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For the following medications, describe the category, action, indications, major side effects, adverse effects, expected outcome, and the nursing interventions and teaching before and after administration:
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Nitrofurantoin (Macrodantin)
- Urinary antiinfective
- ? Treats gram + and gram
- ? Inhibits bacterial enzymes and metabolism
- ? Side effects/adverse reactions
- Dizziness, HA, drowsiness
- Rust-colored or brown urine
- Rash, pruritus
- GI distress
- Superinfection, peripheral neuropathy, hepatotoxicity, Stevens-Johnson syndrome, blood dyscrasias
- Nursing interventions
- Take with food to decrease GI distress.
- Avoid antacids.
- Do not crush or open capsules.
- Shake liquid suspension well.
- Rinse mouth after taking drug.
- Do not drive or operate dangerous equipment.
- Increase fluid intake, consume cranberry juice, plums, proteins, vitamin C.
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Sulfonamides:
a.Trimethoprim-sulfamethoxazole (Bactrim)
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Quinolones:
- a.Ciprofloxacin (Cipro)
- b.Lomefloxacin (Maxaquin)
- c.Ofloxacin (Floxin)
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Urinary Analgesic:
a.Phenazopyridine HCl (Pyridium)
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Urinary Stimulant:
a.Bethanechol Cl (Urecholine, Duvoid)
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Urinary Antispasmodics:
- a.Flavoxate HCl (Urispas)
- b.Oxybutinin Cl (Ditropan)
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Antimuscarinic/Anticholinergic
- a.Tolterodine tartrate (Detrol)
- b.solifenacin succinate (Vesicare)
- c.darifenacin hydrobromide (Enablex
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