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antimicrobials
n/a
55
Medical
Undergraduate 1
09/18/2008

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Term
WHAT ARE THE NURSING INTERVENTIONS AND THE ROLE OF NURSES IN GIVING ANTIBIOTICS?
Definition
1. ID THE RIGHT ANTIBIOTIC

2. ASSESS CLIENTS HX FOR ALLERGIES

3. PHYSICAL ASSESSMENT

4. ADMINISTER MEDS AS ORDERED

5. EVAL MEDICATION EFFECTS

6. MONITOR FOR ADVERSE EFFECTS

7. EDUCATE THE CLIENT

8. PREVENTION OF NOSOCOMIAL INFECTIONS
Term
WHAT ARE THE TWO FORMS OF ANTIMICROBIALS?
Definition
BACTERIOSTATIC- SLOWS DOWN REPLICATION


BACTERICIDAL- KILLS IT DEAD
Term
SIGNS AND SYMPTOMS CAN EITHER BE?
Definition
BROAD SPECTRUM

OR

NARROW SPECTRUM
Term
BROAD SPECTRUM IS DEFINED AS?
Definition
A WIDE VARIETY OF EVERYTHING
Term
NARROW SPECTRM IS DEFINED AS:
Definition
SPECIFIC
Term
HOW DO ANTIBIOTICS WORK?
Definition
1. DISRUPTS THE BACTERIAL CELL WALL

2. INCREASING CELL PERMEABILITY

3. DISRUPTS THE BACTERIA'S PROTEIN SYNTHESIS

4. INHIBITS BACTERIA SYNTHESIS OF NUCLEIC ACIDS

5. ANTIMETABOLITES

6. INHIBITORS OF VIRAL ENZYMES
Term
HOW CAN YOU BUILD ACQUIRED RESISTANCE TO ANTIMICROBIAL MEDICATIONS?
Definition
THE BACTERIA WILL GROW BACK AND WILL GROW EVEN MORE STRONGER AND DIFFERENT THAN BEFORE
Term
HOW CAN YOU MISUSE ANTIBIOTICS:
Definition
1. UNTREATABLE INFECTION

2. FEVER OF UNKNOWN ORIGIN

3. IMPROPER DOASGE

4. INCOMPLETE INFORMATION ABOUT MICROBE

5. TREATMENT IN THE ABSENCE OF APPROPRIATE SURGICAL DRAINAGE
Term
WHAT IS THE BEST WAY TO SELECT ANTIBIOTICS?
Definition
1. ID THE INFECTING ORGANISM

2. ID THE MEDICATION SENSITIVITY OF THE INFECTING ORGANISM

3. CONSIDER THE HOST FACTORS-
Term
WHAT ARE THE ADVERSE EFFECTS OF PENICILLIN?
Definition
1. SUPRAINFECTION

2. ALLERGIC RXN

3. N/V

4. DIARRHEA

5. ABDOMINAL CRAMPS
Term
WHAT SHOULD BE AVOIDED WHEN TAKING PENICILLINS?
Definition
ANY CEPHALOSPORINS

OR

ANY MEDICINE WITH A "CILLIN" ON THE END OF IT BECAUSE ITS FROM THE SAME FAMILY OF MEDICINES
Term
WHAT ARE THE NURSING INTERVENTIONS OF PENICILLIN?
Definition
1. ALTERNATE TO BCP WHEN ON PENICILLINS

2. HYPERGLYCEMIC CLIENTS MAY HAVE FALSE POSITIVE GLUCOSE RESULTS

3. EVALUATING THERAPUTIC EFFECTS

4. ELDERLY AND DEVILITATED CLIENTS

5. MONITOR KIDNEY FXN
Term
WHAT ARE THEY CLIENT TEACHINGS WITH REGARD TO PENICILLIN?
Definition
1. NEVER TAKE CEPHALOSPORINS

2. AVOID ACIDIC FRUIT JUICES

3. FINISH THE ENTIRE COURSE OF THE MEDS AND DONT SHARE IT

4. KNOW WHEN TO CALL THE MD

5. LOOK FOR S/S (I.E. FEVER, CHILLS)
Term
WHAT ARE THE GENERATIONS OF CEPHALOSPORINS?
Definition
1. FIRST GENERATION- WORKED AND WAS GREAT THEN IT BECAME RESISTANT

2. SECOND GENERATION- RESISTANT AGAINST GRAM NEGATIVE AND ANAEROBIC INFECTIONS

3. THIRD GENERATION- GRAM NEGATIVE MORE VARIABLE (EG. PSEUDONOMYIS INFECTIONS). WILL CROSS THE BLOOD BRAIN BARRIER

4. FOURTH GENERATION- NOT MADE FOR CHILDREN --> ONLY ADMINISTER IV OR IM
Term
WHAT ARE THE ADVERSE EFFECTS OF CEPHALOSPORINS?
Definition
1. IRRITATION AT THE INJECTION SITE

