Galen pharm exam 4 latest version graded A+

Galen pharm exam 4 latest version graded A+ Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) Gentamycin Gentamycin clinical use Used in gram negative sepsis & many life-threatening infections.Inactive against anaerobic bacteria. Gentamycin side effects GI upset, rash, visual disturbances, photosensitivity, dizziness, weakness gentamycin adverse reactions Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection gentamycin nursing implications Monitor for ↑BUN and SERUM CREATININE for Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER than 10 days!!! Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) Amoxicillin, Ampicillin (can be given with food. NO Acidic fruits and juices.) Amoxicillin & Ampicillin clinical use Broad Spectrum PCNUsed to treat gram + and gram -, commonly used for respiratory infections, otitis media, H. Pylori, E. coli Amoxicillin & Ampicillin side effects GI disturbance, headaches, rash, stomatitis, dizziness, anxiety, confusion Amoxicillin & Ampicillin adverse reactions Thrombocytopenia, leukopenia, angioedema, Hepatotoxicity Amoxicillin & Ampicillin nursing implications ↓ effectiveness of Oral contraceptives, assess for allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST, BUN, CreatinineMonitor for bleeding Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) Ceftriaxone, Cefpodoxime Ceftriaxone & Cefpodoxime clinical use Third generation cephalosporin Ceftriaxone & Cefpodoxime side effects GI upset, headaches, dizziness, rash, dyspepsia Ceftriaxone & Cefpodoxime adverse reactions Bleeding, angioedema, hepatoxicity, agranulocytosis, renal failure Ceftriaxone & Cefpodoxime nursing implications Cross-sensitivity w/ penicillin.Give WITH Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid superinfectionMonitor labs: ALT, AST, LDH, PT, INR Tetracyclines prototype (Obtain Culture and Sensitivity) Doxycycline(Vibramycin) Doxycycline(Vibramycin) clinical use Broad spectrum, low dose therapy used to tx ACNESTD's, respiratory infections, UTI's