Term
|
Definition
| used to tx infections caused by pathogens |
|
|
Term
| bacterialcidal and bacteriostatic |
|
Definition
| two actions of antiinfectives? |
|
|
Term
|
Definition
| this means the drug is effective against several groups of organisms |
|
|
Term
|
Definition
| this means the drug is effective against a few groups |
|
|
Term
-take meds as directed
-never share meds
-take with full glass of water
-expect to expect N/V/D
-may experience superinfection |
|
Definition
| what are five pt teachings for taking antiinfective drugs? |
|
|
Term
| -inhibit bacterial cell wall, protein synthesis, reproduction, inhibit cell metabolism and growth, disrupt microbial cell membrane |
|
Definition
| these are the mechanisms of action of antiinfectives |
|
|
Term
-s/s of infection, susceptibility to infection
-c&s report
-allergies
-renal/hepatic function |
|
Definition
| for every drug, what do you want to assess? |
|
|
Term
| prevent spread of infection by coughing into sleeve, washing hands and good hygiene, support natural defense mechaisms |
|
Definition
| when you are trying to teach a pt how to avoid getting sick, what do you tell them? |
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|
Term
| 3000 ml/24 hrs, six pints |
|
Definition
| how much should one drink with any med? |
|
|
Term
| take around the clock, take on empty stomach, store in cool, dark dry place, take with full glass of water, report N/V/D |
|
Definition
| what are some other patient teaching things? |
|
|
Term
|
Definition
| what labs will you look at to assess kidney function? |
|
|
Term
| observe for s/s of superinfection, compliance with instructions, decrease in s/s of infection, no drug allergies |
|
Definition
| what do you want to observe in patient when evaluating? |
|
|
Term
|
Definition
|
|
Term
| gram + bacterial infections (strep) |
|
Definition
| what are PCNs used to tx? |
|
|
Term
| previous hyper-sensitivities, cross sensitivities |
|
Definition
| what are some contraindications of PCN? |
|
|
Term
| anaphylaxis, GI VND, superinfections, seizures |
|
Definition
| what are some adverse reactions to PCN? |
|
|
Term
|
Definition
| what meds are similar to PCN? and should watch for x sensitivity |
|
|
Term
s/s of infection, VS, sputum, urine, WBC
-h/P for allergy
-specimen for C&S
-observable for s/s of anaphylaxis |
|
Definition
| what are some important nursing implications for PCN? |
|
|
Term
| discontinue immediately, admin Epiniephrine/antihistamine on hand and resuscitation eqpt available. |
|
Definition
| if a pt has an allergic reaction to PCN, what do you do? |
|
|
Term
| -use additional contraceptive method, take around the clock, reprot diarrhea, blood in stool, pus/mucus, no ETOH x 72 hrs. |
|
Definition
| what are some imp pt teaching incplication for PCN |
|
|
Term
|
Definition
| these are widely used/distributed/concentrated in the kidney/liver |
|
|
Term
|
Definition
| this drug is chemically/structurally related to PCN |
|
|
Term
|
Definition
| this is used as a surgical prophylaxis |
|
|
Term
|
Definition
| this is used to txx RT, skin, soft tissue, UT, brain and spinal cord |
|
|
Term
|
Definition
| this is a broad spectrum abx that fights gram +/- bacteria |
|
|
Term
| inhibit microbial protein synthesis |
|
Definition
|
|
Term
renal/hepatic failure
hypersensitivity/pregnancy |
|
Definition
| contraindications for Tetracycline? |
|
|
Term
| dizziness, photosensitivity, blood dyscrasias |
|
Definition
| what are some adverse effects with Tetracyclines? |
|
|
Term
| s/s of infection (vs, wound appearance, sputum, urine, stool, WBC), obtain specimen for C&S, check renal/hepatic labs, CBC |
|
Definition
| what are nursing implications for TET |
|
|
Term
| causes staining of teeth, and softening of bones |
|
Definition
| why are tets not recommended for children under 8? |
|
|
Term
| dairy products, and no other meds within 1-3 hrs |
|
Definition
| what should the pt not consume with Tet? |
|
|
Term
| use non hormonal method of BC, use sunscreen lotion |
|
Definition
| what should you tell women and others in general who are on Tet? |
|
|
Term
| sulfonamides (bactrim and septra) |
|
Definition
| this is for tx of the holes |
|
|
Term
| urinary and resptory tract infections |
|
Definition
|
|
Term
|
Definition
|
|
Term
| hypersensitivity, renal/liver impairment, pregnancy |
|
Definition
| contraindications for sulfonamides? |
|
|
Term
| blood dycrasias, photosensitivity and hepatic necrosis |
|
Definition
| adverse effects of sulfonamides includes: |
|
|
Term
| allergies to sulfa, inspect IV site for phlebitis, monitor CBC/UA |
|
Definition
| what should you assess for when giving someone sulfanomides? |
|
|
Term
|
Definition
| do not administer these via IM |
|
|
Term
| complete dose, use sunscreen, notify MD of S/S of superinfection |
|
Definition
| what do you need to teach with sulfanomides? |
|
|
Term
| fluoroquinolones (cipro/floxin) |
|
Definition
| these are synthetic drugs against gram +/- bacteria |
|
|
Term
| fluoroquinolones (cipro/floxin) |
|
Definition
| these work by interfering with DNA synthesis |
|
|
Term
| photosensitivity, hyper/hypoglycemia (idiosyncratic reaction) |
|
Definition
| adverse effects of fluoroqinolones? |