2. HYPERSENSITIVITY MAY CAUSE FALSE POSITIVE URINE GLUCOSE TESTING
Term
WHAT ARE THE NURSING INTERVENTIONS OF CEPHALOSPORINS?
Definition
1. CHANGE IV SITE EVERY 3 DAYS

2. CHECK CLIENT FOR ALLERGIES TO PENICILLINS

3. FALSE POSITIVE FOR GLUCOSE TESTING
Term
WHAT ARE THE CLIENT TEACHINGS FOR CEPHALOSPORINS?
Definition
1. AVOID ALCOHOL

2. CHECK OTC PREPARATIONS
Term
WHAT ARE THE ADVERSE EFFECTS OF TETRACYCLINES?
Definition
1. GI IRRITATION

2. TOOTH/BONE DEPOSITS-- ALSO TOOTH DISCOLORATION

3. HEPATOTOXIC

4. NEPHROTOXIC
Term
WHAT ARE THE NURSING INTERVENTIONS OF TETRACYCLINES?
Definition
1. CONTRAINDICATED DURING PREGNANCY AND CHILDREN UNDER 8 YO

2. SHOULD NOT BE USED BY CLIENTS WITH RENAL IMPAIRMENT

3. ASSESS FOR S/S OF SUPRAINFECTIONS
Term
WHAT ARE THE CLIENT TEACHINGS FOR TETRACYCLINES?
Definition
1. S/S OF SUPRAINFECTIONS

2. S/S OF FUNGAL INFECTIONS

3. AVOID THE SUN

4. TAKE ON AN EMPTY STOMACH

5. TAKE WITH WATER
Term
WHAT ARE THE ADVERSE EFFECTS OF MACROLIDES?
Definition
1. DIARRHEA

2. N/V

3. SORE TOUNGE AND MOUTH

4. LIVER INJURY
Term
WHAT ARE THE NURSING INTERVENTIONS OF MACROLIDES?
Definition
1. GIVE ORAL MED WITH A FULL GLASS OF WATER

2. ENTERIC COATED TABLETS WITH MEALS BECAUSE IT SLOWS DOWN THE BREAKDOWN
Term
WHAT ARE THE CLIENT TEACHINGS WITH MACROLIDES?
Definition
1. HOW TO TAKE THE MED

2. NOTIFY MD

3. SIGNS OF LIVER INJURY

4. SIGNS OF SUPRAINFECTION
Term
WHAT ARE THE ADVERSE EFFECTS OF AMINOGLYCOSIDES?
Definition
1. NEPHROTOXICITY

2. OTOTOXICITY- ASK THEM IF THEY CAN HEAR ALREADY?
Term
WHAT ARE THE NURSING INTERVENTIONS OF AMINOGLYCOSIDES?
Definition
1. WEIGH CLIENT

2. OBTAIN BASELINE KIDLEY FXN STUDIES

3. MONITOR FOR URINE OUTPUT

4. MONITOR LABS

5. ASSESS THE CLIENTS HEARING BEFORE THERAPY

6. MONIOR PEAK AND TROUGH LEVELS
Term
WHAT ARE THE CLIENT TEACHINGS OF AMINOGLYCOSIDES?
Definition
1. REPORT ANY HEARING LOSS

2. REPORT ANY BALANCE PROBLEMS

3. REPORT ANY WEIGHT GAIN OVER 5 LBS
Term
WHAT ARE THE ADVERSE EFFECTS OF SULFONAMIDES?
Definition
1. HYPERSENSITIVITY

2. BLOOD DYSCRASIAS

3. PHOTOSENSITIVITY

4. KERNICTERUS

5. RENAL DAMAGE
Term
WHAT ARE THE NURSING INTERVENTIONS OF SULFONAMIDES?
Definition
1. CONTRAINDICATED

2. ALLEVIATE GI SYMPTOMS
Term
WHAT ARE THE CLIENT TEACHINGS OF SULFONAMIDES?
Definition
1. INCREASE FLUID INTAKE

2. AVOID PROLONGED SUN EXPOSURE

3. NOTIFY MD

4. AVOID LIQUIDS AND FOOD THAT PRODUCE ACIDIC URINE

5. AVOID TAKING WITH ANTACIDS
Term
WHAT ARE THE TREATMENT GOALS OF ANTITUBERCULARS?
Definition
1. OUTPATIENT

2. GOAL

3. TREATMENT MUST KILL THE TUBERCLE BACILLI

4. EVALUATION
Term
WHAT ARE THE ADVERSE EFFECTS OF ETHAMBUTOL?
Definition
1. OPTIC NEURITIS
Term
WHAT ARE THE NURSING INTERVENTIONS OF ETHAMBUTOL?
Definition
1. EVALUATE VISUAL ACUITY AND COLOR DISCRIMINATION
Term
WHAT ARE THE ADVERSE EFFECTS OF RIFAMPIN?
Definition
1. HEPATOTOXICITY

2. RED ORANGE COLOR TO BODY FLUIDS
Term
WHAT ARE THE NURSING INTERVENTIONS OF RIFAMPIN?
Definition
1. INFORM CLIENTS OF LIVER DYSFXN SYMPTOMS

