Book Ch. 44 Flashcards
pencillin and aminoglycoside administration
no administer together - pen inactivates amino
carbapenem complications
5
- allergy
- hypersensitivity
- possible cross-sensitivity to pen or ceph.
- GI upset
- suprainfection - colitis, oral thrush, black furry growth on tongue, yeast infection
red man syndrome s/s
4
- tachycardia
- hypotensive
- rash
- flushing
penicillin complications
6
- allergies
- anaphylaxis
- renal impairment
- hyperkalemia
- dysrhythmias
- hypernatremia
red man syndrome is to
vanco
vanco a/e
5
- infusion reaction - red man syndrome (rash, flush, tachycardia, hypotension)
- ototoxicity
- renal toxicity
- thrombophlebitis
- IM/IV injection pain
hearing loss
vanco
____ + alcohol use = disulfiram reaction
cephalosporin
ceph. -ime
4th gen
pencillin is contraindicated for a history of allergy to what meds
3
- penicillins
- cephalosporins
- imipenem
nafcillin routes
2
IM
IV
decreases blood level of valproic acid, an antiseizure med, putting the client at risk for increased seizure activity
imipenem + valproic acid
bleeding tendencies is to
cephalosporins
IV form of vanco tx
3
- MRSA
- staph epidermidis
- streptococci
cephalosporin complications
7
- allergy
- hypersensitivity
- bleeding (cefotetan, ceftriaxone)
- thrombophlebitis (IV)
- renal insuff.
- pain with IM injection
- antibiotic-associated pseudomembranous colitis
penicillin that can be IM or IV
nafcillin
use cautiously with pts who have renal impairment or bleeding tendencies
cephalosporin
infuse vanco over at least what
60 min/dose to prevent reaction
carbapenem rx
2
- imipenem
2. meropenem
penicillin electrolyte imbalances include
2
- hyperkalemia - with high doses of pen G
2. hypernatremia - with high doses of ticarcillin-clavulanate
