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75 Cards in this Set
- Front
- Back
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what are specific D/D interactions for aminoglycolides ? |
Loop diretics increase the effects pencillins decrease the effects |
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Fluoroquinolones p type |
P type Ciprofloxacin ( cipro)
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what is the mechanism of action |
bacterialcidal
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3 gen? |
levofloxacin ( levaquin)
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fluoroquinolones tx? |
pneumonia skin infections infectious diarrhea utis sinusitis
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fluoroquinoloes Cipro 1 st line to treat |
ANTHRAX |
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cipro txs |
resp gu gi bones joints skin soft tissues infec.
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pregnancy cat |
C no breast feeding |
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special pops child |
not used usu under 18 |
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oa |
okay increase fluids 2-3 l a day |
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renal impaired |
dose adjusted |
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hepatic |
okay |
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C. I pt. |
common bc broad specturm |
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adverse reactions |
RUPTURED TENDON nausea vomit abd. pain diarrhea |
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BBW? |
yes ruptured tendon |
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Nursing |
avoid sunlight take full dose monitor for dsypglycemia Crystalluria ( increase fluids!!) super infections occur like candida /c-diff back of BC interactions with meds and food take oral form on empty stomach becareful driving |
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sulfonamides p type |
sulfisoxazole |
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mech of action |
bacterastatic |
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what combo in bronchitis |
septra and bactrim
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sulfonamides tx |
UTis , trachoma, chloroquine resistant malaria, otitis media, meningogcal meningitis caused by H influ. pneumocystitis jiroveci |
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routes |
opthalmic eye infection topical haemophilus vaginalis
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special pops child |
under 2mo not used
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renal impaired |
crystalluria do not use |
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oa |
assess renal fun. |
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hepatic |
avoid |
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contraindicated |
in urinary obstruction and intestional obstruction hypoglycemia in the diabetic pt
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Nursing |
monitor PH of urine give sodium bicarbonate to alkalinization urine |
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D. D interactions |
many , monitor and tell pt not to take otc meds.
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nursing edu |
8 oz of water increase fluids to 2-3 liters a day store in light resistant container back up method of BC avoid sunlight monitor for super infection monitor for rash
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Tetracylines |
Tetracyline hydrochlorides
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gram reactions |
gram negative& gram postivie |
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tetracylines txs |
lyme disease acne chronic bronchitis
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saftey for pregnancy |
D crosses placenta and breast milk |
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mechanism of action |
bacteriostatic |
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adverse reaction |
stained teeth photosensitvity |
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special pops children |
under 8 no effects bones a teeth
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special pops oa |
monitor kidney functions
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renal impaired pt |
not indicated azotemia increase in BUN, hyperphosphatemia, hyperkalemia, acidosis
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hepatic |
caution |
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nursing considerations |
another non hormonal BC monitor for D D interactions DIgoxin toxcity CNS avoid sunlight take on empty stomach proper storage away from sunlight not outdated 8 oz of water |
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route of tetracyline |
orally |
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Macrolides p type |
Erythromycin |
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Erythromycin txs |
legionnaires disease used as PCN sub (when allergy present) |
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2nd gen: txs
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Zithromax (azithromycin) zpack txs sinusitis respirtatory & skin infections |
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mechanisms of action |
bacterialstatic and bactericidial |
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prophalyacitic use |
prevent endocarditis before a dental procedure etc. in a pt with valvular heart disease |
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special pops children |
correct dose |
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renal and hepatic pt |
BBW know for liver disease use caution! decrease dose or not given |
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Critical illness |
not usally used |
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Nursing considerations |
mand DD interactions and food interactions so assess allergies and med hx take 8 oz of water take empty stomach no grapefruit juice superinfections - cdiff |
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nurse assess what after taking macloride? |
fever pain and malaise going down? |
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IV admi. maclorides |
over 30-60 min check for phelibitis
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pregnancy cat, |
B |
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Vancomycin |
only one in its class! |
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when do we use vanco |
when other fails |
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VRE is a |
problem! cdc recommends limting the use of vanco. |
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adverse side effect |
red man syndrome hyptension skin rash its when its infused too quickly and the histamine relases too strong go slow over 1-2 hours. |
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vanco acts on what type of bacterial |
gram positive |
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prophylaxis |
low infant birth weights intravascular cath. colonization peritoneal dialysis |
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vanco txs |
bacterial septicemia, endocarditis, bone and joint infections , c-diff |
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when can this be substituted? |
pt has allergy to pcn and or MRSA |
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does vanco enter csf? |
poorly |
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what mechanism of action |
bacteriacidal |
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Nursing consideratons |
nephrotoxicity monitor liver enzymes not in pregnancy can give to breast feeding CNS!! monitor cbc and wbc monitor changes in hearing narrow spectrum
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speical pop OA |
monitor for toxicicty |
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Antivirals p type |
acyclovir (zovirax) |
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route of antiviral |
oral parenteral and topical |
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antivirals |
zovirax (acyclovir) tx shingles
valtrex (valacyclovir ) txs genitial herpes
oseltamivir (tamiflu) txs influenza a
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mech. of action |
slows it not elminate |
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major viruses |
avian flu herpes infections HPV RSV respiratory syncytial virus viral hepatitis HAV HBC HCV HIV
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Nursing conidersations |
vaccinate wash hands drugs relieve symptoms only get flu vaccine assessing BUN CREATInine ast alt phlebitis at infusion site slowly adm. over 1 hour increase fluids 2-3 l a day
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speical pop renal |
lower dose |
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contraindicated when pt |
bfing renal faliure heart failure hypersensitivity |
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nurse assess what after antivirals have been given |
less pain less itch less lession break outs |
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symptoms pt has virus |
photophobia insomnia vomiting headache muscle pain headache cough malaise |