2. INFORM CLIENT OF BODY FLUID COLOR CHANGES

3. ADVISE WOMEN TAKING ORAL CONTRACEPTIVES TO USE A NON-HORMONAL FORM OF BCP
Term
WHAT ARE THE ADVERSE EFFECTS OF ISONIAZID?
Definition
1. HEPATOTOXICITY

2. PERIPHERAL NEUROPATHY
Term
WHAT ARE THE NURSING INETERVENTIONS OF ISONIAZIDS?
Definition
1. INFORM CLIENTS OF LIVER DYSFXN SYMPTOMS

2. INFORM CLIENT OF PERIPERHAL NEUROPATHY SYMPTOMS

3. TREATMENT OF NERUOPATHY
Term
WHAT ARE COMMON ANTIFUNGAL MEDICATIONS?
Definition
1. AMPHOTERICIN B (FUNGIZONE)

2. NYSTATIN (MYCOSTATIN)

3. FLUCONAZOLE (DIFLUCAN)
Term
WHAT ARE THE ADVERSE EFFECTS OF ANTIFUNGAL MEDS?
Definition
1. INFUSION REACTIONS

2. HYPOKALEMIA

3. NEPHROTOXICITY
Term
WHAT ARE THE NURSING INTERVENTIONS OF ANTIFUNGAL MEDS?
Definition
1. INFUSION REACTIONS

2. NEPHROTOXICITY

3. HYPOKALEMIA
Term
WHAT IS THE NAME OF THE BIG 5?
Definition
1. MEDICATION NAME AND CLASSIFICATION

2. MEDICATION ACTION IN YOUR OWN WORDS

3. WHY IS THIS MED BEING USED FOR YOUR CLIENT?

4. IS THIS A SAFE DOSE AND ROUTE?

5. WHAT SIDE EFFECTS OR NURSING IMPLICATIONS OR CLIENT TEACHING DO YOU NEED TO BE AWARE OF FOR YOUR CLIENT? (3-5 COMMON CONCERNS)
Term
WHAT IS THE THERAPUTIC EFFECT OF TETRACYCLINES?
Definition
BACTERIOSTATIC
Term
WHAT IS THE THERAPUTIC EFFECT OF MACROLIDES?
Definition
1. INHIBITS PROTEIN SYNTHESIS

2. BACTERIOSTATIC

3. BACTERIOCIDAL IN HIGH CONCENTRATIONS
Term
WHAT ARE MACROLIDES USED FOR?
Definition
1. UPPER AND LOWER RTI'S

2. SKIN INFECTIONS FROM STAPH

3. CHLAMYDIA

4. GONORRHEA

5. STREP

6. PENICILLIN ALLERGY

7. BEFORE SURGERY OR DENTAL WORK (PROPHYLACTICALLY)
Term
WHAT IS THE THERAPUTIC EFFECT OF AMINOGLYCOSIDES?
Definition
1. BACTERICIDAL

2. INHIBITS PROTEIN SYNTHESIS
Term
WHAT ARE AMINOGLYCOSIDES USED FOR?
Definition
1. E. COLI

2. STAPH AREUS

3. STREP FAECALIS
Term
WHAT IS THE THERAPUTIC EFFECT OF SULFONAMIDES?
Definition
BACTERIOSTATIC
Term
WHAT ARE SULFONAMIDES USED FOR?
Definition
1. BEFORE SURGERY OR DENTAL WORK

2. INFECTIONS CAUSE BY STAPH AUREUS

3. CHLAMYDIA

4. GONORRHEA

5. PNEUMOCYSTIC CARINII

6. PNEUMONIA

7. UTI

8. MENINGOCOCCAL MENINGITIS
Term
WHAT IS THE THERAPUTIC EFFECT OF ETHAMBUTOL?
Definition
BACTERIOSTATIC
Term
WHAT ARE ETHAMBUTOLS USED FOR?
Definition
PULMONARY TB
Term
WHAT IS THE THERAPUTIC EFFECT OF RIFAMPIN?
Definition
1. TUBERCULOCIDAL

2. BACTERIOCIDAL
Term
WHAT ARE RIFAMPINS USED FOR?
Definition
ALL FORMS OF TB
Term
WHAT IS THE THERAPUTIC EFFECT OF ISONIAZIDS?
Definition
TUBERCULOSTATIC
Term
WHAT ARE ISONIAZIDS USED FOR?
Definition
1. INFECTION DUE TO TUBERCLE BACILLI

2. PREVENTION OF TB IN CLIENTS

3. EXPOSED TO THE ACTIVE DISEASE
Term
WHAT IS THE THERAPUTIC EFFECT OF ANTIFUNGALS?
Definition
1. ALTERS FUNGAL CELL PERMEABILITY
Term
WHAT ARE ANTIFUNGALS USED TO TREAT?
Definition
1. FUNGI

2. INFECTIONS CALLED MYCOSES
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