Generic Name

Brand Name
1.) Ferrous Sulfate Ferron

Classification
Supplement

Mechanism of Action
Elevates the serum iron
concentration which
then helps to form
High or trapped in the
reticuloendothelial
cells for storage and
eventual conversion to
a usable form of iron.

Indication
Prevention and treatment
of iron deficiency
anemias.
Dietary supplement for
iron.

Side Effects
Dizziness, Nausea and
Vomiting, Nasal
Congestion, Dyspnea,
Hypotension, CHF
MI, Muscle cramps,
Flushing

Nursing Responsibilities
Advice patient to take medicine as
prescribed.
Caution patient to make position
changes slowly to minimize
orthostatic hypotension.
Instruct patient to avoid concurrent
use of alcohol or OTC medicine
without consulting the physician.
Advise patient to consult physician
if irregular heartbeat, dyspnea,
swelling of hands and feet and
hypotension occurs.
Inform patient that angina attacks
may occur 30 min. after
administration due reflex
tachycardia.

2.) Ciprofloxacin

Quinosyn

Antibacterial

Inhibition of
topoisomerase (DNA
gyrase) enzymes,
which inhibits

Ciprofloxacin issued to
treat infections of the
skin, lungs, airways,
bones, and joints caused

Nausea, Vomiting, Stomach

pain, Heartburn, Diarrhea
Feeling an urgent need to
urinate, Headache, Hives,

Encourage patient to comply with

additional intervention for
hypertension like proper diet,
regular exercise, and lifestyle
changes and stress management.
Instruct patient not to take
ciprofloxacin with dairy products
such as milk or yogurt, or with
calcium-fortified juice. He may eat

relaxation of super
coiled DNA and
promotes breakage of
double stranded DNA.

by susceptible bacteria.
Ciprofloxacin is also
frequently used to treat
urinary infections caused
by bacteria such as E.
coli. Ciprofloxacin is
effective in treating
infectious diarrheas
caused by E. coli,
Campylobacter jejuni
,and Shigella bacteria

Difficulty breathing or
swallowing, Hoarseness or
throat tightness, Rapid,
irregular, or pounding
heartbeat, Fainting, Fever,
Joint or, muscle pain,
Unusual bruising or
bleeding, Extreme tiredness,
Lack of energy of appetite,
Seizures, Dizziness,
Confusion, Nervousness,
Restlessness, Anxiety,
Difficulty falling asleep or
staying asleep, Pain in the
upper right part of the
stomach, Yellowing of the
skin or eyes, Dark urine

or drink dairy products or calciumfortified juice with regular meal, but

do not use them alone when taking
ciprofloxacin. They could make the
medication less effective.
Tell patient that Ciprofloxacin can
cause side effects that may impair
his thinking or reactions. Tell patient
to be careful if he plans to drive or
do anything that requires him to be
awake and alert.
Instruct patient to take ciprofloxacin
with a full glass of water (8 ounces).
Instruct patient to avoid taking
antacids, vitamin or mineral
supplements, sucralfate (Carafate),
or didanosine (Videx) powder or
chewable tablets within 6 hours
before or 2 hours after you take
ciprofloxacin. These other
medicines can make ciprofloxacin
much less effective when taken at
the same time.
Inform patient that Ciprofloxacin
may cause swelling or tearing of a
tendon (the fiber that connects bones
to muscles in the body), especially

in the Achilles' tendon of the heel.

These effects may be more likely to
occur if you are over 60, if you take
an oral steroid medication, or if you
have had a kidney, heart, or lung
transplant.
Instruct patient to stop taking
ciprofloxacin and call the doctor at
once if he has sudden pain, swelling,
tenderness, stiffness, or movement
problems in any of your joints. Also
instruct patient to rest his joint until
he receive medical care or
instructions.

3.) Levofloxacin

Levan

Antibiotic,
Fluoroquinolone

Semisynthetic
antibacterial agent that
inhibits bacterial DNA
gyrase, necessary for
supercoiling
(conversion of
intermediate fragments
into high molecular
weight DNA) of the
DNA, thereby
preventing DNA
replication,
transcription, repair
and recombination i
susceptible bacteria.

Infections caused by
susceptible strains of
microorganisms in acute
maxillary sinusitis, acute
bacterial exacerbation of
chronic bronchitis,
community-acquired
pneumonia, nosocomial
pneumonia,
uncomplicated skin and
skin structure infections,
complicated and
uncomplicated urinary
tract infection (UTI) and
acute pyelonephritis.

Nausea, diarrhea, headache,

dizziness, insomnia,
musculoskeletal effects,
pain, reddening of the
infusion site, phlebitis,
increase in liver enzymes,
eosinophilia, leukopenia,
asthenia, fungal overgrowth
and proliferation of other
resistant microorganisms.
Eye irritation, eyelid
itching, shock-like
symptoms. Hypersensitivity,
corneal lesion.

Lab tests: Do C&S test prior to

beginning therapy and periodically.
Withhold therapy and report to
physician immediately any of the
following: Skin rash or other signs
of a hypersensitivity reaction, CNS
symptoms such as seizures,
restlessness, confusion,
hallucinations, depression; skin
eruption following sun exposure;
symptoms of colitis such as
persistent diarrhea; joint pain,
inflammation, or rupture of a
tendon; hypoglycemic reaction in
diabetic on an oral hypoglycemic
agent.
Patient & Family Education
Learn important indications for
discontinuing drug and immediately
notifying physician.
Consume fluids liberally while
taking levofloxacin.
Allow a minimum of 2 h between
drug dosage and taking any of the
following: Aluminum or magnesium
antacids, iron supplements,
multivitamins with zinc, or
sucralfate.

Avoid exposure to excess sunlight or

artificial UV light.
Avoid NSAIDs while taking
levofloxacin, if possible.
Do not breast feed while taking this
drug.