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5 Cards in this Set
- Front
- Back
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A common drug used to treat oropharyngeal candidiasis is
nystatin. |
Nystatin is an antifungal ointment that is used for a variety of candidal infections. It is applied topically as a cream, ointment, or powder. It is also available as a troche and an oral liquid or tablet.
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Before administration of intravenous amphotericin B, it is most important for the nurse to:
premedicate the patient with an antipyretic, antihistamine, and antiemetic as ordered. |
Almost all patients given intravenous amphotericin B develop fever, chills, nausea and vomiting, and hypotension. Pretreatment with an antipyretic, antihistamine, and antiemetic can minimize or prevent these adverse reactions.
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Which antifungal drug can be given intravenously to treat severe yeast infections as well as a one-time oral dose to treat vaginal yeast infections?
fluconazole |
Fluconazole is a newer antifungal drug that does not cause the severe side effects of amphotericin when given intravenously. It also has almost 100% bioavailability and therefore a single dose is often sufficient to treat vaginal yeast infections.
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A patient visits the health care provider for treatment of tinea pedis (athlete’s foot). The nurse would expect to most likely instruct the patient on the use of which antifungal drug?
terbinafine (Lamisil) |
Terbinafine (Lamisil) is classified as an allylamine antifungal drug and is currently the only drug in its class. It is available in a topical cream, gel, and spray for treating superficial dermatologic infections, including tinea pedis (athlete’s foot), tinea cruris (jock itch), and tinea corporis (ringworm).
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Which is most important for the nurse to monitor in a patient receiving an antifungal medication? (Select all that apply.)
Daily weights Intake and output BUN Creatinine |
Nursing assessments appropriate to patients receiving antifungal drugs vary depending on the particular drug. However, it is important for the nurse to monitor all patients for indications of possible medication-induced renal damage so that prompt interventions can occur to prevent further dysfunction. Monitoring intake and output amounts, daily weights, and renal function tests will help prevent such damage.
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