 10 days) H. pylori (250 mg 4x daily or 500 mg twice daily for 1-2 weeks) effects/ warning/ precautions associated with this medication already present in your patient (Provide supporting evidence from VS, assessment, lab/dx findings)? Onset & Peak (Cardiac, Antidiabetic, Narcotics & Sedatives): Any drug/drug interactions? Cimetidine may increase levels and risk of toxicity Phenobarbital and rifampin may decrease levels and effectiveness Disulfiram-like reaction may occur with alcohol ingestion Increased risk of leukopenia with fluorouracil or azathioprine May increase levels and toxicity of phenytoin, lithium, and warfarin If not, what are your planned next steps? Did this medication achieve the desired outcome (provide evidence)? Is ordered dose a safe dose? Y or N What is the goal/expected outcome? Bactericidal, trichomonacidal, or amedbicidal action

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