Antifungals

Question 1

Mycoses is a illness caused by …

Answer 1

Fungi

Question 2

6 types of fungus

Answer 2

1. ringworm
2. tinea cruris
3. oncychomychosis
4. athletes foot
5. candidiasis
6. tinea capitis

Question 3

S/S of Tinea Pedis (Athletes foot)

signs/symptoms

Answer 3

peeling, cracking & scaling of feet
redness, blisters/softening, breaking down of skin
itching burnin or both

Question 4

S/S of Tinea Corporis (Ringworms)

Answer 4

itchy red ring shaped patch that can be scaly

Question 5

Yeast infection (Candida) S/S

Answer 5

Itching & swelling around vagina
burning sensation/pain during urination or intercourse
redness & soreness in & around vagina
unusual vaginal discharge

Question 6

Onychomycosis (fungal infection of Toe nails) S/S

Answer 6

nail discolaration, flacking, & thickening

Question 7

Tinea Versicolor ( fungal infection of Skin) S/S

Answer 7

affected area is lighter or darker than surronding skin
dry, itchy, scaly skin

Question 8

Tinea Cruris (Jock Itch) S/S

Answer 8

redness in groin or buttocks
chafing, irritaion, itching or burning in infected area
red rash w/ curcular shape & rough edges

Question 9

IMIDAZOLES meds

3 antifungal

Answer 9

Miconazole, ketoconazole, clotrimazole

end in -azole

Question 10

Imidazoles MOA

Answer 10

synthetic fungicide
**Disrupts & damages fungal cell membrane **

Question 11

Imidazoles meds INDICATION

Answer 11

tinea pedis & cruris

Question 12

Imidazoles SE

4

Answer 12

local:
skin irritaion, redness, itchiness, dry skin

Question 13

Imidazoles ADR

1

Answer 13

SJS

Question 14

Imidazoles Nursing CONSIDERATIONS

Answer 14

teach pt. to wash hands pre & post use

Question 15

TRIAZOLES treatment for …

FLUCYTOSINE

Answer 15

systemic yeast infections; including oral thrush & cryptococcal meningitis

Question 16

Triazoles are given/administered ?

route

Answer 16

IV

Question 17

Triazoles SE:

4

Answer 17

GI upset, neutropenia, anemia, thrombocytopenia

Question 18

Triazoles Nursing CONSIDERATIONS

Answer 18

given to VERY sick individuals
monitor CBC for LOW Platelets, WBCs & H&H

Question 19

ALLYLAMINES treatment for …..

TERBINAFINE

Answer 19

dermatophytic skin infections; athletes foot, ringworm, jock itch

Question 20

Allylamines MOA

Answer 20

synthetic antifungal antibiotic that alters cell membrane premeability

Question 21

Allylamines ADR

1

Answer 21

Hepatotoxicity

Question 21

Allylamines SE:

3

Answer 21

rashes, HA, dizzines

Question 22

Allylamines Nursing COONSIDERATIONS

Answer 22

check ALT/AST every 6 weeks
NOT allowed if pt is pregnant

Question 23

POLYENES INDICATION

AMPHOTERICIN B

Answer 23

yeast infection in the skin, mouth, vagina

Question 24

Polyenes MOA

Amphotericin B

Answer 24

alter cell membrane permeability

Question 25

Amphotericin B SE:

4

Answer 25

muscle spasm, N/V, HA

Question 26

Amphotericin B ADRs

5

Answer 26

Renal impairment
ototoxicity
anaphalaxis
anemia
seizures

Question 27

Amphotericin B Nursing CONSIDERATIONS

Answer 27

monitor renal functions (BUN, Creatine, specific gravity), & CBCs

Question 28

POLYENES **NYSTATIN ** treatment for

Answer 28

Candida

Question 29

Nystatin SE

4

Answer 29

N/V, HA, Abdominal Pain

Question 30

Nystatin teachings

polyenes

Answer 30

swish & swallow
hold med in mouth for several minutes

Question 30

Nystatin ADR

1

Answer 30

SJS