NURS 340 Exam 1 Medications – Questions &
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Terms in this set (247)
isoniazid indications for use active and latent TB
isoniazid mechanism of action -interferes with lipid and RNA in bacilli
-can be bacteriostatic, @higher doses is bactericidal
isoniazid ADRs -liver damage (hepatitis & failure)
-peripheral Neuropathy (B6 issues)
-N/V
-CNS issues
-DRESS
isoniazid interventions/nursing -Liver enzymes throughout course
actions -monitor GI disturbances
-administer B6 as prescribed
-often given with rifampin
,isoniazid client instructions -adhere to med regimen (6-9 mo)
-monitor for s/sx liver tox
-monitor s/sx neuropathy
-monitor for s/sx of DRESS
-dont take with antacids
rifampin indications for use -tuberculosis, meningitis, leprosy, broad-spectrum
(gram pos and gram neg bacteria)
-prevention of resistance with other TB medication
regimens
rifampin mechanism of action -interferes with RNA
-bacteriostatic and bactericidal to sensitive bacteria
rifampin ADRs -liver tox
-red/orange body fluids
-GI manifestations
-flushin, rash/itching
rifampin interventions/nursing actions -monitor LFTs
-monitor s/sx of liver tox
-monitor for DRESS
-monitor for s/sx of GI distress
rifampin client instructions -take 1 hr before/2 hr after meals
-take with food if GI distress
-adherence to med regimen (resistance risk)
-report GI issues
-birth control
metronidazole indications for use parasitic infections amebiasis, giardiasis,
trichomoniasis
metronidazole mechanism of actions damages DNA so they can't reproduce
metronidazole ADRs -N/V/D and anorexia
-CNS (HA, vertigo, ataxia)
-dark urine
,metronidazole interventions/nursing -encourage food or milk w/meds
actions -monitor CNS effect
-stop the med if seizures occur
metronidazole client instructions -dark urine may occur (expected)
-take 1hr before or 2hr after
-take with food if GI distress
amphotericin B, nystatin indications local and systemic fungal infections
for use
amphotericin B, nystatin mechanism -damage the cell wall of various fungi
of action -fungistatic and fungicidal
amphotericin B, nystatin ADRs -fever, chills, aches, tachycardia
-hypertention (might need bolus)
-HA, nausea
-bone marrow suppression (anemia)
-thrombophlebitis
-renal toxicity/hypo K+
amphotericin B, nystatin -anticipate diphenhydramine
interventions/nursing actions -anticipate acetaminophen
-anticipate renal labs & CBC
-weight
-IV site
amphotericin B, nystatin client -comply with labs
instructions -report s/sx of reaction
-monitor weight
-Nystatin - must swish & swallow
-kidney damage
acyclovir, valacyclovir/Valtrex viral/herpetic infections - HSV, VZ, CMV
indications for use
acyclovir, valacyclovir/Valtrex -interferes with DNA replication
mechanism of action -virustatic* not virucidal
, acyclovir, valacyclovir/Valtrex ADRs -oral: N/V/D, CNS effects, vertigo
-IV: renal tox, CNS tox (rare), tissue damage
-topical: burning, itching, redness
acyclovir, valacyclovir/Valtrex -IV infuse slowly, hydrate
interventions/nursing actions -monitor GI issues
-monitor severe skin reactions
-wear gloves
acyclovir, valacyclovir/Valtrex client -report CNS tox signs
instructions -report IV site irritation
-continue condom usage
-take with food
-prep for IV hydration
amoxicillin (ampicillin, piperacillin, -broad spectrum antibiotic: infections of the soft
pen G) indications for use tissues (throat, ear)
-narrow spectrum (UTI)
amoxicillin (ampicillin, piperacillin, damages cell wall (but not cell wall of the host)
pen G) mechanism of action
amoxicillin (ampicillin, piperacillin, -most common med allergy
pen G) ADRs -superinfections
amoxicillin (ampicillin, piperacillin, -monitor GI symptoms
pen G) interventions/nursing actions -bloody stools might be C.Diff
-monitor for candida
-be careful with Pen G IV admin
amoxicillin (ampicillin, piperacillin, -take with food
pen G) client instructions -be sure to finish all medication
-monitor for allergy
-bloody diarrhea: report immediately
-airway concerns call 911
cephalexin, ceftriaxone, cefepime broad spectrum, many generations- useful with
