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59 Cards in this Set

  • Front
  • Back
bacteriostatic
inhibits growth or reproduction
bacteriocidal
causes cellular death
actions of antibiotics
inhibits synthesis of the cell wall, interferes or or inhibits protein synthesis, interferes w/ cell membrane permeability, interferes w/ cellular metabolism
side effects of antibiotics
N
D
Superinfection
nursing implications for antibiotics
draw c/s prior to starting antibiotics
begin antibiotics after c/s is drawn
pre-op and post-op antibiotics are usually administered IV in the hospital
Aminopencillins (Ampicillin)
D
R
Yeast infection
nurs. implication for ampicillin
assess allergy to penicillin
ampicillin IM or IV administered w/n 1 hr of reconstition
aassess for diarrhea, WBC if ordered
aminoglycosides
gentamicin, tobramycin
gentamicin, tobramycin
exact dose meds- must be given at the exact time ordered
Peak/trough levels done after 3rd dose
trough before dose
peak at 30 min after dose
give penicillin 1 hr before aminoglycosides
cephalosporins
ancef, rocephin
ancef
1st generation- effective-gram positive cocci
rocephin
3rd gen-gram negative bacteria
fluorquinolones
tequin
tequin side effects
Abdominal pain
N
D
Headache
Yeast infection
vancomycin given for?
MRSA
side effects are nephrotoxicity, ototoxicity-liver and ear
antiemetic (phenothiazines)
phenergan, compazine
5-HT3 antagonists
anzemet, zofran
other antiemetics
vistaril-IM only
side effects for antiemetics-
drowsiness, dizziness, sedation
phenergan IM
administer deep-may cause tissue necrosis
phenergan IV
administer slowly over 1 minute for q 25 mg or mix w/ IV fluid and hang as a secondary infusion.
metaclopramide
reglan
reglan
stimulate motility of the upper GI tract and accelerate gastric emptying.
use safety precautions
scopolamine
patch
antiemetic patch
reduce nausea/vomiting, preop amnesia, decrease secretions-use safety precautions
anticholingergic
atropine (increases heart rate)robinul-given to children
use safety precautions
side effects for atropine and robinul
tachycardia and urinary hesitancy, flushing of the face--assess voiding q 4 hrs palpate if unable to void....
analgesics
releive pain-binds to opiate recptors in the CNS
side effects of analgesics
resp depression, hypotension, constipation, nausea/ vomiting, urinary retention
opiod meds
morphine, meperidine HCL (demerol), fentanyl, oxycodone-percocet weith acetaminophen, codeine, vicodan, lortab(hydrocodone)
antidote for opiods
naloxone (narcan)
opiod antagonist
butorphanol (stadol)- best pain management for women in labor- binds to opiate receptors- may result in opiod withdrawal-
Butorphanol
stadol
stadol side effects
confusion, sedation, floating feeling, nausea
use safety precautions
assess for drug abuse and analgesic history- can cause withdrawal
NSAIDS
Torodol, motrin
ketoralac
torodol (oral, IM, IV)
ibuprofen
motrin(oral)
side effects of NSAIDS
dyspepsia-GI upset, GI bleed with short term torodol, long term motrin-
Cannot take torodol for more than 5 days.
oral forms take with full glass of water and sit upright for 30 minutes
use safety precautions
sedative
Benzodiazepine
versed, xanax
versed
preop sedation and amnesia effect
xanax
preop sedation and decrease anxiety
xanax-
may take for AM surgery w/ sip of water
versed
will decrease mental recall, monitor V.S throughout IV administration
antidote for versed, xanax, (benzodiazepine)
Flumazenil (Romazicon)
alkalinizing agent
bicitra (sodium Citrate)
bicitra
neutralizing buffer
side effect is nausea
spinal is placed?
placed in sub arachnoid space
Give __________ of IV fluid before administering spinal.
Bolus
Position ______ or _______ for spinal
sitting or sidelying
side effects of spinal?
hypotension, headache, urinary retention
why does spinal cause headaches?
due to leakage of CSF-
when does headache after spinal usually occur
w/n the first 24 hrs
how do you treat a spinal headache?
lie flat, increave IV fluids or oral fluids, blood patch to seal the hole in the dura in serious cases
how to prevent hypotension during a spinal anesthetic
prevent with adequate hydration and frequent assessment of BP.
epidural side effects
hypotension, pruritis, urinary retention
how to treat hypotension?
increase IV fluids and lie flat w/ legs elevated or in trendelenburg position
should client have a headache with epidural?
no, if headache occurs, report it to the MD.
conscious sedation
benzodiazepine and opiods used alone or in combination to produce sedation
benzodiazepine side effects
decrease BP and increase heart rate