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ANTIBIOTICS
| Question | Answer |
|---|---|
| AMINOGLYCOSIDES | Amikacin, Gentamicin, Streptomycin, Tobramycin |
| INDICATIONS FOR AMINOGLYCOSIDES | treat many serious aerobic gram-negative infections; used when pt has Contraindications to PNC or PNC has not worked |
| ADVERSE REACTIONS FOR AMINOGLYCOSIDES | Muscle Paralysis-highest alert, NV |
| AMINOGLYCOSIDES LABS | BUN, Cr (IV USE), C&S-need to run before administration |
| WHY WE RUN C&S | to see the sensitivity to and what is most therepuetic |
| NURSING CONSIDERATIONS FOR AMINOGLYCOSIDES | ototoxic-hearing loss temp or perm not reversible, nephrotoxic-kidney damage reversible, monitor for superinfection, can lead to cirrhose with long-term use, |
| SUPERINFECTION | secondary infection caused from drug taken for the primary infection |
| EXAMPLES OF SUPERINFECTION | C-Diff, Yeast Infection |
| SYMPTOMS OF SUPERINFECTIONS | new fever, white patches, foul smelling stook, white discharge or yellow discharge |
| Diarrhea | normal intestinal bacteria being destroyed |
| PATIENT EDUCATION FOR AMINOGLYCOSIDES | Drink plenty of fluids 2000-3000 ML additionally to flush the system out |
| Penicillins | Amoxicillin, Augmentin, Piperacillin, Trimoix and Unasyn |
| ADVERSE REACTIONS FOR PNC | angioedema, SJS, Uriticaria, Pruritus, Phlebitis at IM or IV Injection Site |
| Labs for PNC | LFT |
| Nursing Considerations for PNC | DO NOT GIVE WITH FRUIT JUICE AS IT DESTROYS PNC, ALLERY TO CEPHALOSPORIN DRUGS BE CAUTIONS DUE TO CROSS SENSITIVIY, USE CAUTIONS IN THOSE TAKING BETA BLOCKERS |
| PNC USES | BROAD SPECTUM ANTIBIOTIC FOR MANY INFECTIONS |
| PNC PATIENT TIPS | TAKE ON EMPTY STOMACH WITH WATER, AVOID ACIDIC JUICES, USE BACKUP BIRTH CONTROL, CAUTION WITH COUMADIN AND BETA BLOCKERS |
| CEPHALOSPORINS | 1ST GEN-GRAM POSITIVE COVERAGE-ANCEF AND KEFLEX 3RD GEN-CEFOBID, CEFZIL, CLAFORAN, FORTAZ AND ROCEPHIN |
| CEPHALOSPORINS INDICATIONS | BACTERIAL INFECTIONS/SAFE IN PREGNANCY |
| ADVERSE REACTIONS FOR CEPHALOSPORINS | C-DIFF, PAIN AT SITE, SJS |
| CEPHALOSPORINS LABS | BUN CR |
| NURSING CONSIDERATIONS FOR CEHALOSPORINS | MONITOR FOR CROSS REACTION IN PTS WITH ALLERGY TO PNC, COMPLAIN OF PAIN STOP INFUSION |
| Lactams/Carbapenems | Primaxin and Azactam |
| Indications for Lactams/Carbapenems | to treat infections similar to the actions of a PNC |
| ADVERSE REACTIONS FOR Lactams/Carbapenems | CDIFF, NV, RASH |
| LABS FOR Lactams/Carbapenems | LIVER, CULTURE AND SENSITIVITY, DEPAKOTE LEVELS |
| NURSING CONSIDERATIONS FOR Lactams/Carbapenems | USE CAUTIOUSLY IN THOSE SENSITIVE TO PNC CAN CEPHALOSPORIN, DO NOT GIVE WITH AMINOGLYCOSIDES, SMALL RISK FOR SEIZURE ACTIVITY |
| FLUROQUINOLONES/QUINOLONES | CIPRO LEVAQUIN |
| FLUROQUINOLONES/QUINOLONES INDICATIONS | UTI BRONCHITIS AND PNEUMO |
| FLUROQUINOLONES/QUINOLONES ADVERSE REACTIONS | HYPOGLACEMIC, TENDON RUPTURE THAT IS A BB WARNING |
| LABS FOR FLUROQUINOLONES/QUINOLONES | BUN CR, ALT AND AST |
| FLUROQUINOLONES/QUINOLONES NURSING CONSIDERATONS | DRINK PLENTY OF WATER AVOID WITH PT WITH HEART RHYTHM DISTURBANCES, SEIZURES PERIPHERAL NEUROPATHY BB WARNING |
