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13 Cards in this Set
- Front
- Back
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Characteristics of Fungi
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-are single celled or multicellular organisms
---more complex than bacteria |
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Fungal Infections are Superficial...
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they affect hair, skin, nails and mucous membranes
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Systemic Fungal Infections
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--affect internal organs
-are less common -can be fatal in immunocompromised pts. (HIV, cancer) -treat with oral or parental agents |
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Community acquired infection
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can affect even with intact immune systems
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Opportunistic infections
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Are nosocomial infections that occur in immunocompromised
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Amphotericin B
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(fungizone) can cause kidney damage
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Nursing implementing with amphotercin B (fungizone)
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Monitor Fluids and Electrolytes
Assess for ototoxicity (hearing loss) Assess for vertigo, unsteady gait and tinnitus. Monitor IV site Frequent VS |
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Adverse effects of amphotercin B (fungizone)
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Fever
chills vomiting HA |
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Fluconazole (Diflucan)
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fungal infections in CNS, bones, eyes, urinary tract, respiratory tract.
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Nystatin (mycostatin)
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used for fungal infections of the intestines, mouth, skin and vagina
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Azole therapy is contraindicated with.....
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--chronic alcoholism d/t liver toxicity
--may affect glycemic control in diabetic pts. |
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Nurse roles with Azole therapy..
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monitor for hepatoxicity
monitor blood sugar monitor for alcohol use --raises risk of n/v, increased BP |
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Nurse roles with Nystatin
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assess for contact dermatitis
--if present discontinue use do not use during pregnancy teach pt that the drug can be swished and swallowed and spit to treat fungus. Monitor for n/v/d with high doses. |
