NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

fluconazole Diflucan antifungals 200 mg PO Q D for 7 x Days
Peak Onset Duration For IV meds, compatibility with IV drips and /or
2-4 hrs. Unknown 24 hr solutions

Mechanism of action and indications (Why med ordered)
Inhibits synthesis of fungal sterols, a necessary
component of the cell membrane. Fungal infections
caused by susceptible organisms, including, Peritonitis.
Prevention of candidiasis in patients who have undergone
bone marrow transplantation. For thrush.
Nursing Implications (what to focus on)
Contraindications/warnings/interactions –
Hypersensitivity, liver disease.
Common side effects – headache, dizziness, seizures,
Hepatoxicity, Anaphylaxis, Stevens-Johnson syndrome

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine – Monitor
medicines (ask patient specifically) – Increases activity BUN and serum creatinine levels periodically. Liver
of Warfarin. Increase levels and effects of function tests before and periodically. May cause
benzodiazepines such as Ativan. increase AST, ALT serum alkaline phosphate, and
bilirubin concentrations.
Be sure to teach the patient the following about this
medication – No double doses. Call Dr. if skin rash,
abdominal pain, fever, or diarrhea becomes pronounced,
dark urine or pale stools.
Nursing Process- Assessment (Pre- Assessment Evaluation Check after
administration assessment) – Assess infected Why would you hold or not give this giving – Resolution of
area and monitor CSF cultures. med? - skin rash, abdominal pain, fungal infection.
fever, or diarrhea becomes pronounced