Medical surgical Nursing Questions and Answers

Medical surgical Nursing Questions and Answers Antiinfectives: Aminoglycosides - CORRECT ANSWER-Drugs: Gentamicin sulfate, Tobramycin sulfate, Amikacin sulfate, Miscellaneous agents (Vancomycin hydrochloride, Metronidazole) Indications: Antiinfectives, used with gram-negative bacteria Adverse reactions: Neuromuscular blockade, nephrotoxicity, ototoxicity Nursing implications: Monitor renal function, BUN, creatinine, and I&O, monitor for ototoxicity (headache, dizziness, hearing loss, tinnitus), monitor for superinfection, peak and trough levels required, monitor for vancomycin serum drug concentrations Antiinfectives: Antipseudomonal Penicillins and Combinations - CORRECT ANSWER-Drugs: Ampicillin, Ticarcillin + clavulunate, Piperacillin + tazobactam, Ampicillin + sulbactam Indications: Antiinfectives, broad spectrums Adverse reactions: Similar to penicillin, ampicillin rash Nursing implications: Contraindicated in client allergic to penicillin (see Penicillin) Antiinfectives: Carbapenems - CORRECT ANSWER-Drugs: Imipenem, Meropenem, Ertapenem Indications: Treatment of severe or high-risk bacterial infections, reserved for known or suspected multidrug resistant bacterial infections Antiinfectives: Cephalosporins - CORRECT ANSWER-Drugs: First Generation: Cefazolin, Cephalexin