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28 Cards in this Set
- Front
- Back
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name some reasons to give tetracycline 4
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acne
PUD with h pylori chlamydia rocky mountain spotted fever |
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How is oral tetracycline given
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on empty stomach unless gi distress
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what is a suprinfection that can be caused by tetracycline
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pseudomembraneous colitis
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when do you get a peak on a Qday dosing? When do you get a trough?
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30 minutes after admin for peak and before next dose on trough
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what broad spectrum antibiotic is most commonly used if they are super sick and they want to put them on something til the cultures come back
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cephlasporins
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which two classes of antibiotics look alot alike regarding structure
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penicillins and cephlosporins
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would you want to administer ancef to someone who is allergic to ampicillin?
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no
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what do you watch for on administration of aminoglycoside
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tinnitis or vertigo symptoms or nausated when ambulating = ottotoxicity
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if a patient receiving aminoglycosides starts complaining of ringing in their ears feeling dizzy when walking or extreme nauseaous on aminoglycosides what would you do call the dr and get an order for nausea call the dr and ask to slow the drug down stop the drug notify dr WHY?
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stop the drug immediately as to not cause permenant hearing loss
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cephlosporin has what in them? except for?
aminoglycosides ends in? penicillins end in? tetracycline? |
cef except ceclor
cin illin cycline |
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name some teaching that needs to be given to a pt going home on doxycycline 6
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take on empty stomach unless GI upset occurs
avoid excess sun exposure avoid dairy products advise that is makes contraceptives ineffective causes browning of teeth not recommended for children under 8 because they are producing their enamel and it will keep them from getting it not recommended in pregos cuz their baby is making bones and it prevents it |
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what administration pt teaching would you give a pt going home on tetracycline
take with? take when? avoid taking with ? and ? |
take with 6-8 ounces of water
1 hr before or 2 hours after meals avoid dairy or takeing with dairy avoid taking with juice |
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if you have a pt on a medicine that is causing GI upset what would you tell them to do that might be contraindicated in the medication teaching
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take with food
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pt on gentimycin what are you going to watch for
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ottotoxicity and nephrotoxicity
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who would you not want to give cephlosporins to?
someone with aplastic anemia? someone with a headache? someone with abdominal cramping? someone allergic to penicillins? |
allergic to penicillins
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what needs to be done to choose an antibiotic correctly provided pt is not circling the drain
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culture and sensitivty test
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what is given for rocky mountain spotted fever
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tetracycline
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pt is coming in with rocky mountain spotted fever and they are on mylanta or tums to build up the calcium in their bones what administration of these two things do we need to be concerned about?
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antacids make tetracycline ineffective
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pt is on aminoglycoside or cephlosporin what is a major concern
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Ottotoxcicty and nephrotoxicity
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pt been on gentimycin for 4 days is this time to be concerned ? cultures are looking good but he tells you he had a really bad headache and ringing in his ears what are you going to do?
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4 days are fine
stop aminoglycosides by 7 days stop the drug because of ottotoxicity |
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penicilin works by doing what?
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disrupts the cell wall synthesis so it lyses the cell
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no matter what drug we are on what organ gets rid of it from our bodies so we need to be concerned if they are not functioning properly before administering any drug
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kidneys
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when you think about 1st generation cephlosporins is more gram? vs 4th generation is more gram what?
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positive
negative |
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what might you be giving a 4th generation cephlosporin for?
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E coli Butts guts and urine
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pt on penicillin some common signs and symptoms of penicillin allergic reaction
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swelling of tongue swelling of mouth and inflamed stomach
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penicillin different types of groups are going to end in what? but we do not make what?
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Natural penicillin
Penicillinase-resistant penicillin Aminopenicillins Extended-spectrum penicillin synthetic penicillin |
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signs and symptoms of infection 6
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hot to touch
swollen pain fever redness with purulent drainage (purulent drainage= pusy) (sanguenous=clear) (serisanguenous = little bit of blood) |
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when you think of suprainfections who is most vulnerable
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cancer pts
neonates really old multisystem organ failure long term antibiotic usage |
