front 1 Macrolydies Azithromycin, Erythromycin | back 1 Indication: Bacterial Infection MOA: Inhibits protein synthesis SE: GI Upset, dysrhythmias, rash |
front 2 What do you mean to teach to a pt taking Macrolides? (Azithromycin, Erythromycin) | back 2 Take on an empty stomach with a full glass of water. |
front 3 Glycosamides Clindamycin | back 3 Indication: Serious bacterial infections MOA: inhibits protein synthesis SE: GI upset, Diarrhea, C. Diff |
front 4 What can clindamycin cause? | back 4 C. diff NC: monitor pts bowel movements |
front 5 Aminoglycosides Gentamicin | back 5 Indication: Serious infection SE: ototoxicity, vertigo, ataxia |
front 6 What is BBW for Gentamicin? | back 6 Nephrotoxicity, neurotoxicity NC: Monitor hearing, kidney labs, peak/trough; give IM or IV |
front 7 Tetracyclines Doxycycline, Tetracycline | back 7 Indication: Lyme, STI, Rocky Mountain fever CI: Pregnancy, children <8y/o SE: Tooth discoloration, photosensitivity Teaching: Wear sunscreen, alternative BC |
front 8 What interacts with Tetracyclines? | back 8 Antacids, Ca, Fe, dairy can decrease the absorption |
front 9 Vancomycin | back 9 Moa: Destroys bacterial cell wall SE: Ototoxicity, nephrotoxicity, Red Man syndrome NC: Monitor trough/peak, slow infusion |
front 10 Penicillin Penicillin, Amoxicillin Ampicillin (IV, PO) | back 10 SE: GI upset, allergic reaction NC: Monitor for allergy |
front 11 When taking Penicillin what becomes ineffective? | back 11 Birth control |
front 12 Zosyn | back 12 Have to give the medication over 4hrs, if you give the med fast it can affect the kidneys. |
front 13 Cephalosporins Cephalexin, Ceftriaxone | back 13 Serious Infections of Lower respiratory tract CI: PCN Allergy SE: GI upset, allergy Teaching: No Alcohol |
front 14 1st, 2nd, 3rd, 4th Generation of Cephalosporin | back 14 3rd and 4th are more potent - Meningitis, UTI, Sepsis 1st and 2nd - - Cellulitis, |
front 15 Carbapenems Imipenem, Meropenem, Ertapenem | back 15 Used for mixed infections with anaerobes, staph and gram neg bacilli |
front 16 Fluoroquinolones Ciprofloxacin, Levofloxacin | back 16 Indication: UTI's, Bone/Joint Infections, Resp Infection, SE: Tendon rupture, Dysrhythmias |
front 17 What does Ciprofloxin increase? How long do admin in IV? | back 17 Theophylline and warfarin levels IV - Admin over 1hr |
front 18 Sulfonamides Bactrim (Trimethoprim/sulfamethoxazole) | back 18 MOA: Inhibits folic acid synthesis SE: Steven-Johnson Syndrome NC: Hydration, sunscreen |
front 19 What does Sulfonamides (Bactrim) treat? AE? | back 19 Tx: UTI, Shigella infections of small bowel, AE: Formulations of Crystals in Urine, N/V, |
front 20 Nitrofurantoin Macrobid | back 20 Indication: UTI's SE: Gi upset, brown urine Teaching: Take with food |
front 21 Metronidazole Flagyl | back 21 Indication: GI Pathogens tx: Enterocolitis, H. Pylori, SE: Metallic taste NC: No alcohol, interacts with BC |
front 22 What taste does Flagyl cause? | back 22 Metallic taste |
front 23 TB Therapy Rifampin, Isoniazid, Pyrazinamide, Ethambutol | back 23 SE: R: Orange secretion I: Neuropathy, Hepatotoxicity P: Joint pain E: Vision changes |
front 24 BBW for TB Therapy meds? Nursing care? | back 24 Hepatotoxicity NC: No ETOH, Monitor Vision, BC Backup |
front 25 Antifungal Acyclovir, Valacyclovir, Ganciclovir, Oseltamivir, Zanamivir | back 25 Herpes/Varicella: Acyclovir, Valacyclovir; CMV: Ganciclovir; Flu: Oseltamivir, Zanamivir SE: GI upset, nephrotoxic, phlebitis, bone marrow suppression |
front 26 NC for Antivirals? | back 26 Give flu meds within 48hrs, not a cure |
front 27 HIV Therapy Abacavir, Atazanavir | back 27 SE: anemia, lipodystrophy, increase lipids NC: monitor CD4 (Increase good), Viral Load (Decrease good), BMI |
front 28 Antineoplastics Doxorubicin | back 28 Moa: Kills fast-replacing cells SE: Red urine, cardiac toxicity, myelosuppression NC: Monitor CBS, Cardiac function |
front 29 Antineoplastics Tamoxifen | back 29 Indication: Breast cancer SE: Hot flashes, DVT, Uterine cancer NC: monitor CBC, Ca, Report SOB, Leg pain |
front 30 Tx for Anemia | back 30 oral iron supplements, Ferrous Sulfate, Ferrous Gluconate and Ferrous Fumarate SE: GI upset, nausea, constipation, Dark stools Can also do IV Iron, Iron Sucrose, Ferric Caboxymaltos, Iron dextran SE: Allergic reaction, N/V, Low BP, Back pain |
front 31 What supplements can you give for anemia? | back 31 Vit B12, Folic Acid Folic Acid is important for Pregnant women |
front 32 What are B cells? | back 32 Memory cells, Can speed a future defense against a specific antigen |
front 33 Aerobic | back 33 With 02 |
front 34 Anaerobic | back 34 Without O2 |
front 35 Nystatin (Mycostatin) | back 35 Primary use: Candida Infections AE: Minor skin irritation, N/V, Diarrhea |
front 36 Fluconazole (Difulcan) | back 36 Tx fungal infections in CNS, Bone, Urinary, Resp, tract AE: N/V, Diarrhea, reported at high doses |
front 37 Emtricitabine/Tenofovir (Truvada) for HIV prophylaxis | back 37 Lowers the HIV amount and increases the immune cells in the body of the pt. Pre-exposure of prophylaxis SE: Lactic acidosis, hepatomegaly |