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Pharm - Antiinfectiv
Antiinfective and Replacement therapy
| Question | Answer |
|---|---|
| Empiric therapy | broad spectrum antibiotics |
| Narrow Spectrum | Results from culture and sensitivity tests tell which med works |
| Prophylactic | Preventative |
| Bacteriostatic Actions | Inhibit growth of bacteria, works on cell wall |
| 2 Bacteriostatic meds | Sulfonamides, Tetracycline |
| Bacteriocidal | Kills bacteria |
| Examples of Bacteriocidal meds | Penicillin, Aminoglycosides (gentamacin, steptomacin), Cepholosporan (Keflex) |
| Therapeutic Response to antiinfective meds | Bacteria is gone |
| Subtherapeutic response to antiinfective meds | wrong dose, wrong drug, not taken fully - will not be effective |
| Superinfection | can either be antibiotic resistant or an infection that occurs because of medications (thrush) |
| Nursing Implications for Antiinfectives | take all meds, absorb best with 6-8 oz of water, medi-alert tag for allergies, use 2nd form of birth control if on contraceptive |
| When taking PCN, should your stomach be empty or full? | empty |
| When taking tetracycline, what should you avoid? | mild products, iron prep and antacids |
| Cephlosporan needs to be taken with... | food |
| General actions of antituberular agents | inhibits protein synthesis and cell wall synthesis of TB |
| Drug commonly ordered TB | INH; may be on medications for 2 years |
| Nursing Implications for antituberular meds | diabetics need to monitor for hyperglycemia, oral contraceptives are ineffective, nutrition is important, need rest and relaxation, good hygiene is needed. |
| Synthyroid | hypothyroidism treatment |
| Antithyroid | hyperthyroidism treatment |
| General Action of Corticosteroids | antiallergic reactions, antiinflammotory reactions |
| Prednizone | commonly ordered corticosteroids |
| Corticosteroids suppress | the immune system |
| Routes for corticosteroids | Topical, oral, iv, im |
| Radioactive Iodine | destroys the thyroid gland |
| Propylthiouracil | impedes formation of thyroid hormone |