Client teaching

amoxicillin

Take all prescribed medication

Take oral forms with food

Report adverse reactions

cephalexin

•Take with food

•Stop taking if signs of allergy

•Contact Provider if experiencing watery or bloody diarrhea

•Avoid alcohol

AZTREONAM

Report pain, redness, or swelling at IV site.

imipenem

Report nausea, especially if it occurs during IV infusion.

Report pain, swelling, or redness at the IV site.

Inform provider of all medication allergies.

Report mouth pain and difficulty with chewing or swallowing.

Report any vaginal irritation or abnormal discharge.

VANCOMYCIN

Report flushing and feelings of faintness during IV infusion.

Instruct clients to report tinnitus or perceived loss of hearing.

Instruct clients to report an increase or decrease in urine output.

Report pain, swelling, and redness at IV site immediately.

Report vertigo

TETRACYCLINES

•Take on an empty stomach (1hr before or 2 hrs. after meal) or only with non dairy foods.

•Wear sunscreen and protective clothing

•Store tetracycline in dark container

•Women of childbearing age on oral contraceptives - Use alternate form of birth control

erythromycin

•Take with food if GI distress

•Report palpitations and/or fainting

•Report hearing loss, vertigo, and tinnitus

gentamicin

Report onset of tinnitus, headache, vertigo, or hearing loss to provider.

Report an increase in the output of dilute urine to provider.

ciprofloxacin

•Report CNS symptoms

•Decrease caffeine use

•Report tendon pain

•Avoid exposure to sun – use protective clothing and sunscreen

•take antacids, iron, calcium, dairy products, and sucralfate 2hr after or 6 hrs. before

•Drink 1.5 to 2 L of fluids/day

trimethoprim and sulfamethoxazole

•Drink adequate water – 1200 – 1500 mL per day

•Take with food

•Oral dose- give with 8 oz water

•Report rash and hives

•Report fatigue, pallor, easy bruising, etc.

•Avoid alcohol

•For women of childbearing age on oral contraceptives – use an alternate form of contraception

Multiple drug interactions

nitrofurantoin

•Take with food or milk

•Report respiratory symptoms

•Report numbness, tingling, and weakness of extremities

•Report fatigue, easy bruising, or repeated infections

•Do not open or crush capsule

•Dilute liquid form in milk or juice and immediately rinse out mouth

ISONIAZID

Teach patient to recognize jaundice, neuropathy

RIFAMPIN

Report abdominal pain, nausea, fatigue, or jaundice promptly.

Advise no alcohol consumption during treatment.

Warn about potential permanent staining of soft contact lenses; consult an optometrist.

Report any GI symptoms to provider.

Take medication with food or open capsule into food if GI upset occurs (note: food may decrease absorption).

Advise women on oral contraceptives to use an alternate birth control method and consult their provider.

metronidazole

•Take before, with, or after meal if GI symptoms occur

•Report severe GI symptoms to MD

•Report severe CNS symptoms to MD

•Explain about darkened urine and metallic taste

•**Avoid alcohol

CHLOROQUINE

•Advise to wear sunglasses to help with visual effects

•Have them report any vision changes to the provider

•Can take just before or after a meal to help with GI symptoms

AMPHOTERICIN B

•Teach about infusion reaction 

•Report increasing fatigue to MD

•Keep all lab appointments.

KETOCONAZOLE

•Report abdominal pain, jaundice, fatigue or anorexia to MD

•Take with food to minimize GI symptoms

•Do not take antacids

•Do not drive or perform hazardous activities

ACYCLOVIR

•AVOID SCRATCHING APPLICATION SITE.

•AVOID GETTING TOPICAL FORM IN EYES.

•TAKE WITH FOOD IF GI SYMPTOMS OCCUR.

•REPORT BURNING AND PAIN AT IV SITE.

•REPORT PERSISTENT SKIN SYMPTOMS.

•REPORT CNS SYMPTOMS EARLY TO MD.