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27 Cards in this Set
- Front
- Back
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Antibiotic Selection
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sensitivity of the pathogen
toxicity potential to the patient I solate and identify ffending organism whener possible culture and sensitivity testing clinical judgement |
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Assessment during antimicrobial treatment
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n/v diarrhea and secondary infections, photosensitivity
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Oral Secondary Infections
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black hairy tongue, white patches, cold sores, canker sore glossitis
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Vaginal Secondary Infections
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lesions and itching in vaginal and anal area
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Intestinal secondary infection
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produce severe life threatening diarrhea(psuedomembranous colitis)
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allergies and anaphylaxis
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watch for after administration and hold medicine
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Nephrotoxicity
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especially with diuretics and elderly or debilitated
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Ototoxicity
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especially with aminoglycosides=dizziness, tinnitus, progressive earing loss
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Blood dyscrasias
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bleeding and anemia
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Nursing process for anitmicriobials(drug administration)
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timing(atc), with meals or pc or ac, use of a second drug to prevent excretion, hydration, drug-drug or drug food interactions
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prevents excretiion
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probenecid with penicillin or ephalsporin
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hydration
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sulfonamides require ff
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drug-drug interaction
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antacids
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Aminoglycosides
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do not mix with other drugs in the same syringe or infuse together with other drugs
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Aminoglycosides side effects
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ototoxicity and nephrotoxicity
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Aminoglycosides drug interaction
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with skeletal mucscle relaxants may cause respiratoty depression
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Carbapenems side effects
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sever diarrhea dizziness confusion seizures phlebititis ro (thrombophlebitis IV)
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Carbapenems cross senitivity with
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between these and penicilins or cephalsporins
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Cephalosporins 1st generation
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effective against gram positive microorganisms
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2nd and third generation Cephalosporins
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have increased activity against gram negative organisms
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4th generation cephalosporins
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broad spectrum antibiotics
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Cephalosporin side effects
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severe diarhea, secondary infection abnormal liver and renal function test, hypothrombinemia(vit k), phlebitis and thrombophlebitis and electrolyte imbalance
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Drug interactions of Cephalsporins
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nephrotoxi potential, antacids, H2 antagonists, iron supplements, probenicid, etoh, oral contraceptives
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Penicillins
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used for uti, syphillis, gonorrhea nemingitis, pnuemonia, and ear infections
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Penicillin side effects
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abnormal liver and renal function tests electrolyte imbalance
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Drug interactions
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probenicid, antacids oral contraceptives
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precautions
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do not mix with other drugs in same syringe or infuse with other drugs
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