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NRTC

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Antihistamines   diphenhydramine (Benadryl) loratadine (Claritin) cetirzine (Zyrtec)  
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glucocorticoids due what   immunosuppresant and anti inflammatory  
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NSAIDS   treat inflammation. pain and fever  
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immunosuppresants   treat autoimmune disorders, organ transplants  
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antihelmetics   treat parasites (worms)  
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pediculicides   treatment for lice (permethrin cream, Elimite, NIX)  
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scabicides   scabies (permethrin, lindane)  
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antineoplastics   cancer tx (chemo)  
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pencillins (-cillins)   penicillin G (Bicillin LA) ampicillin (Principen), piperacillin tazobactam (Zosyn) methicillin;amoxicillin (Augmentin)  
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penicillins work by   destroying bacteria by weakening the bacterial cell wall  
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penicillins side effects   allergies/anaphylaxis, renal impairment, hyperkalemia/dysrhthmias or hypernatremia  
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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  
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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  
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cephalosporins (cef-)   4 generations and each tougher than the last  
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cephalosporins side effects   hypersensitivity/anaphylaxis bleeding tendencies (caution with drug thinners) pain with IM injections no pt with renal or bleeding tendencies  
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cephalosporins nursing interventions   take full prescription take oral with food store oral in refridgerator  
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monobactams   vancomycin (Vancocin) fosfomycin (Monurol)  
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monobactams uses   MRSA or C-DIFF  
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monobactams side effects   ototoxicity, infusion reactions, thrombophlebitis  
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can you use monobactams with otic medicaitons   False  
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can you use monobactums with loop diuretics   False  
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can you use monobacutms on patients with renal dysfunciton   no  
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monobactums is hard on the veins   true  
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peak and troughs for monobactums   true  
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tetracyclines (-cyclines)   teracyclines (Sumycin) doxycycline (Vibramycin), minocylcine (Minocin)  
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teracycline can be given at bedtime   false  
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peaks and troughs are usually drawn every 72 hours   true  
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side effect of tetracycline on the teeth   yellow/brown tooth discoloration and erosion of tooth enamel  
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other side effects of teracycline   heptatoxicity and photosensitivity  
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do not use teracyclines after what month of pregnancy and in children under what age   4th month and children under the age of 8  
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liver and renal patients need to use teracyclines with caution   true  
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can you drink milk or take calcium supplements while taking tetracyclines   NO  
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take tertacycline on an empty stomach with a full glass of water   true  
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are oral contraceptives effective if you are taking tetracylcine   no  
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trough is the lowest dose of the med   true  
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peak happens at what time frame after the infusion   30 minutes to 2 hours  
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macrolides   erthromycin (E-Mycin) azithromycin (Zithromax)  
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what antibiotic is used for patients with penicillin allergy   Macrolides  
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side effects of macrolides   gi discomfort, heptatoxicity, cardiac dysrhthmias  
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what drug interacts with Macrolides   warfarin  
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macrolides nursing interventions   take 1 hour before meals or 2 hours after with full glass of water IV route is rarely used  
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aminoglycosides   gentamicin (Garamycin)  
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aminoglycosides side effects   ototoxity, nphrotoxicity, streptomycin-neurologic disorder  
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do not use aminoglycosides with patients who have preexisting hearing loss or with pts taking loop diuretics   true  
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monitor peak and troughs in aminoglycosides for aminoglycoside levels   true  
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trimethoprim & sulfonamides   trimethoprim-sulfamethoxazole (Bactrim)  
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timethoprim-sulfamethoxazole side effects   hypersensitivity, crystalluria, photosensitivity  
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timethoprim-sulfamethoxazole interactions   warfarin (Comadin), phenytoin (Dilantin) sufonylurea oral hypoglycemics  
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timethoprim-sulfamethoxazole nursing interventions   take on an empty stomach, maintain fluid, hard on the kidneys Drink lots of H2o  
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Fluoroquinolones   ciprofloxacin (Cipro) ofloxacin (Floxin) lomefloaxin (Maxaquin)  
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Fluoroquinolones side effects   gi discomfort so take with food, hepatoxicity, achilles tendon rupture and supra infection (thrush and yeast) phototoxicity  
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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  
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antiprotozoals   metronidazole (Flagyl)  
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antiprotozoals are used for   treating protozoal infections like C-Diff and trichomoniasis  
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antiprotozoals side effects   gi distress, metallic taste, dry mouth, CNS symptoms like numbness of extremities, seizures and severe headache. Stop ASAP and contact PCP  
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antiprotozoals interactions   warfarin, ETOH acts like Antabuse  
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antifungals   ketoconazole (Nizoral) nystatin (Mycostatin) miconazole (Monistat 3) clotrimazole (Lotrimin) terbinafine (Lamisil) fluconazole (Diflucan)  
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antifugal uses   systemic fungal infections superfical fungal infections like athletes foot, jock itch and nail fungus  
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antifugal side effects   heptatoxicity/nephrotoxicity effects sex hormones (effects sex hormones) avoid use in people with reduced renal function  
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antivirals   acyclovir (Zovirax) oseltamivir (Tamiflu) ganciclovir (Cytovene)  
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antiviral uses   acyclovir is used for herpes and varicella zoster infections Oseltamivir types A & B influenza  
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antiviral side effects   nephrotosicity mild GI discomfort with oral meds  
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anti viral interventions   topical use gloves to avoid transfer maintain hydration and monitor for signs of inflitration take with food if GI symptoms occur  
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