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pharm unit 5
pharm
| Question | Answer |
|---|---|
| gentamicin adverse effects | ototoxicity and nephrotoxicity. headache, vertigo, dizziness, paresthesia, skin rash, fever, overgrowth of non susceptible organisms |
| if pt is allergic to penicillins you also wouldn't give them what? | cephalosporins |
| what do you monitor with pts taking tetracycline and what can it do especially in child hood | you monitor teeth discoloration, superinfections, photosensitivity, diarrhea, vitamin k synthesis, pseudomembranous colitis, anemia, thrombocytopenia, sle exacerbation, gi upset, rash. may cause discolored teeth, and growth development in children. |
| what do you do after administering first dose of antibiotic? | monitor for 30 minutes for allergic reaction such as hives, anaphylaxis, breathing difficulty, angioedema, epidermal necrolysis, rash |
| why do we tell pts to take the full prescription of antibiotics | so that the body will completely rid of the infection, and you don't end up with superinfections |
| an effective treatment for mrsa or streplaclosis | vancomycin |
| pt teaching with teclacycline | photosensitive |
| what do you want to do before starting an antibiotic | do a culture and sensitivity |
| why use zythromax or biaxin rather than erythromycin? | a better daily dosing and longer duration |
| acyclovir ( zovirax) is an antiviral given for what | suppressing hiv, chickenpox, shingles and managing recurrence |
| acyclovir (zovirax) common side effect is what | bone marrow suppression |
| zidovudine (azt, adv, retrovir) | antiviral agent that effects bone marrow suppression. you would change to videx after you take zidovudine for a while which does not cause severe bone marrow suppression |
| therapeutic effects of antiviral agents | delayed progression of the aides related complex or aides itself |
| antretroivirals treat everything except what | hiv and aides |
| retrovirals treat what | aides and hiv |
| how do retrovirals work | stop the replication and interfere with the rna |
| tama flue and Relenza | fight the flu you must take it within 2 days of onset |
| side effects of rifampin and inh that are used for tb | numbness and tingling of extremities |
| what do you give with inh | pyridoxine witch is vitamin b-6 |
| what should you observe for with anti tubercular therapy | signs of hepatic inpairment |
| what do woman need to be aware of with rifampin | alternate form of contraception |
| what medication should you avoid with INH | antacids |
| how long will pts be on INH | 12-24 months |
| for pts who are exposed to tb | monitor glucose, no alcohol and treat family prophylactically |
| why is it necessary to use multidrug treatment for tb | it reduces chances of getting resistant to the medications |
| what is amphoteracin | antfungal and its severe adverse effects are fever, chills, hypotension, tachycardia, malaise, muscle and joint pain, anorexia, nausea and vomiting, renal toxicity and seizures. |
| what is a way to avoid adverse side effects with amphoteracin | pretreatment with antipyretics (acetaminophen) antihistamines, and antiemetic's can reduce side effects of the drug |
| what is vermox | tx for worms manly round worms. teach that it may cause diarrhea |
| medications to treat malaria | combination of sulfonamides and tetracyclines to further augment the protozoalcidal effect |
| how is malaria transmitted | bite of infected female mosquito (anopheles) . would see them in areas such as Dominican republic |
| tx to prevent malaria | may take cloroquine 2 weeks prior to going to these areas and 8 weeks after returning |
| adverse reactions to antihelmics | diarrhea and anorexia |
| what does antiseptic do | kills germs and is used on living objects |
| what does disinfectants do | stops germs from growing and used on non living objects |
| examples of antiseptics | Beda dine |
| what do you worry about with Beda dine | shell fish and iodine allergies |
| what is a nosocomial infection | hospital acquired or health care associated infection |
| what do NSAIDS do | ant inflammatory, antipyretic, promotes bleeding. |
| what are medication interactions with NSAIDS | salicylates and MAOIS. aspirins, warfin, comadin, anti coagulants |
| sign of salicylate intoxication | hearing loss (tinnitus) |
| what do you do with children who have chicken pox | give them ibuprofen and Motrin do not give them Tylenol |
| what is cytotec for | gastric bleeding |
| conditions contraindicated with NSAIDS | allergy, pregnancy and bleeding, ulcers, menstruation, nose bleeds |
| what do you give for transplants | immunosuppressants |
| adverse effect of Imuran | leukopenia. discontinue therapy if leukocytes drop below 3000 |
| signs of anaphylactic reaction | difficulty breathing, call 911 or use epee pen |
| who should you not five immunizing or immunosuppressant to | anyone who is immune-o-compromised, active infections and pregnancies |
| what do we give for a brown reclus bite | antivenin |
| what are the 3 routes of exposure of anthrax to humans | touch, eat or breath |
| extravasion of tissues when administering cancer drugs | stop and call dr immediately for antidote |
| neutropenic precautions because of chemo | no plants, no fresh fruits or vegetables, reverse isolation, wear mask if in public |
| flurouracil therapy | works against solid tumors. needs to report signs of bleeding, white spots or ulceration in the mouth, can form thrush and ulceration |
| what do you do with a chemo pt | monitor electrolytes they will have lots of vomiting and nausea. push lots of floods when they are feeling well |
| what does epigen n do | stimulates red cells for severe anemia |
Created by:
annieross
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