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27 Cards in this Set

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why are tetracyclines contraindicated in children?
(3)
they can turn teeth yellow/brown 4months-8yrs

can cause enamel development in teeth in children under 8 years

in children and babies it can suppres bone growth
Tetracycline drugs
3 types: (short acting or long acting)
Tetracycline- short acting 4 times a day

Doxycycline & Minocycline (Long acting- 1-2 times a day)
Doxycycline (short or long acting)

how many times can you give it?

drug of choice for _________
long acting

1-2 times a day (drug of choice for acne)
Minocycline (short or long acting)

how many times can you give it
long acting 1-2 times a day
What is Tetracyclines used to treat
Chlamydia
lyme disease
H pyolori


rocky mountain spotted fever
acne
pneumonia
Tetracycline

-what is a side effect linked to sun exposure?
skin is photosensitivity. burning occurs with blisters under the skin. must educate the patient about effects to wear sun screen and protective clothings when driving
if taking tetracycline, what should you avoid eating:
milk products
calcium supplements
iron supplements
Erythromycin is in a family called:

typically used as a first line drug for people who are
macrolides


allergic to penicillin
Macrolides

Erythromycin is also called:

what are it's uses:
ery-tab, E.E.S

PO, IV
-strep pneumonia (step throat)
-strep pyrogenes (mild bronchitis)
-mycoplasma pneumoniaea
-pertusis
Macrolides

what are the 3 drugs under this
erythromycin
azithromycin
clarithromycin
Macrolides

Azithromycin (zithromax)
PO and IV

strep
H influenza
Chlamydia
S aureus (upper respiratory infections)
Macrolides

Clarithromycin (biaxin)
-what does it treat
-what is unique about it
treates severe infections like:
serious respiratory tract infections
abdominal/pelvic infections
sever pneumonia


really bad taste in mouth 1 hour after taking it
Macrolides

drug interactions with:
warfarin(coumadin) and anti seizure medications (Dilantin)

it can causes these drugs to reach toxic levels by inhibiting P450 which elevates these drugs to toxic levels
Macrolides

Clarithromycin (Biaxin)
-used to treat what:
-side effects:
severe infections particularly pneumonia

bad taste in mouth 1 hr after taking (metal)
Gentamicin and Tobramycin

-what classes of antibiotics are these:
Aminoglycosisdes (new family of drugs)
Aminoglycosisdes

what assessment needs to be done prior to patients receiving these meds

whats your first sign?
assess the ear and kidney
tthis is weight based so you have to take a daily weight
monitor liver tests
monitor BUN and creatine

adverse effects cause injury to inner ear (1st sign if a high pitched tinnitus --ringing of ear)
Aminoglycosisdes

Peak
Trough
peak- 1 hour after IV administration


through - 1 hr before next administration
what does peak mean?
going to go ahead and measure a blood amount of this drug in the human body, 1 hour after medication is given
what does trough mean
the lowest amount that could be circulating in the human body beacuse the next dose --drawn 1 hour b4 the next dose
Sulfomnamides and Trimethoprom is the new category. what is under this:
bactrim
what is the number 1 choice of a drug to treat an uncomplicated UTI?
bactrim
Bactrim
-what's the allergy relationship?
hypersensitvity reactions because it contains sulfa 2 (which is the second most common allergy)

so you should use Nitrofurantoin (Macrodantin) when patient is allergic to sulfa
Fluroquinolones
what drugs are under this category (2)
Ciprofloxacin (Cipro)
Levofloxacin (Levaquin)
what is anthrax treated with?
Ciprofloxacin (Cipro)
what medication is used to treat vaginal and bone infections?
Cipro
what drug is preferred for pseudomonas infections
Cipro
in treatment of complicated UTIs and pyelonephritis the drug choice would be ________
Cipro