Summary NR 565 Final Exam Study Guide

NR 565 Final Exam Study Guide Bacterial vaginosis diagnosis and treatment: bacterial flora is altered. Foul odor, clear, copious discharge, PH greater than 4.5, positive wiff test, few WBC. Flagyl is drug of choice esp if pregnant 500 mg twice daily. Tinidazole 2 g oral for healthy or 1 g with food for 5 days. Antimycobacterial treatment guidelines for TB: several drugs for 6-9 mo. Isoniazid, rifampin, ethambutol, pyrazinamide. Patients need to be evaluated to make sure they don’t have mycobacterium – two to prevent or delay resistance – azithromycin and clarithromycin. Make sure they are administered together. Mycobacterial infection hardest to kill because they are resistant. Influenza indication for treatment: antivirals are recommended for patients who have been symptomatic less than 48 hours. Oseltamivir and zamairvir are approved for prophylaxis in patients 1 year or older and 5 year and older. Peramivir is treatment for acute influenza >18 y.o. treatment is recommended when patients are hospitalized, have severe disease or risk of developing complications. Prophylactic treatment