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69 Cards in this Set

  • Front
  • Back

Bactericidal

kill bacteria

bacteriostatic

slow growth of bacteria

long-time use of antibiotics

increases resistant strains

broad spectrum antibiotics

effective for a wide variety of bacteria

narrow spectrum antibiotics

effective for a narrow group of bacteria

culture & sensitivity testing :


bacteria may take-


viruses may take-

bacteria - several days


viruses - several weeks

Pts. with multi-drug resistance infections require therapy for how long?

24 months

Multi-drug therapy:



1st line & 2nd line

1st line multi drug therapy

Isoniazid & rifampin

2nd line therapy

ciproflaxin, cpreomycin & streptomycin

Nystatin used for

superstitial candida infections


amphotericin B is used for

systemin fungal infections

The more similar a vaccine is to the natural disease -

the better immune response to the vaccine

There are no _________ to the simultaneous administration of any vaccines

contraindications

live attenuated vaccine

long lasting


Adverse Reactions - mild form of disease

inactivated vaccine

require multiple doses & periodic boosting


Adverse reaction - local & occur with or without fever

You can ______ the time between doses of vaccines, but DONT ___________ .

Increase


decrease



If time between vaccine doses are decreased it can result In

interference of antibody response and production

contraindication

severe reaction if given

precaution

change of reaction/ compromise ability of vaccine to produce immunity

Active immunity

vaccine

passive immunity

fast onset ( 3-6 months)


Maternal antibodies pass through placenta immune globulin



Cross allergy


flu -

eggs



cross allergy


Hep B

yeast

Don't give live-attenuated vaccine to:

immunocompromised/ pregnant

Combining vaccine rule

Simultaneously / 4 months apart

passive immunity is a treatment for

botulisms, tetanus, & rabies

Don't give MMR, Varicella, HZV if pt. is

pregnant


immunocompromised


HIV <200 CD4 count



NSAID stands for

non steroidal anti-inflammatory drugs

celecoxib

is the only remaining Cox-2 inhibitor

Primary Gout

hereditary defect in uric acid metabolism

secondary gout

Certain triggers, drugs (diuretics, aspirin, alcohol)

Uricosurics increase excretion of uric acid by blocking reabsorption in the kidneys.


2 examples :

Probenecid & sulfinpyrazone

drugs that Inhibit formation of uric acid

allopurinol or febuxostat

Drugs that convert uric acid into less toxic form

fasburicase or pegoticase

NSAIDs cause vasoconstriction in the

kidneys

Opioid receptors:

mu


kappa


delta


niniceptin/ orphaning FQ peptide



Most important receptors for pain management

mu


kappa

opioid agonists drugs stimulate

mu


kappa

opioid antagonists drugs block mu

mu


kappa

Pure opioid agonist drugs

morphine


codeine

mixed opioid agonist drug (mu)

burprenorphine



Pure opioid agonist drug (kappa)

pentazocine


butorphanol

pure opioid antagonist drug

naloxone

4 parts of assessing pt. pain level

Character


Duration


Location


Intensity

sucralfate

coats ulcer & protects it from further erosion


(30 mins before eating)

misoprostol

inhibits acid & stimulates production of mucus

metoclopramide

causes muscle in the upper investing to contract

Bulk forming, stool softener/surfactant, and saline or osmotic laxative all add

more bulk to water to colon contents

Stimulants and herbal agents stimulate

peristalsis

what does mineral oil do?

lubricate fecal mass

IBS is also known as

spastic colon/ mucous colitis

Treatment for IBS

anti cholinergic

What is ulcerative colitis?

erosion in large intestine

What is Chron's disease?

Ulceration in distal part of small intestines

Emesis

vomiting

Lesions in the stomach

gastric ulcers

lesions in the small intestine

duodenal ulcers

When taking H2 receptor antagonists drugs ass pt. for the use of

OTC meds

Magnesium

diarrhea

aluminum & calcium

constipation

combonation antibiotics are administered to treat

H. Pylori infection of GI tract

What is emetogenic potential?

Capacity of drug to induce vomiting

Emetics induce

vomiting

Hib =

Haemophilus influenza type B

Hib- get 3 doses post-HSCT (hematopoietic stem cell transplantation) recipients only when

immunocompromised

HPV

human papilloma virus

HPV- male 3 doses through age ____ when

26 - immunocompromised


HIV infection CD4 count <200

HPV - male get 3 doses through age ___ when

Having sex with another male