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Pharm2 Chapter 39
| Question | Answer |
|---|---|
| What are the two major toxic effects of Aminoglycosides | Ototoxicity, and Nephrotoxicity |
| What should be monitored while a patient is on Aminoglycosides to prevent nephrotoxicity and ototoxicity | Peak and through blood levels |
| What are some sysptoms of ototoxicity | Dizziness, tinnitus, and hearing loss |
| What are some symptoms of nephrotoxicity | Urinary casts, proteinuria, and increased BUN and serum creatinine levels |
| Nonspecific-cell mediated immunity produce | T-cells, which produce Killer T-cells, and T-helper cells. They do not produce antibodies |
| Specific-humoral immune system produces | B-cells, and T-cells |
| What is another name for Specific-humoral immune system | Antibody mediated immunity |
| B-cells eventually become | Plasma cells |
| Plasma cells produce | Antibodies |
| What are your more prominent viral illnesses | Smallpox, sore throat, conjunctivitis (pink eye), warts, influenza, respiratory infections, gastroenteritis, HIV/AIDS, herpes, and hepatitis |
| Who are more susceptible to frequent viral infections | Cancer patients (leukemia, lymphoma), transplant patients, and AIDS patients |
| These don’t destroy, they inhibit replication | Antiviral |
| These stimulate the bodies immune system to kill virions directly | Interferons |
| HIV attacks what cells | T-cells |
| Why are viruses difficult to eradicate | b/c host cells are destroyed |
| These are used to treat infections caused by viruses other than HIV, such as herpes simplex, vericella, influenza, cytomegaly, hepatitis, RSV | Antiviral agents |
| Used to treat infections caused by HIV, the virus that causes AIDS | Antiretroviral agents |
| Herpes-Simplex Viruses (HSV-1) is what | Oral herpes |
| Herpes-Simplex Viruses (HSV-2) is what | Genital herpes |
| What is the name of an anti-herpesvirus agent | Acyclovir (Zovirax) |
| What is the name of an anti-influenza agent | Oseltamivir (Tamiflu) |
| What side effects does Nonretroviral Amantadine (Symmetrel) have | Insomnia, nervousness, lightheadedness, anorexia, and nausea |
| What nonretroviral is more effective and has fewer side effects than Amantadine (Symmetrel) | Oseltamivir (Tamiflu) |
| What medications are used to treat the Herpes Simplex Virus | Acyclovir (zovirax), Valacyclovir (Valtrex), and Famciclovir |
| What is a topical treatment used for herpes | Abrieva |
| What nonretroviral drug has a very cytotoxic effect and is used to treat Cytomegalovirus (CMV) | Ganciclovir (Cytovene) |
| What is the name of the oral form of Ribavirin that is used to treat Hep. C | Copegus, and Rebetol |
| What is that name of the inhalation for of Ribavirin that is used to treat RSV infections in hospitalized infants | Virazole |
| What does ELISA stand for and what does is detect | Stands for enzyme-linked immunosorbent assay, and it is used to detect HIV exposure based on the presence of human antibodies to the virus in the blood. |
| How many stages are there of the HIV infection | 5 stages |
| What are the stages | Stage 1 Asymptomatic infection →1st few weeks to months after initial exposure Stage 2 Early, general symptoms of disease Stage 3 Highly symptomatic Stage 4 Progression to full blown AIDS Stage 5 Death |
| HAART | Highly active antiretroviral therapy |
| These block activity of the enzyme reverse transcriptase, preventing production of new viral DNA | Reverse Transcriptase Inhibitors |
| These inhibit the protease retroviral enzymes, preventing viral replication | Protease Inhibitors |
| These inhibit viral fusion, preventing viral replication | Fusion inhibitors |
| What Reverse transcriptase inhibitor is most commonly used | Zidovudine (Retrovir) |
| What Fusion inhibitor is most commonly used | Enfuvirtide (Fuzeon) |
| Do antiretroviral medication regimens change during the course of the illness | Yes |