ATI Pharmacology Proctored Exam - 2023

Medications for Infection: Aminoglycosides - Gentamcin - fights infection - C: pregnancy, renal issues - AE: Ototoxicity, nephrotoxicity, hypersensitivity - NC: Peaks and troughs 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 - NC: Give slowly over 60 mins IV to help prevent red mans syndrome, complete entire course of therapy even it pt. is feeling better. 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 better. 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. 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.