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Pharm Immunlogical

NRTC

QuestionAnswer
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
Created by: thirdghere
 

 



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