NURSING 101 Fortis College -NUR 101 Owens Exam 1 antibiotics verified/passed

NUR 101 Owens Exam 1 antibioticsMacrolides (Azithromycin (Zithromax)) - correct answer Bacteriostatic Mechanism of Action- Prevent protein synthesis. Nursing Interventions -Assess baseline cardiac and hearing function. -Avoid fruit juices, take with 8 oz of water. - Many drug interactions: Warfarin, digoxin, oral contraceptives. - Do not give to children under age 8 or pregnant or lactating women Tooth discoloration will occur if the drug binds to the calcium in the teeth -Dairy products, antacids, and iron salts reduce oral absorption of med. -Avoid sun exposure, -Monitor for vaginal infections, diarrhea -Administer IV slow infusion -Used for: respiratory infections (pneumonia) -Hepatoxocity (liver) check liver enzymes. -Highly protein bound drug. -Interact with warfarin (anticoagulant) increase the bleeding. Sulfonamides Sulfamethoxazole/Trimethoprim (Bactrim) - correct answer Bacteriostatic -Prevent synthesis of folic acid required for synthesis of purines and nucleic acid. -Only affect organisms that synthesize their own folic acid. -Used for: Urinary tract infections. -Hemolytic and aplastic amenia, decreased WBC, platelets. Nursing Interventions -Take with 2000 to 3000 mL of fluid/24 hr. 2-3 L (crystal uria) -Assess red blood cell count (amenia) -Take oral doses with food. - Check for sulfa allergy. -Can cause nephrotoxicity. Antibiotics (ATB) - correct answer Mechanism of Action Medications used to treat bacterial infections. Before ATB are prescribed, it is most ideal to do a gram stain and culture and sensitivity. -Inhibits cell wall synthesis. -Inhibits protein synthesis. -Interfere with DNA and RNA. -Can disrupt and invade the cell wall as well as critical metabolic processes that the pathogen needs to keep replicating. Bacteriostatic-they prevent the bacteria from growing. Inhibit growth. Bacteriosidal- Kills the bacteria right away. Nursing Interventions for all ATB's Asses drug allergies- renal, liver, and cardiac function. 1. Always do C&S and Gram stain. 2. Drug allergies (anaphylaxis, angioedema) 3. Asses renal/cardiac function 4. Take all antibiotics and how ordered. 5. Check for interactions. (MEDS/FOODS/SUPPLEMENTS) 6. Take with 8oz of water. 7. Educate on GI upset. (Nausea, vomiting, diarrhea) 8. ATB can cause oral contracept to be ineffective. 9. Monitor for super-infections/secondary infection.