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Antiinfectives

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Question
Answer
What are the aerosolized antiinfectives we have learned about?   Pentamidine-Nebupent, Ribavirin-Virazole, Tobramycin-TOBI, Zanamivir-Relenza  
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What is the recommended dosage for Pentamidine/NebuPent?   300mg/6ml sterile water; once/4wks  
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What is the recommended dosage for Ribavirin/Virazole?   20mg/ml; 12-18hrs/day for 3-7days by SPAG  
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What is the recommended dosage for Tobramycin?TOBI?   300mg bid; 28 days on/28 days off; >6yrs  
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What is the recommended dosage for Zanamivir/Relenza?   10mg bid with DPI diskhaler; bid 5 days  
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What are the indications for Pentamidine/NebuPent?   PCP prophylaxis in HIV pt  
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What are the indications for Ribavirin/Virazole?   RSV  
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What are the indications for Tobramycin/TOBI?   P. aeruginosa in CF  
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What are the indications for Zanamivir/Relenza?   Influenza  
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What is the mode of action for Ribavirin/Virazole?   Inhibits DNA replication/reproduction  
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What special precautions should be taken when delivering Ribavirin/Virazole?   PPE's should always be worn; Women who are pregnant or planning pregnancy should not administer  
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What special precautions should be taken when administering Pentamidine/NebuPent?   Use Respigard II neb system, administer in negative pressure room or under exhaust, always wear PPEs  
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What is the mode of action for Pentamidine/Virazole?   Inhibits DNA, RNA, phospholipids and protein synthesis  
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What is the mode of action for Ribavirin/Virazole?   Stops viral DNA replication  
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What is the mode of action for Tobramycin/TOBI?   Bacterialcidal - blocks protein synthesis  
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What is the mode of action for Zanamivir/Relenza?   Binds to viral enzyme and block action  
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What are the side effects of Tobramycin/TOBI and Gentamicin?   Dizziness, nausea, neuromuscular blockade;  
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What can worsen the side effects of TOBI and Gentamicin?   Myasthenia and use of neuromuscular blockades  
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Created by: kreblackwell
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