Term
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Definition
| broad-spectrum antibiotics |
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Term
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Definition
| azithromycin (Zithromax), clarithromycin (Biaxin), and erythromycin (E-Mycin), |
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Term
| At low to moderate drug doses, macrolides have a _______ effect |
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Definition
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Term
| ith high drug doses, macrolides effect is _____. |
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Definition
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Term
| Gastric acid destroys erythromycin in the stomach; therefore _________ are added to erythromycin to slow down dissolution |
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Definition
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Term
| adverse reactions to macrolides include |
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Definition
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Term
| all macrolide drug names end in: |
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Definition
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Term
| Tetracycline in combination with metronidazole and bismuth subsalicylate is useful in treating |
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Definition
| Helicobacter pylori, a bacterium in the stomach that can cause a peptic ulcer. |
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Term
| oral and topical tetracycline has been used to treat |
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Definition
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Term
| Tetracyclines should not be taken with |
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Definition
| magnesium and aluminum antacid preparations, milk products containing calcium, or iron-containing drugs, because these substances bind with tetracycline and prevent absorption of the drug. |
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Term
| Adverse Reactions of tetracyclines |
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Definition
| Photosensitivity, Nephrotoxicity ,superinfection |
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Term
| do not take tetracycline if you are ____ |
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Definition
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Term
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Definition
| Inhibit bacterial protein synthesis |
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Term
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Definition
Streptomycin
Gentamicin (Garamycin)
Kanamycin (Kantrex)
Tobramycin (Nebcin |
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Term
| Aminoglycosides Side effects/adverse reactions |
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Definition
Photosensitivity
Superinfection
Ototoxicity
Nephrotoxicity |
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Term
| Aminoglycosides IV administration |
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Definition
| mix with 100ml bag given over 1 hr. |
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Term
| Aminoglycosides Nursing interventions |
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Definition
Check C&S.
Monitor renal function, hearing loss.
Warn client to use sunblock.
Monitor for superinfection.
Monitor peak and trough levels |
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Term
|
Definition
Interfere with enzyme DNA gyrase
Fight gram + and –
Broad spectrum: bactericidal |
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Term
| Fluoroquinolones treatments |
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Definition
Streptococcus pneumoniae, Salmonella
Bone and joint infections
Bronchitis and pneumonia
Gastroenteritis
UTI, gonorrhea |
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Term
| Fluoroquinolones Nursing interventions |
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Definition
Check C&S.
Infuse IV over 60 to 90 minutes.
Increase fluid intake to more than 2000 mL/d.
Tell client to avoid caffeine.
Check for superinfection. |
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Term
| Fluoroquinolones Drug interactions |
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Definition
Antacids decrease absorption rate.
Levofloxacin increases effect of oral hypoglycemics, theophylline, caffeine. |
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Term
1. A client is taking azithromycin (Zithromax). The nurse should apply which interventions? (Select all that apply.)
a. Monitor periodic liver function tests.
b. Dilute with 50 mL for IV administration.
c. Tell the client to report any hearing loss.
d. Instruct the client to report evidence of superinfection.
e. Teach the client to take oral drug 1 hour a.c. or 2 hours p.c.
f. Avoid antacids from 2 hours prior to 2 hours after azithromycin administration. |
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Definition
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Term
2. The nurse closely monitors the client taking lincosamides for which serious adverse effect?
a. Seizures
b. Ototoxicity
c. Hepatotoxicity
d. Pseudomembranous colitis |
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Definition
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Term
3. The nurse enters a client's room to find that his heart rate is 120, his BP is 70/50, and he is flushed. Vancomycin (Vancocin) is running IVPB. The nurse interprets this as a severe adverse effect of “red man syndrome.” What should the nurse do?
a. Stop the infusion and call the laboratory.
b. Reduce the infusion to 10 mg/min.
c. Encourage the client to drink more oral fluids up to 2 L/day.
d. Report to health care provider the onset of Stevens-Johnson syndrome. |
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Definition
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Term
4. The nurse is administering tetracycline (Vibramycin) to a client. Which would be appropriate teaching?
a. Take sunscreen precautions when at the beach.
b. Take an antacid or milk with the drug to prevent severe GI distress.
c. Obtain frequent hearing tests for early detection of hearing loss.
d. Obtain frequent eye checkups for early detection of retinal damage. |
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Definition
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Term
5. A client is taking levofloxacin (Levaquin). The nurse knows that which is true regarding this drug?
a. Administered IV only
b. May cause hypertension
c. Classified as an aminoglycoside
d. Adverse reaction includes dysrhythmias |
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Definition
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Term
6. What should the nurse include when teaching a client about gentamicin (Garamycin)? (Select all that apply.)
a. Client should report any hearing loss.
b. Client must use sunscreen.
c. IV gentamicin will be given over 20 minutes.
d. Client will be monitored for mouth ulcers and vaginitis.
e. Peak levels will be drawn 30 minutes prior to IV dose.
f. Client should increase fluid intake. |
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Definition
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Term
7. The nurse acknowledges which nursing intervention(s) for the client taking ciprofloxacin (Cipro)? (Select all that apply.)
a. Obtain culture prior to drug administration.
b. Tell the client to avoid taking Cipro with antacids.
c. Monitor the client for hearing loss.
d. Encourage fluids to prevent crystalluria.
e. Infuse IV Cipro over 60 minutes.
f. Monitor blood glucose, as Cipro can decrease effects of oral hypoglycemic. |
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Definition
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