Antibiotics Pt. 2 Flashcards

1
Q

What are Sulfonamides

A

Synertistic with bactrim, broad spectrum

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2
Q

What is the mechanism of action of sulfonamides

A

Bacteriostatic

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3
Q

What is sulfonamides used to treat

A

UTI caused by HIV and STAPH

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4
Q

What are the adverse effects of sulfonamides

A

Anemia, photosensitvity, hepatotoxicity

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5
Q

Which pt will you be care about giving sulfonamides to

A

Pts with kidneys issues (erthropoyetein), and liver issues

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6
Q

What are the nursing implications of sulfonamides

A

Maintain fluid status 2/3,000 mL, assess RBC, with FOOD

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7
Q

What are the two tetracycline drugs

A

TETRAcycline, DOXYcycline

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8
Q

What does doxycycline treat

A

acne

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9
Q

What is the method of actions of tetracyclines

A

Bacteriostatic

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10
Q

What should you avoid with tetracyclines

A

Dairy products because it binds to Ca and pts won’t get the nutrients

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11
Q

Who should not take tetracyclines

A

Children under 8 and pregnate women (tooth discoloration)

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12
Q

Is tetracyclines wide spectrum

A

Yes

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13
Q

What can tetracyclines do if taken while pregnate

A

Retard fetal skeletal development

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14
Q

What are the adverse effects of tetracyclines

A

Secondary infections, yeast infections

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15
Q

What should you avoid with tetracyclines

A

Milk, iron, sunlight

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16
Q

What is aminoglycosides

A

Bad PO absorption, serious TOXICITIES

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17
Q

What are the three aminoglycosides

A

GENTAmicin, NEOmycin, TOBRAmycin

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18
Q

What is aminoglycosides used for

A

E.coli, synergistic

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19
Q

When are aminoglycosides used

A

Decontaminate the GI tract before surgery, enemas

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20
Q

What can the toxicities of aminoglycosides do

A

Nephro and oto

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21
Q

How do you check for nephrotoxicity

A

Urine output and BUN and creatin

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22
Q

What must you do with aminoglycosides

A

Monitor blood levels

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23
Q

What are quinolones reduced by

A

antacids and dairy, need acidity

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24
Q

What are the three quinolones

A

CIPROfloxacin, LEVOfloxacin, MOXIfloxacin

25
Do quinolones affect human DNA
NO
26
What are quinolones used to treat
antrharx
27
What are the adverse effects of quinolones
Cardiac, ruptured tendons **
28
What should you think about if an older adult who is on quinolones tells you their legs hurt
IMPORTANT
29
What are the miscellaneous antibiotics
Clindamycin, metronidazole, nitrofurantoin, vanco
30
What is special about alindamycin
Causes C.diff, interacts with vecuronium (paralyzing)
31
What is special about metronidazole
Antibuse effect
32
What is special about nitrofurantoin
Use carefully with renal and liver issues
33
What are the nursing implications of giving drugs
Allergies, immune status, contraindicaitons, interactions, cultures, adhere, superinfections, check names
34
What is tall man lettering
Differation of classes
35
What are the most common adverse effects of antibiotics
N+V+D, give PROBIOTIC
36
What can it mean if you get a negative culutre
Local infection
37
Can a virus replicate on its own
No it takes over a cell to do it
38
Why are viruses hard to kill
Because they are in the cell can we have to kill both
39
What do antiviral meds do
Inhibit replication
40
What are the common viruses controlled by antiviral therapy
CMV, hepatits, herpes, HIV, flu, RSV
41
What are some of the actions of antivirals
Enter virated cell or stimulate the body's immune system
42
Which pts hav ethe best responses to antiviral meds
Competent immune systems
43
What are antiviral drugs
Used to treat infections caused by viruses OTHER than HIV
44
What are antiretroviral drugs
Treat infections CAUSED by HIV
45
What are the adverse effects of antiviral drugs
Kills healthy cells which can lead to serious toxicities
46
What is amantoadine used for
Was flu A, NOT recommend, Off label for PARKINSON's
47
What is sepcial about rimantadine
Less CNS effects
48
What is acyclovir used for
Herpes and chiken poxes, lessen the affects and time of healing
49
What is oseltamivir used for
Treatment of flu ONLY if symptoms have been less than 2 days
50
What is HIV
retrovirus
51
How is HIV transmitted
Sex, IV use, mother to child
52
What are the 4 stages of HIV infection
Asymoptomatic, general, moderate, severe
53
What are antiretroviral drugs
Highly active antiretroviral therapy (HAART)
54
What is HAART
At least three meds, COCKTAIL
55
What are the two types of antiretroviral drugs
Reverse transcriptase inhibitors (RTIs) and protease inhibitors (PIs)
56
What is the goal of antiretroviral drugs
Find the best regimen that controls the infections without bad side effects, it can change
57
What are the nursing implications of meds
Underlying disease, history, baseline, nutrition, contraindications, hand washing, gloves, other meds, get meds right at the beginning of herpes, monitor good and bad effects
58
What do antiviral meds do
manage symptoms