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25 Cards in this Set
- Front
- Back
Mechanism of Action: Penicillins
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inhibits cell wall synthesis
bactericidal |
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Mechanism of Action: Cephlaosporins
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bacteriostatic
and/or bacteriocidal |
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Mechanism of Action: Tetracyclines
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bacteriostatic
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Mechanism of Action:
Macrolides |
inhibits protein synthesis
bacteriostatic bacteriocidal in high concentrations |
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Mechanism of Action: Aminoglycosides
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inhibits protein synthesis
bactericidal |
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Mechanism of Action: Sulfanomides
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bacteriostatic
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Mechanism of Action: Antitubercular: Ethambutol, Rifampin, Isoniazid
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Ethambutol:Bacteriostatic
Rifampin: Tuberculocidal,bacteropcoda Isoniazid:tuberculostatic |
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Mechanism of Action: Anitfungal
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Alters fungal cell permeability
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Uses & Adverse effects: Penicillins
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Uses: Upper/lower Resp. Inf;
Bone/joint inf; strep; staph;syphilis;gonorrhea Adverse E: superinfection;ab cramps; pruritus; nausea/vommiting; colitis; wheezing |
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Uses & Adverse effects: Cephlosporins
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Uses: 1st Gen:surgical prophylaxis; gram pos.
2nd Gen: gram neg.; anaerobic inf 3rd Gen: gram neg; will cross blood brain barrier Adverse E: inj. site irritation; hyper. sens. --> false pos glucose test |
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Uses & Adverse effects: Tetracylines
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Uses: Acne; STD; UTI
Adverse E: GI irrit.; tooth/bone deposits; hepatoxic; nephrotoxic |
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Uses & Adverse effects: Macrolides
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Uses: U/L Resp. Inf.; skin inf from staph aureus; Chlamiydia; gonorrhea; UTI; Penicillin allergy; prophylactically before surgery/dental work
Adverse E: diarrhea; nausea and vommiting; sore tounge and mouth |
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Uses & Adverse effects: Aminoglycosides
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Uses: E.coli; staph. aureus; strep. faecalis
Adverse E: neprotoxicity-->tubular necrosis ototoxicity-->hearing loss vestibular toxicity-->loss of balance |
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Uses & Adverse effects: Sulfanomides
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Uses: prohylactically for dental/surgical work; Chlamydia;Gonorrhea; pneumocystis pneumonia; UTI; meningococcal meningitis
Adverse E: bloody dyscrasias; nausea/vomiting; diarrhea; erythema; photosensitivity; renal damage |
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Uses & Adverse effects: Antitubercular: Ethambutol;Rifampin;Isoniazid
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Uses: Ethambutol:pulmonary TB
Rifampin: all TB Isoniazid: infection due to tubercle bacilli; prevention of TB in exposed clients Adverse E: Ethambutol: Visual changes if used for children <13 Rifampin: hepatotoxicity; Red/orange body fluids; GI sx Isoniazid: hepatotoxicity; peripheal neropathy (numbness, tingling) |
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Uses & Adverse effects: Antifungal
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Uses: Fungi; Infections called Mycoses
Adverse E: fever/chills; nausea & vommiting; thrombophlebitis; hypokalemia; nephrotoxicity |
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Nursing Interventions: Penicillins
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*us alt to birth control pills
*if allergic to pennicilins may allergic to cephlaosporins *avoid acidic beverages since they decrease the absorption *false pos glucose tests |
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Nursing Interventions: Cephalosporins
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*check for penicillin allergy
*avoid alcohol during and 72hrs after *false pos glucose tests |
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Nursing Interventions:
Tetracyclines |
*contraindicated during preg. and <8yo
*discoloration of teeth *decrease in skeletal growth *watch for superinfection *avoid sun *do not take w/ milk,antacids, or iron |
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Nursing Interventions: Macrolides
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*give PO w/h20 1hr before or 2hr after meal
*monitor of superinfection *look for signs of liver injury (severe ab pain, yellow skin, dark urine) |
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Nursing Interventions:
Aminoglycosides |
*assess hearing prior to treatment
*monitor peak/trough levels *draw trough levels 30min prior to dose *draw peak levels 30min after for IV; 60min for IM |
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Nursing Interventions: Sulfanomides
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*contrainidicated: last trimester, nursing mothers, client with asthma
* increase I/O *avoid sun *report rash,fever,or mouth sores *avoid taking w/antacids--> decrease absorption *to decrease GI distress dose 1 hr before meal or 2 hrs after w/ full glass of water |
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Nursing Interventions: Antitubercular: Ethambutol, Rifampin, Isoiazid
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*Ethambutol: eval. visual acuity and color discrimination
*Rifampin: monitor liver func.; inform of body fluid color changes *Isoniazid: monitor liver func;notify MD of decrease appetite, fatigue, jaundice, dark urine |
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Nursing Interventions: Antifungal
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*give w/ acetaminophen and diphenhydramine
*add hydrocortisone/ heparin to IV as orderd *administer infusions slowly over 4-6 hrs to prevent cardiovascular collapse. |
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Signs and Symptoms of Superinfection
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*black furry overgrowth on tounge
*vaginal itching/ discharge *loose/foul smelling stool |