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11 Cards in this Set
- Front
- Back
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Beta Lactum Antibiotics |
Penicillin, cephalosporin, carbapenems, monobactams. -Cross allergic reactions with all beta lactic meds. Esp. anaphylactic, angioedema reactions. |
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Sulfonamides |
-Broad spectrum -High concentration in kidney -Tx for UTI's, pneumonia and respiratory infection |
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Sulfonamides: Sulfonmethozole + trimethoprin (not sulfa) |
Are used to treat UTI in women with short urethras after intercourse. |
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Adverse effects of sulfonamide: |
-Photosensitivity (avoid light) -Aplastic anemia, hemolotic anemia, thromnocytopenia (monitor CBC data) -LIVER -Need to monitor clients with diabetes because sulfonamide can cause low blood sugar |
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Drug interactions of sulfonamides: |
Phenytoin toxicity W/ warfarin can cause bleeding/hemorrhage May cause pregnancy when used with contraceptives |
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Patient teaching of sulfonamides: |
-take with a full glass of water 2,000-3,000 -Assess patient prior, during and post -Monitor blood sugar of clients with diabetes -watch for superinfection -take with food -Avoid direct sunlight and tanning -Take full term as prescribed -Teach client to know s/s of adverse effects and drug contraindication |
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Penicillins |
-trade names do not always end in -cilin -patients allergic to penicillin have an increased risk of allergy to other beta lactums. Most common reaction: rash and itching -IV penicilin has the most common allergic reactions -IM pcn, hold patient 20-30 minutes after injection to ensure there is no anaphylactic reaction when pt. gets home -NSaids may be beneficial with pcn |
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Drug interactions of penicillin:
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-warfarin -contraceptives -avoid taking with citrus juice -if diarrhea, take probiotic -superinfection common, candida |
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How to administer Penicillin: |
-Do not give deep IM -Do not mix IV -Give 1 hour before meal or one hour after meal -take at same time every day |
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Macroglide (ex: erythomycin) |
-used for strep -IS GIVEN TO PT. IF ALLERGIC TO PENICILLIN -common adverse reaction: N/V, abdominal pain -hepatotoxicity, need to look at other meds with kidney or liver hepatotoxicity -hearing loss or tinnitus -affects contraceptive effectiveness -CAN CAUSE LIFE THREATENING DYSRHTYMIAS. ASSESS HEART AND HEART MEDICATIONS -some micro glides not recommended with orthostatic drugs -not given with fruit juices -full glass of water |
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