Anti- Infectives Flashcards
Tetracyclines are used when?
When a client is allergic to penicillin or cephalosporins
Tetracyclines common reactions and severe reactions
Epigastric distress Stomatitis sore throat skin rashes in photosensitivity
What are tetracyclines contraindications?
Children younger than nine years old can cause yellow gray brownish teeth
used cautiously with clients with her impaired renal function and liver impairment
Interactions with tetracyclines
Add acids decreased effectiveness as well as magnesium and oral contraceptives anticoagulants increase bleeding risks and digoxin increase for a digitalis toxicity
Aminoglycosides
Act against gram-negative bacilli partially act against gram-positive Basili can produce toxin reactions such as neurotoxicity Ototoxicity and Nephrotoxicity 
Aminoglycosides uses
To treat gram negative infection like hepatic coma
Macrolides uses
Effect of against pathogenic organisms and infections of the respiratory system.
Lincosamides uses
Use the train infections at penicillin or erythromycin is not effective used in conjunction with antibiotics
Disulfiram s/s
Flashing on the face of dizziness nausea and vomiting and headache
Vancomycin manifestations
Ototoxicity Nephrotoxicity and tinnitus
Cross sensitivity with penicillin
Yes cephalosporins
What are nursing considerations with Cepholosporins and Client with renal impairment
Monitor fluid input and output
check for hypersensitivity reaction
check labs for liver and kidney function
Do you teach to administer Cepholosporins with or without food? what would change this recommendation?
Give one to two hours before food and if client has G.I. upset then give medication with food
List disulfiram like reaction when taking Cepholosporins and alcohol
Flushing throbbing respiratory problems hypertension severe reaction dysrythmias and unconsciousness
Adverse effects with tetracycline include
Nausea vomiting stomatitis epigastric distress and photosensitivity
What is Steven Johnson syndrome what are nursing interventions for it
A rare serious disorder of the skin and mucous membranes a medical emergency a flu like symptoms appear first
Manifestations of super infections went on antibiotics
White patches on the tongue diarrhea and types of superinfection skin Are: C-diff or candidiasis
Client teaching about sulfasazine
Take medication directed by the doctor complete the full course of therapy take medication prescribe at the times a day take medication empty stomach make a skin in urine to be an orange yellow color do not break or true or crush medication avoid any exposure to sunlight
Nursing considerations with client taking atorvastatin
Patient should have laps done for liver and kidney function before use avoid grapefruit juice
Manifestations when taking atorvastatin that should be reported
May cause rhabdomyolysis and peripheral neuropathy and myopathy
What time should Simvastatin be administered
In the evening or bedtime
Client education for simvastatin
Take medication in the evening or bedtime choose juices other than grateful because of enzyme reaction Antacids should be taken two hours after reserve a statin may cause photosensitivity do not use while pregnant. A contact physician as soon as possible if muscle pain tenderness or weakness occurs
Client education for a colestipol granules
Makes the prescribed dose and liquid soup cereals are carbonated beverages use 90 mL of liquid and slowly start the preparation till ready
Expected manifestations for tamoxifen
Hot flashes and constipation deep vein thrombosis and endometrial cancer
What should be monitored on a client taking Cisplatin
Monitor intake and output monitor your blood pressure and scanter but avoid dehydration less than 30 ML’s of yarn in an hour is bad monitor for bone marrow suppression
Common adverse reaction to antineoplastic drugs that affect self-esteem are
Alopecia
