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45 Cards in this Set

  • Front
  • Back
What is penicillin?
Penicillin is a bacteriostatic/cidal
-it is active against gram+ bacteria
resistance is growing
What is penicillin is used to treat?
used to treat strep, pneumococcal pneumonia, endocarditis, meningites
What are the adverse effects of penicillin?
allergies, neorotoxicity, GI symptoms,
State penicillin drugs and their specific use.
Amoxicillin-prevent endocarditis, ear infection
Dicloxacillian-staph infections
What are the nursing intervention of penicillin drugs?
-discontinue use of drug @ first sign of anaphylaxis
-use yogurt for diarrhea
What is cephalosporin?
is a bacteriostatic/cidal
-inhibits cell wall synthesis
-broas spectrum; gram- &+
What is cephalosporin used for?
given 3x for surgical prophylaxis, UTI, penicillin resistant gonorrhea of e-coli
Cephalosporin drugs
1st gen- no longer used
*Cefexoton 2nd gen-surgical prophylaxis
*Ceftriaxone 3rd gen- gonorrhea
*Cefepime 4th gen- strep and staph; gram-
What is a carbapenems?
is a bacteriocidal
-inhibits synthesis of bacterial wall
-broad spectrum
Name a carbapenem drug?
Primaxin IV- drug of last resort for staph and e-coli
What is an aminoglycoside?
bacteriocidal
-inhibits protein synthesis
Use of aminoglycoside?
serious gram- infections, active resistant TB
Adverse effects of aminoglycoside?
nephrotoxic and ototoxic
Name aminoglycoside drugs.
Streptomycin- IM for TB
Gentamycin- IM, IV for meningitis and endocarditis
What is a tetracycline?
it is a broad spectrum bacteriostatic
-wide range of gram- &+
What is the use of tetracycline?
used for H. pylori, chlamydia, PID
used as substitute for those with penicillin allergy, syphillis, UTI
What is the contraindication for use of tetracycline?
contraindicated w/ renal failure, those under 8 b/c harmful to bone, avoid the sun
What is the drug of tetracycline?
tetracycline hydrochloride (Achromycin)
Action, what it's used for and adverse effects of sulfonamides?
*action-inhibits bacteria
*use- treatment of UTI and topical burns
*adverse effects- N&V&D, allergic rxn
What are the drugs for UTI's?
Bactrim
Monurol
Pyridium(not antibiotic, only decreases symptoms, causes red-orange urine)
Drugs for topical burns?
Silvadene-ointment
-take old layer off before adding new one b/c can cause pseudomonas
What is a macrolide?
in large dose a bacteriostatic
inhibits protein synthesis
Use and adverse rxns and drugs of macrolide?
Use for staph and strep
adverse rxns-GI symptoms
drug:
E-mycin
Zithromycin (first dose of 500mg, then 4 days of 250mg, last day 1000mg)
What is Vancomycin and what does it treat?
antibiotic drug that is active against gram+
-inhibits cell wall synthesis
treat- MRSA methicillin resistant staph; VRE
-IV
Drugs for TB?
long term treatment of 6-24 mths
-INH for laten tuberculosis infection (LTBI) &active
-Ridafin for LTBI & active
-Tebrazid for LTBI & active
-Myambutol-active TB
Antiviral drugs...
treatment of influenza A&B for those with symptoms of 2 DAYS OR LESS
-Relenza; may cause bronchospasm for those with asthma
Treatment for herpes...
inhibits viral DNA replication
drug: Acyclovir
treats:genital herpes
Drugs for HIV/AIDS
Treatment:
2 NRTI(nucleoside reverse transcriptase inhibitors) and a protease inhibitor
-single drugs are never used
-missing doses increases risk of resistance
action, adverse effects and drugs of antifungals.
disrupts the bacterial cell membrane
adverse effects-fever, N&V
Drugs
-Fungizone for severe life threatning infections
-Mycostatin for candidiasis of skin
-Diflucan for yeast infection
-Lotrimin used intravaginally
-Lamisil for ring worm and toe nail
antiparasitic organisms and drugs
organisms that survive on another
head lice, pin worms, itch mite
Drugs:
Nix for head lice
Kwell for scabies
Vermox- all worms
Opthalmic
pertaining to the eyes
-systemic absorption can be decreased by closing eye and applying pressure to the nasolacrimal duct for 3-5 min
-wait 5-10 min between drops
Glaucoma
group of eye conditions that lead to damage to the optic nerve
-Timoptic; betablocker decreases production of aqueous humor
-Pilocar; cholinergic increases outflow of aqueous humor
-Alphagan; alpha2 adrenergic agonist decreases IOP
Myadrisis
term for excessive dilation of the pupil
-Atropine Sulfate
-Epinephrine
Interferon
antineoplastic, inhibits viral replication by reprogramming virus
-prevents rapid growth of malignant cells
What is Interferon used to treat?
hairy cell carcinoma, kaposi's sarcoma, chronic hepatitis
Medication; interferon alpha2a or 2b
Adverse affects of interferon
flu like symptoms, depression, suicide
Nursing implication for interferons
read label
refrigerate
DO NOT SHAKE
PHOTOSENSITIVE
purpose and name drug of immunosuppresants.
-antirejection agent interferes with production or fx of immune cells
Cyclosporine used for organ transplant
adverse effects of immunisuppresant
tremors, headache, oral candida, and seizures
Nursing intervention for immunosuppresants
-monitor renal status
-use provided syringe
-use glass container
-stir into room temp apple juice
Action of cytotoxic and antiproliferative agents
inhibits RNA, DNA, and purine synthesis
used for rheumatoid arthritis and renal xplant
Drug and nursing intervention for cytotoxic and antoproliferative agents.
-Imuran
give with meals to decrease N&V
assess pain
avoid crowds
Monoclonal antibody
used to treat rhematoid arthritis and Crohn's
*neutralizes activity of tumor necrosis factor alpha
Monoclonal ab drug and nursing intervention
Remicade- administer immediately after reconstitution
DO NOT breastfeed
uses of anti neoplastic agents and which area are they least helpful in
*Methotrexate in small doses is used for rheumatoid arthritis and psoriases
less effective for lung, colon, and prostate