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25 Cards in this Set

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  • Back

What is most important to assess in the geriatric population when administering antibiotics?

renal function

What are some common adverse reactions to penicillin?

hypersensitivity, superinfection, GI, rash, anaphylactic shock

What are some signs and symptoms of anaphylaxis shock?

laryngeal edema, bronchoconstriction, and hypotension, loss of consciousness, hives, tongue swelling

Nursing Care and Antibiotics

A.) Determine Cause B.) Dose and Duration C.)Compliance D.) Fluid Intake E.) What other meds is pt taking?

What are some common uses of Sulfonamides?

UTI's, Burns (ointments)



Others listed from book: ear infections, meningitis, newborn eye prophylaxis, chlamydia

What are the main adverse effects of Sulfonamides?

Rash, photosensitivity, crystalluria in older forms

What are the contraindictions of Sulfonamides?

pregnant women and children under 2 months should not take b/c it could cause jaundice. The proteins bind to bilirubin.

What are some nursing implications while taking a sulfonamide?

take as directed, avoid sunlight, drink with a full glass of water

What are the 4 types of penicillins?

natural, penicillinase resistant, aminopenicillin, extended spectrum

What is important to know about allergies and Cephalosporins?

people who are allergic to penicillins are also allergic to cephalosporins because they are related.

What are the main uses of cephalosporins?

Streps, pneumonia, meningitis, prophylactic

What are the main adverse reactions to watch out for with cephalosporins?

Nausea and vomiting (GI), high doses toxic for the kidneys, increased bleeding

macrolides-main uses?

staph, strep, chlamydia, resp infections, STIs,



from book: Skin and soft tissue

Macrolides- Adverse effects?

GI issues, tenitus.

What is an important thing to consider when administering a macrolide?

It is eliminated from the liver, high doses could cause heptoxicity

Tetracycline Uses:

acne, resp infections, STIs

Tetracycline Adverse Effects:

Pregnancy and children under the age of 8 should not take.



Photosensitivity



From Book: damage to inner ear, high doses when given with other nephrotic drugs causes damage to kidneys, and super infection

Tetracycline Nursing Implications:

take with water, not milk



stay out of sunlight

Aminoglycosides Adverse Effects:

ototoxicity, nephrotoxicity, neurotoxicity

Aminoglycosides Uses:

Serious gram - infections, preOp, GI/GU procedures

Aminoglycosides Contraindications:

Pregnancy: small doses

Aminoglycosides Nursing implications:

Monitor peak and trough (b/c of side effects), take on time

Fluorquinolones Uses:

UTIs, bone infections, anthrax

Fluorquinolones Adverse Effects:

superinfections, photosensitivity, tendon rupture, yeast infection

Fluorquinolones nursing implications

drink plenty of water, increase blood sugar