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