Medication Administration Documentation Form-metronidazole
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School
University of Texas, Arlington *
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Course
3361
Subject
Medicine
Date
Feb 20, 2024
Type
docx
Pages
2
Uploaded by MateMusic10090
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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