Which anti-fungal is contraindicated in pregnancy ?
Variconzole
what does Amphotericin B do?
Lowers potassium
Hepatoxicity big sign
Jaundice, Nose Bleed, and Anorexia
Why would you say is the treatment longer for
...
TB, how long do droplets last in the air?
6 hours
Immunocompromised patients at risk for?
more at risk to get infections
TB drugs- why is there issues with them?
long course treatment, drug toxicities
HIV wasting syndrome
skin breakdown from diarrhea and losing weight
Antiretro think
HIV
if a patient has herpes, they would prescribe what?
Acyclovir
Rifampin
Red/Orange bodily fluids
What do you want to teach your patients who wear contacts?
wear glasses
Opportunistic infections (protozoal, fungal, viral)
-Protozoal: Toxoplasmosis of brain, others
-fungal: candidasis of lungs, esophagus, trahcea
-viral: CMV disease, HSV infection, others
HIV infection
slow symptoms
With TB drugs; if you live in a house of 4 or more people
Family should also be treated and educated
What medication is given for severe
amphotericin B
What is the leading cause to liver failure?
HEP C
Nystatin Troche
Let it dissolve
A patient who is receiving vaginal fungal should not what?
should NOT have sex and can use during periods
Tamiflu
reduces symptoms given within 2 days
HARRT
Given for HIV (retroviral)
Amadidene or cymitrol
FLU A
With meds and sputum culture
they can start TB meds prior to results
Amphotericin B
Antipyretics, steroids, Antinause prior to med
If on amphoricin B
have severe numbness and tingling- STOP INFUSION
Amphocirin B
monitor site and premedicate
INH
Anti TB drug (numbness and tingling happens with that) RIPE! (RIFAMPIN-INH-PYRIDOXINE(VIT B) -ETHAMUTOL)
Isoniazid
numbness and tingling of extremities dizziness, and ataxia are common concurrent use of pyridoxine (via b6) prevents or relives these symptoms
Rifampin
think red/green vision changes
think eyes
amontadine
pregnant women or planning on becoming pregnant do NOT want to be around aerosol form of ribavrin
Ganciclovir
used to treat infection with CMV
-can cause bone morrow toxicity- ensure proper use
Osteltamivir (tamiflu)
reduces the duration of the illness
treatment should begin within 2 days of influenza symptom onset.
VIR(think antiviral med)
what is a fact about aerosol?
aerosol should nOT be used in those who are pregnant or want to become pregnant
What does Retrovir cause?
bone marrow suppression
Itraconazole
want to watch in patients with heart failure
-Serious adverse effect: heart failure and hepatoxicity
A patient is taking nystatin (mycostatin) in an oral troche form for oral candidiasis. which instruction is correct?
Allow the troche to dissolve slowly in the mouth
women on fluconazole need an alternate form of birth control, instruct patient to report what?
Jaundice, N/V, clay colored stools or dark urine
women of child bearing age need to use what?
contraception due to teratogenic effects
what is Inhalation form (virazole) used for ?
hospitalized infants with RSV infections
Black box warning for ribavirin
contraindicated in pregnant women and their male sexual partners