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Pharm Immunlogical
NRTC
| Question | Answer |
|---|---|
| Antihistamines | diphenhydramine (Benadryl) loratadine (Claritin) cetirzine (Zyrtec) |
| glucocorticoids due what | immunosuppresant and anti inflammatory |
| NSAIDS | treat inflammation. pain and fever |
| immunosuppresants | treat autoimmune disorders, organ transplants |
| antihelmetics | treat parasites (worms) |
| pediculicides | treatment for lice (permethrin cream, Elimite, NIX) |
| scabicides | scabies (permethrin, lindane) |
| antineoplastics | cancer tx (chemo) |
| pencillins (-cillins) | penicillin G (Bicillin LA) ampicillin (Principen), piperacillin tazobactam (Zosyn) methicillin;amoxicillin (Augmentin) |
| penicillins work by | destroying bacteria by weakening the bacterial cell wall |
| penicillins side effects | allergies/anaphylaxis, renal impairment, hyperkalemia/dysrhthmias or hypernatremia |
| do not use pencillins if a patient has a history of | allergies to cephalosporins or penicillin or if pt has kidney dysfunctions because of cross reaction |
| penicillin nursing interventions | penicillin & amoxicillin take with food all others take with full glass of water 1 to 2 hours before eating complete the entire course lab tests for Bun & creatine |
| cephalosporins (cef-) | 4 generations and each tougher than the last |
| cephalosporins side effects | hypersensitivity/anaphylaxis bleeding tendencies (caution with drug thinners) pain with IM injections no pt with renal or bleeding tendencies |
| cephalosporins nursing interventions | take full prescription take oral with food store oral in refridgerator |
| monobactams | vancomycin (Vancocin) fosfomycin (Monurol) |
| monobactams uses | MRSA or C-DIFF |
| monobactams side effects | ototoxicity, infusion reactions, thrombophlebitis |
| can you use monobactams with otic medicaitons | False |
| can you use monobactums with loop diuretics | False |
| can you use monobacutms on patients with renal dysfunciton | no |
| monobactums is hard on the veins | true |
| peak and troughs for monobactums | true |
| tetracyclines (-cyclines) | teracyclines (Sumycin) doxycycline (Vibramycin), minocylcine (Minocin) |
| teracycline can be given at bedtime | false |
| peaks and troughs are usually drawn every 72 hours | true |
| side effect of tetracycline on the teeth | yellow/brown tooth discoloration and erosion of tooth enamel |
| other side effects of teracycline | heptatoxicity and photosensitivity |
| do not use teracyclines after what month of pregnancy and in children under what age | 4th month and children under the age of 8 |
| liver and renal patients need to use teracyclines with caution | true |
| can you drink milk or take calcium supplements while taking tetracyclines | NO |
| take tertacycline on an empty stomach with a full glass of water | true |
| are oral contraceptives effective if you are taking tetracylcine | no |
| trough is the lowest dose of the med | true |
| peak happens at what time frame after the infusion | 30 minutes to 2 hours |
| macrolides | erthromycin (E-Mycin) azithromycin (Zithromax) |
| what antibiotic is used for patients with penicillin allergy | Macrolides |
| side effects of macrolides | gi discomfort, heptatoxicity, cardiac dysrhthmias |
| what drug interacts with Macrolides | warfarin |
| macrolides nursing interventions | take 1 hour before meals or 2 hours after with full glass of water IV route is rarely used |
| aminoglycosides | gentamicin (Garamycin) |
| aminoglycosides side effects | ototoxity, nphrotoxicity, streptomycin-neurologic disorder |
| do not use aminoglycosides with patients who have preexisting hearing loss or with pts taking loop diuretics | true |
| monitor peak and troughs in aminoglycosides for aminoglycoside levels | true |
| trimethoprim & sulfonamides | trimethoprim-sulfamethoxazole (Bactrim) |
| timethoprim-sulfamethoxazole side effects | hypersensitivity, crystalluria, photosensitivity |
| timethoprim-sulfamethoxazole interactions | warfarin (Comadin), phenytoin (Dilantin) sufonylurea oral hypoglycemics |
| timethoprim-sulfamethoxazole nursing interventions | take on an empty stomach, maintain fluid, hard on the kidneys Drink lots of H2o |
| Fluoroquinolones | ciprofloxacin (Cipro) ofloxacin (Floxin) lomefloaxin (Maxaquin) |
| Fluoroquinolones side effects | gi discomfort so take with food, hepatoxicity, achilles tendon rupture and supra infection (thrush and yeast) phototoxicity |
| Fluoroquinolones interactions | theophylline & warfarin- levels will increase if using cipro milk/dairy products/magnesium antacids decrease the absorption of cipro do not take if under 18 years old due to Achilles tendon rupture |
| antiprotozoals | metronidazole (Flagyl) |
| antiprotozoals are used for | treating protozoal infections like C-Diff and trichomoniasis |
| antiprotozoals side effects | gi distress, metallic taste, dry mouth, CNS symptoms like numbness of extremities, seizures and severe headache. Stop ASAP and contact PCP |
| antiprotozoals interactions | warfarin, ETOH acts like Antabuse |
| antifungals | ketoconazole (Nizoral) nystatin (Mycostatin) miconazole (Monistat 3) clotrimazole (Lotrimin) terbinafine (Lamisil) fluconazole (Diflucan) |
| antifugal uses | systemic fungal infections superfical fungal infections like athletes foot, jock itch and nail fungus |
| antifugal side effects | heptatoxicity/nephrotoxicity effects sex hormones (effects sex hormones) avoid use in people with reduced renal function |
| antivirals | acyclovir (Zovirax) oseltamivir (Tamiflu) ganciclovir (Cytovene) |
| antiviral uses | acyclovir is used for herpes and varicella zoster infections Oseltamivir types A & B influenza |
| antiviral side effects | nephrotosicity mild GI discomfort with oral meds |
| anti viral interventions | topical use gloves to avoid transfer maintain hydration and monitor for signs of inflitration take with food if GI symptoms occur |