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Flagyl must only be administered under the direction of the physician. Perform a focused neurological assessment of the patient. Metronidazole (Flagyl) may cause adverse CNS effects such as ataxia, neuropathy, and encephalopathy. Assess the patient’s veins in preparation for administering Flagyl.
Metronidazole may be carcinogenic. Administer oral doses with food. Apply topically (MetroGel) after cleansing the area. Advise patient that cosmetics may be used over the area after application. Reduce dosage in hepatic disease. Teaching points. Take full course of drug therapy; take the drug with food if GI upset occurs.
Learning Objectives. • Identify the classifications and actions of antimicrobial medications. • Give examples of when, how, and to whom antimicrobial drugs may be administered. • Identify the side effects and special considerations associated with antimicrobial therapy.
26 cze 2023 · Objectives: Describe the indications to begin metronidazole therapy. Outline dosing of metronidazole for some of the more common indications. Describe the importance of antibiotic stewardship when initiating a broad-spectrum antimicrobial like metronidazole.
Purpose of medication: resolve infection; Take full course of medication. Orally: twice daily with food; Avoid alcohol; Intravaginally. Self-administration at bedtime, using applicator; Do not engage in vaginal intercourse or use products like tampons or douches while being treated with an intravaginal treatment; Lifestyle modifications
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.
Nursing Considerations Therapeutic Effects Side/Adverse Effects; Antiprotozoal-Antibacterial: metrogel metronidazole IV: Check for allergies Topical, vaginal, PO, or IV Don’t give by IV push. Infuse over 30 to 60 minutes Contraindications: Pregnancy, hypersensitivity, or use of alcohol or disulfiram during therapy