indications for use meningitis
Accurate Answers
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (247)
isoniazid indications for use active and latent TB
isoniazid mechanism of action -interferes with lipid and RNA in bacilli
-can be bacteriostatic, @higher doses is bactericidal
isoniazid ADRs -liver damage (hepatitis & failure)
-peripheral Neuropathy (B6 issues)
-N/V
-CNS issues
-DRESS
isoniazid interventions/nursing -Liver enzymes throughout course
actions -monitor GI disturbances
-administer B6 as prescribed
-often given with rifampin
,isoniazid client instructions -adhere to med regimen (6-9 mo)
-monitor for s/sx liver tox
-monitor s/sx neuropathy
-monitor for s/sx of DRESS
-dont take with antacids
rifampin indications for use -tuberculosis, meningitis, leprosy, broad-spectrum
(gram pos and gram neg bacteria)
-prevention of resistance with other TB medication
regimens
rifampin mechanism of action -interferes with RNA
-bacteriostatic and bactericidal to sensitive bacteria
rifampin ADRs -liver tox
-red/orange body fluids
-GI manifestations
-flushin, rash/itching
rifampin interventions/nursing actions -monitor LFTs
-monitor s/sx of liver tox
-monitor for DRESS
-monitor for s/sx of GI distress
rifampin client instructions -take 1 hr before/2 hr after meals
-take with food if GI distress
-adherence to med regimen (resistance risk)
-report GI issues
-birth control
metronidazole indications for use parasitic infections amebiasis, giardiasis,
trichomoniasis
metronidazole mechanism of actions damages DNA so they can't reproduce
metronidazole ADRs -N/V/D and anorexia
-CNS (HA, vertigo, ataxia)
-dark urine
,metronidazole interventions/nursing -encourage food or milk w/meds
actions -monitor CNS effect
-stop the med if seizures occur
metronidazole client instructions -dark urine may occur (expected)
-take 1hr before or 2hr after
-take with food if GI distress
amphotericin B, nystatin indications local and systemic fungal infections
for use
amphotericin B, nystatin mechanism -damage the cell wall of various fungi
of action -fungistatic and fungicidal
amphotericin B, nystatin ADRs -fever, chills, aches, tachycardia
-hypertention (might need bolus)
-HA, nausea
-bone marrow suppression (anemia)
-thrombophlebitis
-renal toxicity/hypo K+
amphotericin B, nystatin -anticipate diphenhydramine
interventions/nursing actions -anticipate acetaminophen
-anticipate renal labs & CBC
-weight
-IV site
amphotericin B, nystatin client -comply with labs
instructions -report s/sx of reaction
-monitor weight
-Nystatin - must swish & swallow
-kidney damage
acyclovir, valacyclovir/Valtrex viral/herpetic infections - HSV, VZ, CMV
indications for use
acyclovir, valacyclovir/Valtrex -interferes with DNA replication
mechanism of action -virustatic* not virucidal
, acyclovir, valacyclovir/Valtrex ADRs -oral: N/V/D, CNS effects, vertigo
-IV: renal tox, CNS tox (rare), tissue damage
-topical: burning, itching, redness
acyclovir, valacyclovir/Valtrex -IV infuse slowly, hydrate
interventions/nursing actions -monitor GI issues
-monitor severe skin reactions
-wear gloves
acyclovir, valacyclovir/Valtrex client -report CNS tox signs
instructions -report IV site irritation
-continue condom usage
-take with food
-prep for IV hydration
amoxicillin (ampicillin, piperacillin, -broad spectrum antibiotic: infections of the soft
pen G) indications for use tissues (throat, ear)
-narrow spectrum (UTI)
amoxicillin (ampicillin, piperacillin, damages cell wall (but not cell wall of the host)
pen G) mechanism of action
amoxicillin (ampicillin, piperacillin, -most common med allergy
pen G) ADRs -superinfections
amoxicillin (ampicillin, piperacillin, -monitor GI symptoms
pen G) interventions/nursing actions -bloody stools might be C.Diff
-monitor for candida
-be careful with Pen G IV admin
amoxicillin (ampicillin, piperacillin, -take with food
pen G) client instructions -be sure to finish all medication
-monitor for allergy
-bloody diarrhea: report immediately
-airway concerns call 911
cephalexin, ceftriaxone, cefepime broad spectrum, many generations- useful with
indications for use meningitis
