ATI Pharmacology Proctored Exam - 2023

ATI Pharmacology Proctored Exam - 2023 Medications for Infection: Aminoglycosides Gentamcin - fights infection - C: pregnancy, renal issues - AE: Ototoxicity, nephrotoxicity, hypersensitivity - NC: Peaks and troughs Tip: Gentamicin is not gentle Medications for Infection: Carbapenems Meropenem, Imipenem - fights infection - C: Penicillin allergy, renal issues - AE: GI upset, superinfection, allergies - NC: Monitor for allergic reactions Medications for Infection: Penicillins Penicillin, Amoxicillin, Ampicillin - fights infection - C: Allergic to penicillin, renal issues - AE: Allergies, renal issues, hyperkalemia, hypernatremia, dysrhythmias - NC: Take with food, use additional contraceptive, complete entire course of therapy even it pt. is feeling better. Medications for Infection: Cephalosporins Cefazolin, Ceftriaxone =- fights infection - C: Penicillin or cephalosporin allergy, renal issues - AE: Renal issues, pain with IM injections, superinfection - NC: take with food, store oral's in refrigerator Medications for Infection: Cell wall inhibitor Vancomycin: fights infection - C: hearing loss, renal issues - AE: Red mans syndrome, otoxicity, renal toxicity, phelbitis - NC: Give slowly over 60 mins IV to help prevent red mans syndrome, complete entire course of therapy even it pt. is feeling better. Tip: the red man drives the van - listening to loud music and not using the bathroom Medications for Infection: Tetracyclines Doxycycline: fights infection, acne, lyme disease - C: pregnancy, liver/kidney disease - AE: If given to children <8 - causes tooth discoloration, photosensitivity, GI upset, superinfection - NC: use additional contraceptive, complete entire course of therapy even it pt. is feeling Tip: tetra reminds us about tetris, teeth, lots of little blocks Medications for Infection: Macrolides Erythromycin, Azithromycin (z-pak) - fights infections, pneumonia, pertussis, chlamydia (is an alt. med. for those who are allergic to penicillin) - C: Liver disease, prolonged QT - AE: GI upset, ototoxicity, prolonged QT - NC: Use additional contraceptive, if treating an STD - treat partner as well. Tip: throw mice - slide because of phlegm Medications for Infection: Sulfonamides & Trimethoprim Trimethoprim-silfamethoxazole - treats UTI's - C: Pregnancy/lactation, folate deficiency, renal issues - AE: Agranulocytosis, hyperkalemia, hypersensitivity - NC: Take on an empty stomach! Use additional contraceptive, complete entire course of therapy even it pt. is feeling better. Medications for Infection: Urinary tract antiseptic Nitrofurantoin: treats UTI's - C: pregnancy/lactation, renal issues - AE: GI upset, peripheral neuropathy - NC: turns urine rust-yellow to brown, can stain teeth, complete entire course of therapy even it pt. is feeling better. Medications for Infection: Fluoroquinolones Ciprofloxacin - fights infection - C: Can cause spontaneous tendon rupture in children <18, pregnancy/lactation - AE: GI upset, tendon rupture, superinfection, phototoxicity - NC: Low doses in pt's with renal impairment, complete entire course of therapy even it pt. is feeling better. tip: that fox likes to eat tendons Medications for Infection: UT analgesic Phenazopyridine: treats UTI's (is a dye that functions as a local anesthetic on the mucosa of the urinary tract) Medications for Infection: Antiprotozoals Metronidazole: treats protozoal infections - C: pregnancy, kidney/cardiac/fungal/candida infection, seizure disorder - AE: GI upset, darkening of urine, neurotoxicity, superinfection - NC: Use additional birth control Tip: met- metalic tastse, zole, protozoal Medications for Infection: Antimycobacterials Isoniazid: treats tuberculosis - C: older adults, people with diabetes, alcoholism - AE: hepatotoxicity, hyperglycemia, peripheral neuropathy - NC: Use additional birth control Rifampin: treats infection & TB - C: hepatic impairment - AE: Can turn excretory fluids orange, GI upset, superinfection, hepatotoxicity - NC: Full glass of water, non-hormonal contraceptio