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antibiotics
antibiotics 2
| Question | Answer |
|---|---|
| Glycopeptide Examples | Vancomycin, teicoplanin, Telavancin, Ramoplannin and decaplannin and antitumor antibiotic Bleomycin MYCIN (ZITHROMAX , AZIJTHROMYICN,BIOXIN,CLARAMYCIN,ERYTHROMYCIN,EROCYIN, |
| Glycopeptide- associated labs | peak and trough BUN CR C&S Platlet count |
| Glycopeptide nursing considerations | phelbitis at injection site fluid intake monitor lab results monito for reaction |
| Glycopeptide- indications | inhibits bacterial cell wall formation by inhibitng petidoglycan synthesis used for treating MRSA AND entercoccal infections which are resistant to beta-lactams and other antibiotics |
| Glycopeptide- pt tip BB WARNING | drink fluid report flushing,dizzyness, rash, hearing changes, routine labs DO NOT GIVE WITH STATINS NO LIPODEMIA DRUGS |
| Glycopeptide adverse effects | Red man syndrome nephrotoxicity neutropenia defness(referseable) |
| Glycopeptide extra cautions | always infuse vancomycin SLWLY 60-90min redman syndrome related to rapid infusion rotate infusion sites adjust dosing based on trough levals and kidney function TINITIS STOP AND ALERT DR CHECK TROP LVALS |
| Antifungals examples | diflucan monistat nizoral mycostatin nystatin |
| Antifungals inications | used to txt fungal infections |
| Antifungals | 'malaise- tired lack of appitite, dyspepsia (acid reflex) facial edema hepatoxicity nephrotoxicity |
| Antifungals assosciated labs | potassiam- hypoklemia (heart disrythmia) magnesium - hypomagnesemia BUN CR ALT AST |
| Antifungals NURSING CONSIDERATIONS | PROTECT amphotericin B from sunlight cover package and tubing monitor for fever and chills after iv administration phlebitis at injection site use cautiosly in taking steroids DO NOT GIVE WITH LIVER DISEASE,ALCOHOL,PREGNENT |
| Antifungals pt education | malebreasts in ong term use avoid using toothpicks, may incease bleeding paractice good oral hygene consume small frewuent meals swish and swallow- nystatin |
| Antifungals CAUTION | CAUTIN WITH CORTOSTEROID USE, MONITOR ELCTROLYTES |
| Antihellmintics examples | provan,vermox,albendazole,praziquantel, specific medication to treat specific infections |
| antihelminitcs indications | destroys amebiasis, roundworms,hookworms and pinworms |
| antihelminitcs adverse reactions | abdominal bloating,anorexia |
| antihelminitcs labs | stool blood urine sputum or tissues from infected host for ova/larva |
| antihelminitcs nursing considerations | strict handwashing |
| antihelminitcs pt education | treat entire fmamily ws utensils and linen in hottest water if pissible |
| antihelminitcs extra cautions | do not use otc de wormers unless specifeied |
| antimalarias/antiprotozoals example | plaquenil (hydroxyxholorwuine) quinine (qualaquin) |
| antimalarias/antiprotozoals idications | prevention and or txt of malaria |
| antimalarias/antiprotozoals adverse recations | tinitus,orthostatic hypotension |
| antimalarias/antiprotozoals labs | g6pd prior to therapy g6pd also early test for mystatin gravis ALT AST |
| antimalarias/antiprotozoals nursing considerations | may lower seizer threshold depressd deep tendon reflex |
| antimalarias/antiprotozoals pt education | take on the same dat of each week and same time |
| antimalarias/antiprotozoals BB warning | nausea vomiting diarhea, tinnnits , leg cramps orthostaic hypotension incresed thirst AVOID ATACIDS WITHIN 4 HRS OF DOSE |
| antimalarias/antiprotozoals EXTRA CAUTIONS | ASSES FOR DEEP TENDON REFLEXS, TEST FOR G6PD DEFICIANCY to avoid hemolytic anemia |
| antiparastics examples | lindane (kwell) RID, NIX |
| antiparastics INDICATIONS | PASARITE , lice and scabies by atacking nervous system |
| antiparastics adverse effects | burning at application |
| antiparastics pt education | treat entire family wash all clothing and linen hottest water possible |
| antiparastics BB WARNING | TRANSIENT dzzyness,toxicity by misuse /overuse APPLY on on cool dry skin may lower siexure threshhold |
| antivials | treats herpes,vaicella, and hepetitis zovirax, adefovir,famvir,valtrex TREATS tamiflu- flu RSV- ribavirin |
| adverse reactions -antivials | anorexia orthostatic hypotension |
| antivials labs | BUN CR ALT AST |
| antivials PT EDUCATION | APPLY GLOEVES avoid unportected sex |
| antretrovirals | kaletra,crixivan,ritonavir combivir,sustiva |
| antretrovirals indications | HIV AND AIDS HAART highly active antiretroviral therapy |
| antretrovirals labs | BUN CR ALT AST Viral lowd- more than 200 full blown aids CD4 |
| antretrovirals NURSING CONSIDERATIONS | Anemia immunosuppession |
| antretrovirals pt educaton | no alchol, DONT use with st johns wort |
| antretrovirals BB warning | NVD insulin restince anemia parethesia insomnia,abnormal dreams sponanous joint bleeding expect fat redistrubtion soo not take anatcids or iron without proder approval |
| antretrovirals extra tips | mmonitor for immunosuppression |
| anti tubercular | TB isoniazid (INH) is only drug reccomended for prophyactic treamment duration 1 yr |
| anti tubercular used | INH- NVD - watch for NVD RIFAMPIN - DISCOLOARION OF BODY FLUID - ORANGE RED DONT waer contct lenses |
| anti tubercular special considerations | do not touch the medication once opened pregrand , chx pox,tb /tb do not take |
| INH | PROPHYLAXIX & TXT |
| RIFAMPIN | ACTIVE TB |
| ETHAMBUTOL | ACTIVE TB |
| PYRAZINAMIDE | ACTIVE TB |
| ETHIONAMIDE | 2ND LINE OF TXT TB |
| CAPRTEOMYCIN | 2ND LINE OF TXT TB |
| INH watch for | Hepatis,peripheral nueropathy,hallucinations,slurreed speach |
| RIFAMPIN watch for | discoloration body fluids, lethargy, bledding visul disturbations |
| ETHAMBUTOL watch for | optic neuitis,vison loss,changes in color perceiption |
| PYRAZINAMIDE watch for | potsenstivy liver damage gout anemia lowered clotting time |
| ETHIONAMIDE watch for | postural hypotension, depression jaunduce NVD |
| CAPRTEOMYCIN WATCH FOR | H/A OTOTOXICITY , NEPHROTOCXIOTY STERLIE ABSESS AT INJECTION SITE, BLEEDING |
| INH CONSIDER | AVOID BANANNAS AGED CHEESE ALCOHOL GIVE B6 PREVENT NEUROPATHY |
| RIFAMPIN CONSIDER | DONT WAER CONTACT LENSES MAY ELEVATE GLUCOS EMPTY STOCMACH |
| ETHAMBUTOL CONSIDER | BASELINE AND REGULAR EYE EXAMS |
| PYRAZINAMIDE CONSIDER | MONITOR LIVER ENZYMES AND URIC ACID LEVALS |
| ETHIONAMIDE CONSIDER | USE CAUTION IN HEPATIC DUSFUNCTION |
| CAPRTEOMYCIN CONSIDER | MONITOR KIDNEY AND HEARING |