Pharm Final with complete solutions...
Pharm Final!!!!
Study online at https://quizlet.com/_jnw7pm
1. Nurse's Check- Culture and sensitivity-has one been ordered?/sample collected before starting
list for Antibiotic meds
Management Review Report and discuss with MD-change antibiotic if appropriate
Recognize signs of resolving infection- (or poor antibiotic response) decreasing
WBC/decrease in temp/decrease in s/s of infectecion
Discuss and clarify allergies/reactions
Ensure prescription for bacterial infections only
Monitor for superinfections and seek appropriate treatment-thrush, diarrhea:
C-diff., Vaginal yeast infections
Assess skin for SJS
Monitor for anaphylactic reactions-ESP w/PCN
Encourage fluids- 2-3L a day
Ensure patients complete the entire course of therapy- do not skip doses, admin-
ister on time
Asses for signs of organ toxicity
Know your drug interactions-especially oral contraceptives
2. Penicillin/Amoxi- Uses: anti-infectives, joint infections, skin/soft tissue/respiratory/urinary tract in-
cillin fections
Side Effects: GI disturbances, rash, dizziness, headache, crystalluria (can becoma
AR if kidney stones form)
Adverse Reactions: superinfections, drink buttermilk, eat yogurt, take probiotics to
avoid superinfections
Teaching: frequent cross allergy to penicillin to a cephalosporin, increase the effec-
tive of essential anticoagulants, Monitor I & Os, monitor for allergy, decrease the
effectiveness of oral contraceptives, take with food to decrese GI upset, decrease
efectiveness if taken with acidic juices, monitor skin, watch liver enzymes
3.
Page 1
, Pharm Final with complete solutions...
Pharm Final!!!!
Study online at https://quizlet.com/_jnw7pm
Cephalosporins: Uses: anti-infectives, UTI, tonsillits, skin tissues, respiratory issues (used ofr a lot of
Ceftriaxone things) STI, ear infections
Side Effects: GI upset, crystalluria
Adverse: superinfections, liver hepatotoxicity, anaphylaxis:
Teaching: cross sensitivity to penicillin if allergic to cephalosporin, pt. taking an an-
ticoagulant. monitor for c.diff, culture and sensitivity, take with food, hydrate, take
entire prescription, avoid alcohol, decrease effectiveness of oral contraceptives
Watch: liver enzymes/kidney function
4. Macrolide: Use: anti-infectives, STI, UTI, skin infections, ear infections, mild to moderate
Azithromycin infections
Side Effects: GI disturbances, photosensitivity, dizziness
Adverse: Hepatotxicity, SJS, superinfection, C. diff associated diarrhea
Teaching: harder on liver (not for liver dz patients), increase warfarin effective-
ness, monitor: thrush, yeast infections, white patches on tongue/in mouth, Avoid
antacids 2 hrs before and after, best if taken on an empty stomach with a full glass
of water-NO JUICE
Liver function tests: AST/ALT
5. Aminoglyco- Use: anti-infectives, disrupt protein synthesis, meningitis, septicemia, sometimes
sides: effective against MRSA infections
Gentamycin
Side Effects: GI upset, Photosensitvity, tremors, tinnitus
Adverse: nephrotoxicity, otottoxicity (damage to 8th cranial nerve), superinfection,
sodium/magnesium drop, C diff
Teaching: Given IV, culture and sensitivity, Monitor I &Os, superinfections, hearing
Page 2
Pharm Final!!!!
Study online at https://quizlet.com/_jnw7pm
1. Nurse's Check- Culture and sensitivity-has one been ordered?/sample collected before starting
list for Antibiotic meds
Management Review Report and discuss with MD-change antibiotic if appropriate
Recognize signs of resolving infection- (or poor antibiotic response) decreasing
WBC/decrease in temp/decrease in s/s of infectecion
Discuss and clarify allergies/reactions
Ensure prescription for bacterial infections only
Monitor for superinfections and seek appropriate treatment-thrush, diarrhea:
C-diff., Vaginal yeast infections
Assess skin for SJS
Monitor for anaphylactic reactions-ESP w/PCN
Encourage fluids- 2-3L a day
Ensure patients complete the entire course of therapy- do not skip doses, admin-
ister on time
Asses for signs of organ toxicity
Know your drug interactions-especially oral contraceptives
2. Penicillin/Amoxi- Uses: anti-infectives, joint infections, skin/soft tissue/respiratory/urinary tract in-
cillin fections
Side Effects: GI disturbances, rash, dizziness, headache, crystalluria (can becoma
AR if kidney stones form)
Adverse Reactions: superinfections, drink buttermilk, eat yogurt, take probiotics to
avoid superinfections
Teaching: frequent cross allergy to penicillin to a cephalosporin, increase the effec-
tive of essential anticoagulants, Monitor I & Os, monitor for allergy, decrease the
effectiveness of oral contraceptives, take with food to decrese GI upset, decrease
efectiveness if taken with acidic juices, monitor skin, watch liver enzymes
3.
Page 1
, Pharm Final with complete solutions...
Pharm Final!!!!
Study online at https://quizlet.com/_jnw7pm
Cephalosporins: Uses: anti-infectives, UTI, tonsillits, skin tissues, respiratory issues (used ofr a lot of
Ceftriaxone things) STI, ear infections
Side Effects: GI upset, crystalluria
Adverse: superinfections, liver hepatotoxicity, anaphylaxis:
Teaching: cross sensitivity to penicillin if allergic to cephalosporin, pt. taking an an-
ticoagulant. monitor for c.diff, culture and sensitivity, take with food, hydrate, take
entire prescription, avoid alcohol, decrease effectiveness of oral contraceptives
Watch: liver enzymes/kidney function
4. Macrolide: Use: anti-infectives, STI, UTI, skin infections, ear infections, mild to moderate
Azithromycin infections
Side Effects: GI disturbances, photosensitivity, dizziness
Adverse: Hepatotxicity, SJS, superinfection, C. diff associated diarrhea
Teaching: harder on liver (not for liver dz patients), increase warfarin effective-
ness, monitor: thrush, yeast infections, white patches on tongue/in mouth, Avoid
antacids 2 hrs before and after, best if taken on an empty stomach with a full glass
of water-NO JUICE
Liver function tests: AST/ALT
5. Aminoglyco- Use: anti-infectives, disrupt protein synthesis, meningitis, septicemia, sometimes
sides: effective against MRSA infections
Gentamycin
Side Effects: GI upset, Photosensitvity, tremors, tinnitus
Adverse: nephrotoxicity, otottoxicity (damage to 8th cranial nerve), superinfection,
sodium/magnesium drop, C diff
Teaching: Given IV, culture and sensitivity, Monitor I &Os, superinfections, hearing
Page 2