| PATIENT EDUCATION FOR FLUROQUINOLONES/QUINOLONES | AVOID CALCIUMS, AVOID CAFFINE, AVOID PROLONGED EXPOSURE TO SUN DUE TO EXAGGERATED SUNBURN |
| CHELATION RULE | MINERALS OR SUPPLEMENTS THAT BIND THE DRUG TO THE GUT AND MAKES DRUGS HARD TO ABSORB |
| CYCLIC LIPOPEPTIDES | DAPTOMYCIN AND CUBICIN |
| INDICATIONS FOR CYCLIC LIPOPEPTIDES | TREAT INFECTIONS ASSOCIATED WTIH VRE AND MRSA |
| ADVERSE REACTIONS FOR CYCLIC LIPOPEPTIDES | C DIFF, VEIN IRRITATION, OPTIC NEUROPATHY, DAMAGE TO EYES IF USED LONGER THAN 28 DAYS |
| LABS FOR CYCLIC LIPOPEPTIDES | BUN CR ALT AND AST GLUCOSE LEVELS, PLATELET COUNT AND C&S |
| NURSING CONSIDERATIONS FOR CYCLIC LIPOPEPTIDES | PLATELET COUNT HYPOTHERMIA, CONFUSION AND AGITATED AND PLATELET COUNT |
| PATIENT EDUCATION FOR CYCLIC LIPOPEPTIDES | REPORT ANY VISION CHANGES AND MONITOR FOR THIGH AND CALF PAIN=LACTIC ACIDOSIS |
| SULFA | S-SUNLIGHT, SJS, SEIZURE; U-UNDESIRED EFFECTS WITH RASH SJS AND NAUSEA; L=FOLIC ACID MECH OF ACTION; A= ANEMIA |
| SULFONAMIDES | BACTRIM AND SEPTRA |
| INDICATIONS FOR SULFONAMIDES | UTI AND ULCERATIVE COLITIS |
| ADVERSE REACTIONS FOR SULFONAMIDES | SJS, STOMATITIS-INFLAMMATION OF MOUTH LIPAND TONGUE, PHOTSENSITIVITY |
| LABS FOR SULFONAMIDES | LEUKOPENIA, THROMBOCYTOPENIA |
| NURSING CONSIDERATIONS FOR SULFONAMIDES | INCREASED DILANTIN LEVELS-HIGH RISK FOR SEIZURES, ANYONE WITH SULF ALLERGIES |
| PATIENT EDUCATION FOR SULFONAMIDES | DO NOT TAKE WHILE PREGNANT, ALTERNATIVE BC METHOD, AVOID PROLONGED SUN EXPOSURE USE THIN LAYER WHEN USING TOPICAL |
| TETRACYCLINES | KILLS BACTERIA OUTRIGHT AND STOPS THE GROWTH |
| TETRACYLINES MEDS | TETRACYCLINE AND DOXYCYCLINE |
| INDICATIONS FOR TETRACYCLINES | SPOTTED ROCKY MTN FEVER, LYME DISEASE, ACNE IN ADOLESCENTS AND ADULTS |
| TETRACYCLINES ADVERSE REACTIONS | THROMBOPHLEITITS AT IV SIE, PHTOSENSITIVITY |
| TETRACYCLINE LABS | LIVER FUNCTION, INCREASE BUN |
| PATIENT EDUCATION FOR TETRACYCLINES | AVOID PRONLONGED SUNLIGHT, NO ON UNDER 8 DUE TO TEETH DISCLORATION, AVOID PREGNANTS |
| DOXYCYCLINE | DRUG OF CHOICE FOR RENAL PATIENTS |
| TETRACYCLINES 3 D'S | DENTAL, DAIRY AND DUNLIGHT |
| MACROLIDES | ERYTHROMYCIN, ZITHORMAX, BIAXIN, FIDAXOMICIN, TXT OF C DIFF |
| MACROLIDES ADVERSE REACTIONS | TINNITUS, OT PROLONGATION AND CHEST PAIN |
| MACROLIDES LABS | RENAL, LIVER, C&S, POTENTIATES TEGRETOL DIGOXIN COUMADIN AND THEOPHYLLINE |
| NURSING CONSIDERATIONS FOR MACROLIDES | CAUTION WITH SULFONOMIDES AND THEOPHYLLINE, DO NOT GIVE WITH STATIN DRUGS |
| MACROLIDES PATIENT EDUCATIONS | AVOID SUNLIGHT, PLENTY OF FLUIDS, TAKE ON EMPTY STOMACH AND BACK UP BC METHOD |
| LINCOSAMIDES EXAMPLES | LINCOCIN, CLINDAYCIN |
| LINCOSAMIDES ADVERSE EFFECTS | C DIFF PHLEBITIS AT IV SITE, BLOOD DYSCRASIS |
| LINCOSAMIDES LABS | ALT, AST, LEUKOCYTS EOSINOPHILS AND PLATELETS |
| LINCOSAMIDES PATIENT EDUCATION | DRINK PLENTY OF WATER USE ALTERNATIVE FORM OF BC |
| LINCOSAMIDES NURSING CONSIDERATIONS | TOPIAL APPLIATION AVOID ALOCOHOL BASED PRODUCTS, OPEN FLAMES AND WAIT 30 MINUTES AFTER BATHING AND SHAVING TO APPY TOPICALLY |
Created by:
danpol1775