Introductory Clinical Pharmacology Chapter 12 Antifungal Drugs

Antifungal Drugs Assessment - Inspect superficial fungal infections of the skin or skin structures and record Ask about pain and to describe white plaques or sore areas of the oral or perineal areas and any vaginal discharge Antifungal Drugs Assessment - Preadministration assessment Assess for signs of the infection before giving the first dose; take and record vital signs Antifungal Drugs Implementation - Educating the patient and family For topical antifungal drugs, include the importance of cleanliness and using the correct ointment amount in the prescribed frequency in the teaching plan Antifungal Drugs Implementation - For ringworm infections, advise keeping towels and facecloths used for bathing separate from those of other family members Antifungal Drugs Implementation - Monitoring and managing patient needs (cont'd) Risk for ineffective tissue perfusion: Renal Carefully monitor fluid intake and output, serum creatinine levels, and BUN levels Gerontologic alert: Fluconazole Antifungal Drugs Implementation - Promoting an optimal response therapy (cont'd) Topical antifungal infection preparations: Inspect the area at the time of each topical application; if administered vaginally, question the patient regarding any discomfort or other sensations experienced; evaluate and chart the patient's response to therapy daily Antifungal Drugs: Actions and Uses - Fungicidal or fungistatic: Action is related to their concentration in body tissues Used prophylactically to prevent fungal infection in immunocompromised patients Antifungal Drugs: Actions and Uses - Used to treat: Superficial and deep fungal infections; systemic infections; superficial infections of nailbeds, oral, anal and vaginal areas Antifungal Drugs: Adverse Reactions