|
|
Term
| zn and Fe will decrease absorption, use sunscreen lotion/protection, good oral hygiene |
|
Definition
| what are some pt teaching point for fluoroquinolones? |
|
|
Term
|
Definition
| used to tx systemic infections, usually IV meds |
|
|
Term
|
Definition
| gentimicin and neomycin are both |
|
|
Term
|
Definition
|
|
Term
| prevent bacterial protein synthesis |
|
Definition
| how do aminoglycosides work? |
|
|
Term
| cuase nephro/neuro toxicity and ototoxicity |
|
Definition
| contraindications of aminoglycosides? |
|
|
Term
| aminoglycosdies (neomycin, gentimicin) |
|
Definition
| for this med, the peak and trough need to be adjusted |
|
|
Term
|
Definition
| this is the lowest concentration of med before next dose |
|
|
Term
|
Definition
| have an erythromycin base |
|
|
Term
|
Definition
| this is the drug of choice for diptheria |
|
|
Term
|
Definition
| azithromycin (zithromax) and clindamycin (cleocin) are both what? |
|
|
Term
|
Definition
| used in tx of life-threatening infections |
|
|
Term
| binds to bacterial wall causing cell death |
|
Definition
| how does vancomycin work? |
|
|
Term
|
Definition
| adverse effects of vancomycin? |
|
|
Term
|
Definition
| used for intra abdominal, GU/integ. infections |
|
|
Term
| interferes with DNA synthesis |
|
Definition
|
|
Term
|
Definition
| contraindications with metrodiazole? |
|
|
Term
| seizures, dizziness, anorexia |
|
Definition
| adverse effects of metrdiazole? |
|
|
Term
|
Definition
| when pcn cannot be given, these less toxic abx can be used |
|
|
Term
| Bacterialcidal, bacteriostatic, broad spectrum, narrow spectrum |
|
Definition
| Action of anti-infectives |
|
|
Term
| Tx of infections caused by pathogens |
|
Definition
| Anti-infectives are used for? |
|
|
Term
| Tx of RT, skin, soft tissue, UT, brain, spinal cord |
|
Definition
|
|
Term
|
Definition
| This can have cross sensitivities w PCN |
|
|
Term
|
Definition
| with these two drugs, make sure to teach the patient to use additional contraceptive method |
|
|
Term
| inhibit bacterial cell wall, protein synthesis, cell membrane, reproduction, metab/gluco |
|
Definition
| 5 mechanisms of action for anti-infectives |
|
|
Term
1. take as directed
2. never share
3. take with full glass of water on empty stomach
4. expect to exp. NVD
5. may expect yeast or fungal infection (superinfection) |
|
Definition
| 5 things to teach about antibiotics |
|
|
Term
s/s of infection, susceptible to infection
c&s report
allergies
renal/hepatic fnc
side effects of drugs |
|
Definition
| what is the nursing assessment for every antibiotic? |
|
|
Term
prevent spread of int
handwash/hygiene
support natural defenses
take as prescribed/full course
drink 300ml of fluid
report NE allergies
take around clock at evenly spaced intervals
take on an empty stomach 1h before or 2h after
store in a cool, dark, dry place
take with full glass of water
report NVD |
|
Definition
| pt. teaching for every antibiotic |
|
|
Term
|
Definition
| what lab values do you want to look at to assess kidney function? |
|
|
Term
observe for s/s of superinfection
observe for compliance with instructions
dec. in s/s infection
no drug allergy |
|
Definition
|
|
Term
| previous hypersensitivity, x sensitivity |
|
Definition
| contraindication with penicillin? |
|
|
Term
| antibacterial, penicillin |
|
Definition
| these drugs cause anaphylaxis |
|
|
Term
| tetracycyline, sulfonamides, fluroquinolones |
|
Definition
| These cause photosensitivity in aBX |
|
|
Term
|
Definition
| this is a surgical prophylaxis |
|
|
Term
|
Definition
| chemically/structurally r/t PCN |
|
|
Term
|
Definition
| you should watch this drug for allergies to sulfa |
|
|
Term
|
Definition
| these are widely used/distributed/concentrated in the liver |
|
|
Term
|
Definition
| bc aminoglycosides cause oto, neuro, nephro toxicity, you should |
|
|
Term
| sulfadiazine, sulfisoxazole, cotrimoxazole |
|
Definition
|
|
Term
| binds to bacterial wall-cell death |
|
Definition
|
|
Term
|
Definition
| penicillin G, Penicillin generic? |
|
|
Term
| discontinue, epinephrine and antihistamine on hand |
|
Definition
| if allergic reaction to pcn, then |
|
|
Term
|
Definition
| when assessing for penicillin, need to take an ______ for allergy |
|
|
Term
| observe for s/s of anaphylaxis |
|
Definition
| special assessment for penicillin |
|
|
Term
report blood in stool, pus, mucus,
use additional contraceptive method
no alcohol x 72 hrs |
|
Definition
| for penicillin, is there any special pt teaching? |
|
|
Term
| aminoglycosides, macrolides |
|
Definition
| these cause oto, neuro, nephro toxicity |
|
|
Term
|
Definition
| this is effective against anthrax and typhoid fever |
|
|
Term
| antacids, mineral supplements, iron salts |
|
Definition
| flouroquinolones cannot be taken with |
|
|
Term
|
Definition
| do not take fluoroquinolones with these, could cause inc. risk of CNS stimulation |
|
|
Term
|
Definition
| this can be used as a prophylaxis for endocarditis before dental procdures in matients with valvular heart disease who are allergic to penicillin |
|
|
Term
|
Definition
| this drug will increase serum levels of digoxin if taken concurrently |
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