Book Ch. 45 Flashcards

1
Q

tetracycline - renal and liver

A

only hepatotoxic, not nephrotoxic (but use cautiously)

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2
Q

macrolides

2

A

erythromycin

azithromycin

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3
Q

dx tests to monitor for clients taking erythromycin

3

A
  1. liver
  2. (warfarin and digoxin) monitor pt/inr or digoxin levels
  3. WBC count - for effectiveness
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4
Q

macrolide - ototoxic

A

erythromycin

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5
Q

gentamicin complications

3

A
  1. ototoxicity
  2. nephrotoxicity
  3. hypersensitivity
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6
Q

tx rheumatic fever and bacterial endocarditis

A

erythromycin

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7
Q

-cyclin

A

tetracycline

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8
Q

tetracycline therap. uses include

8

A
  1. acne
  2. peridontal disease
  3. rickettsial
  4. chlamydia
  5. pneumonia
  6. lyme disease
  7. anthrax
  8. h. pylori
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9
Q

treats infections in clients who have a penicillin allergy

A

macrolides - erythromycin

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10
Q

erythromycin therap uses

5

A
  1. rheumatic fever
  2. bacterial endocarditis
  3. legionnaire’s disease
  4. pertussis
  5. chlamydia
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11
Q

erythromycin s/e

4

A
  1. GI
  2. prolonged qt
  3. hepatotoxic
  4. ototoxic at high doses
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12
Q

aminoglycosides

1

A
  1. gentamicin
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13
Q

gentamicin - what should the nurse monitor as a/e of this med
7

A
  1. pruritis
  2. paresthesias of hands/feet
  3. rash
  4. hematuria - kidney injury
  5. muscle weakness
  6. respiratory depression
  7. vertigo - ototoxic
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14
Q

tetracyclines preg. cat

A

D - high risk

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15
Q

can cause prolonged qt intervals

A

erythromycin

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16
Q

erythromycin complications

A
  1. NV
  2. epigastric pain
  3. prolonged qt intervals
  4. ototoxicity
17
Q

aminoglycosides - affect what organs

A

ototoxic and nephrotoxic

18
Q

tetracycline complications

7

A
  1. NVD
  2. esophageal ulceration
  3. teeth discoloration
  4. hepatotoxicity
  5. photosensitivity
  6. suprainfection
  7. dizziness, lightheaded
19
Q

gentamicin - when to draw peak and trough

A

peak - 30 min after the end of the IV infusion

trough - just before starting the infusion

20
Q

erythromycin most common a/e

A

GI manifestations - NVD, abd pain

21
Q

administer what orally, prior to GI surgery to rid the large intestine of normal flora

A

neomycin