Book Ch. 44 Flashcards

1
Q

pencillin and aminoglycoside administration

A

no administer together - pen inactivates amino

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2
Q

carbapenem complications

5

A
  1. allergy
  2. hypersensitivity
  3. possible cross-sensitivity to pen or ceph.
  4. GI upset
  5. suprainfection - colitis, oral thrush, black furry growth on tongue, yeast infection
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3
Q

red man syndrome s/s

4

A
  1. tachycardia
  2. hypotensive
  3. rash
  4. flushing
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4
Q

penicillin complications

6

A
  1. allergies
  2. anaphylaxis
  3. renal impairment
  4. hyperkalemia
  5. dysrhythmias
  6. hypernatremia
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5
Q

red man syndrome is to

A

vanco

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6
Q

vanco a/e

5

A
  1. infusion reaction - red man syndrome (rash, flush, tachycardia, hypotension)
  2. ototoxicity
  3. renal toxicity
  4. thrombophlebitis
  5. IM/IV injection pain
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7
Q

hearing loss

A

vanco

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8
Q

____ + alcohol use = disulfiram reaction

A

cephalosporin

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9
Q

ceph. -ime

A

4th gen

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10
Q

pencillin is contraindicated for a history of allergy to what meds
3

A
  1. penicillins
  2. cephalosporins
  3. imipenem
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11
Q

nafcillin routes

2

A

IM

IV

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12
Q

decreases blood level of valproic acid, an antiseizure med, putting the client at risk for increased seizure activity

A

imipenem + valproic acid

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13
Q

bleeding tendencies is to

A

cephalosporins

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14
Q

IV form of vanco tx

3

A
  1. MRSA
  2. staph epidermidis
  3. streptococci
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15
Q

cephalosporin complications

7

A
  1. allergy
  2. hypersensitivity
  3. bleeding (cefotetan, ceftriaxone)
  4. thrombophlebitis (IV)
  5. renal insuff.
  6. pain with IM injection
  7. antibiotic-associated pseudomembranous colitis
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16
Q

penicillin that can be IM or IV

A

nafcillin

17
Q

use cautiously with pts who have renal impairment or bleeding tendencies

A

cephalosporin

18
Q

infuse vanco over at least what

A

60 min/dose to prevent reaction

19
Q

carbapenem rx

2

A
  1. imipenem

2. meropenem

20
Q

penicillin electrolyte imbalances include

2

A
  1. hyperkalemia - with high doses of pen G

2. hypernatremia - with high doses of ticarcillin-clavulanate