front 1 multi drug resistant | back 1 mrsa,vre,esbls,cre |
front 2 Aminoglycosides very mean to organ | back 2 bactericidal drug , no oral absorption, no oral forms except neomycin,very potent antibiotic, with serious toxicities |
front 3 what kills mostly gram negative: some gram positive bacteria | back 3 Aminoglycosides |
front 4 what medicines are Aminoglycosides | back 4 gentamicin, neomycin,Tobramycin,Amikacin |
front 5 where is aminoglycosides poorly absorbed at | back 5 through the gi track except neomycin |
front 6 how should you give aminoglycosides | back 6 parenterally |
front 7 how can you give neomycin A form of Aminoglycosides | back 7 you can only give this one orally or as an enema |
front 8 why is neomycin given | back 8 to decontaminate the gi tract before surgical procedures as use as an enema for this purpose its used to treat hepatic encephalopathy |
front 9 what happens when taking aminoglycosides while pregnant category c and d? | back 9 can cross the placenta and cause fetal harm you must be caution and d for danger it can be distributed in breast milk, should not be used by lactating women |
front 10 how should vancomycin be infused | back 10 should be infused over 60 minutes rapid infusions may cause hypotension |
front 11 something you can get from vancomycin | back 11 red man syndrome may occur |
front 12 client teaching -Vancomycin | back 12 report any changes in hearing such as ringing in the ears or a feeling of fullness in the ears monitor serum levels through out therapy |
front 13 what should vanco levels be at | back 13 5 to 15 |
front 14 client teaching about clindamycin | back 14 if clindamycin gets in eyes rinse with alot of water do not use near eyes or near any abraded areas to avoid tissue iritatations, with vaginal dose forms do not engage in sexual intercourse for the duration of therapy |
front 15 what are client teaching with Quinolones | back 15 educate about photo sensitivity,stress the importance of avoiding tanning beds and exposure to sun let them know to take supplements like calcium and or magnesium supplements one hour before one hour after and take antibiotic exactly as ordered |
front 16 client teaching with antibiotics | back 16 increase fluid to 3000ml unless contraindicated report changes in hearing report headache, dizziness,vertigo, educate about a superinfection |
front 17 what should you make sure with cultures | back 17 cultures are drawn before antibiotic therapy pay attention to signs and symptoms of superinfection check med prior to giving asses each class for specific interaction |
front 18 what should you do before beginning drug therapy | back 18 check allergies,hepatic renal, cardiac function, and lab results, obtain patient health history, baseline labs,ekg,culture and sensitivity, Neuro and GI assesment, Asses for potential drug interactions |
front 19 Vancomycin | back 19 Must monitor blood levels to ensure therapeutic levels and prevent toxicity make sure you give it slow Treatment of choice for mrsa and other gram positive infections oral vancomycin is used for cdiff treatment of staphylococcal enterocolitis |
front 20 quinupristin -Dalfopristin | back 20 used for bacteremia and infections caused by vre and complicated skin and skin structure by s pyrogen and Mrsa |
front 21 Nitrofurantoin | back 21 used for uti example ecoli use carefully with renal function is impaired |
front 22 If you get something from hospital how long does it have to be untill its hospital aquired | back 22 48 hours |
front 23 Metronidazole (flagl) | back 23 used for anaerobics organisms, intraabdominal and gynecologic infections, its also used as an atifungal and anti protozoa drugs Do not drink alcohol |
front 24 linezolid (zyox) | back 24 used to treat vref,Vre hospital aquired, and skin structure infections including those with mrsa, healthcare associated pneumonia |
front 25 Cindamycin (cleocin) | back 25 bacterialcidal or bacteriostatic gi tract adverse are common may cause pseudomembranous colitis also known as antibiotic associated colitis, Clostridium difficile diarrhea or cdiff |
front 26 Metronidazole (flagl) | back 26 be careful with alcohol |
front 27 what are MIscellaneous Antibiotics | back 27 Clindamycin,(cleocin) linezolid (Zyvox) Metronidazole (flagl) Vancomycin (Vancocin, Vancoled) |
front 28 with quinolones what should you watch with oral anticoagulants | back 28 use with caution- decreased vitamin k absorption |
front 29 enteral tube feeds with quinolones meds | back 29 can reduce absorptions |
front 30 does dairy products reduce quinolone drugs | back 30 yes the reduce the effects |
front 31 how long should you wait to give interacting drugs with quinolone drugs | back 31 you should wait at least an hour after you give quinolone drugs |
front 32 oral quinolones | back 32 antacids, calcium,magnesium,iron zinc preparations,or sucralfate causes reduction in oral absorption |
front 33 Quinolones adverse reactions | back 33 Ruptured tendons, tendonittis, fever, chills blurred vision tinnitus |
front 34 trough for aminoglycosides | back 34 lowest drug level will. measure renal clearance of drug and avoid toxicity, usually obtained 1 hour before next dose is scheduled |
front 35 Quinnlones:adverse reactions | back 35 cardiac Prolonged Qt intervals |
front 36 Quinolones indications | back 36 grams-negative such as Psudomonas urinarytract, bone and joint,gi, skin, and sexually transmitted infections, Anthrax(ciprofloxacin) |
front 37 quinolones medications | back 37 ciprofloacin (Cipro) Levofloxacin |
front 38 quinolones(fluroquinolones) | back 38 Potent bacterialcidal broad spectrum antibiotics |
front 39 peak for aminoglycosides | back 39 highest drug levels for once daily regimens usually 30 mins to 1.5 hours after dose |
front 40 what should you do prior to giving Aminoglycosides | back 40 DO a peak and trough |
front 41 Whats the adverse effects of Aminoglycosides | back 41 causes serious toxicities, Nephrotoxicity ,ototoxicity, |