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PC707 Pharmacology Module 2 Infection/Antimicrobials Questions and Answers 100% Correct(RATED A+)

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ANTIMYCOBACTERIALS & ANTITUBERCULAR Patient Education - ANSWER-●Pt adherence crucial d/t long therapy ●Encourage good nutrition, & exercise. ●GI upset common first few weeks of therapy. ●Don't D/C medication if minor adverse effects. ●Take on empty stomach to ↑ absorption. ●Inform if epigastric distress or N occurs can take entire drug protocol w/meals or hour of dosing can be changed. ●Administration with food is preferable to splitting doses or changing to 2nd. line therapy. ●May discolor urine, tears, urine, saliva, & sweat; ●may stain clothing, dentures, & contact lens. ●Rifampin is one agent that DOES interfere with absorption of oral contraceptives, so a CONTRACEPTIVE BACK-UP method is CRUCIAL! Immunizations documentation basics: Document - ANSWER-Signed consent form, vaccine, lot, expiration date, VIS given, and location given. Consideration before you immunize - ANSWER-• Current Immunization Status of Patient • Immunization Schedule current recommended from CDC • Asses for Contraindications & Precautions • Permission -Vaccine Information Sheet (VIS) Immunizations administration basics: When giving immunizations, - ANSWER-make sure they are being given in the right route with the right length of needle (SC,IM). Gestational age at which TDaP is recommended - ANSWER-between 27-36 weeks Why is TDaP administration recommended between 27-36 weeks? - ANSWER-Allow time for mom to build up immune response to transfer to the baby & have that immune response last until infant can be immunized themselves for pertussis TDap - ANSWER-Tetanus Diptheria acellular Pertussis DTaP - ANSWER-Diptheria, Tetanus, acellular Pertussis. Formulation used for people 2 months to 6 years old Populations for which pertussis can be lethal - ANSWER-newborns and elderly Situations when TDaP can & should be given at other times in pregnancy? - ANSWER-Injury with wound, pertussis outbreak, or other circumstance where it would be necessary. Primary reason TDaP is given during pregnancy & why we teach close contacts to also receive - ANSWER-to protect baby against Pertussis. Live vaccine - ANSWER-Live form, attenuated ; non-infective with low chance of causing disease; leads to long term immunity. (best and longest immune response) more likely to produce side effects Live vaccines contraindications: - ANSWER-Do NOT give live vaccines to: 1. pregnant women 2. immunocompormised people 3. Infants 12 mos of age Killed Vaccine contraindications: - ANSWER-Encephalopathy, true allergy (egg influenza) Reason Infants 12 months should not get LIVE vaccines - ANSWER-they are not mature enough to build a strong immune response. Killed vaccine - ANSWER-Contains dead but antigenically active organism; might cause an immun

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