drugs for infections - Webster

Question 1

antiviral drugs

Answer 1

• acyclovir
• amantadine
• rimantadine
• tamiflu
• ribavirin

Question 2

indications for acyclovir

Answer 2

-shingles
-cold sores
-

Question 3

route of acyclovir

Answer 3

PO/IV

Question 4

adverse effects of acyclovir

Answer 4

• GI disturbance
• HA
• dizziness
• hematuria
• orthostatic hypotension

Question 5

nursing interventions of acyclovir

Answer 5

• pt should rise slowly d/t orthostatic hypotension
• maintain adequate fluid intake d/t it being hard on kidneys
• never give bolus, run over 60 mins

Question 6

indications for amantadine

Answer 6

• prophylactic for influenza A

- Parkinson’s

Question 7

route of amantadine

Answer 7

PO/IV

Question 8

adverse effects of amantadine

Answer 8

• CNS effects

- GI disturbance

Question 9

nursing interventions for amantadine

Answer 9

• allergies: eggs
• do not discontinue abruptly, may cause Parksonian crisis
• o/d: causes CNS toxicity and arrhythmias
• caution if driving d/t dizzines & blurred vision

Question 10

indication for rimantadine

Answer 10

prophylactic for influenza A

Question 11

route for rimantadine

Answer 11

PO

Question 12

adverse effects of rimantadine

Answer 12

• CNS
• GI disturbance
• orthostatic hypotension

Question 13

nursing interventions for rimantadine

Answer 13

• monitor BP
• monitor BUN/Cr
• take full course of meds to prevent resistance
• report shortness of breath

Question 14

indications for tamiflu

Answer 14

tx and prevent influenza A and B

Question 15

adverse effects of tamiflu

Answer 15

-n/v/d, HA
rare
-hepatitis
-elevated liver enzymes
-rash
-Steven Johnson's syndrome

Question 16

nursing interventions of tamiflu

Answer 16

• monitor AST/ALT

- must take meds within 48 hours of symptoms

Question 17

indications for ribavirin

Answer 17

-hepatitis C with IFN

Question 18

route of ribavirin

Answer 18

inhale, PO, inj

Question 19

route of tamiflu

Answer 19

PO

Question 20

adverse effects of ribavirin

Answer 20

• respiratory
• CNS
• GI
• rash

Question 21

nursing interventions of ribavirin

Answer 21

• monitor BP and RR

- should not be pregnant (Cat X)

Question 22

antifungal drugs

Answer 22

• fungizone
• diflucan
• mycostatin

Question 23

indications for fungizone

Answer 23

systemic mycosis

Question 24

route of fungizone

Answer 24

IV

Question 25

adverse reactions of fungizone

Answer 25

- hypokalemia - fever - chills - n/v

Question 26

nursing interventions for fungizone

Answer 26

- monitor BUN/Cr - monitor K/Mg level - monitor BP - report pain at injection site - give a test dose first to see reaction - very nephrotoxic, run over 6 hours - compatible with D5W - sensitive to light

Question 27

indications for diflucan

Answer 27

systemic candiiasis

Question 28

route of diflucan

Answer 28

PO/IV

Question 29

adverse effects of diflucan

Answer 29

- HA - n/v - rash

Question 30

nursing interventions for diflucan

Answer 30

- monitor BUN/Cr - monitor liver enzymes - increases Dilantin level - decreased effectiveness of Cimetidine and Rifampin - HCTZ increased effectiveness

Question 31

indications for mycostatin

Answer 31

local infections of the skin and membranes

Question 32

route of mycostatin

Answer 32

oral/topical

Question 33

adverse effects of mycostatin

Answer 33

n/v

Question 34

nursing interventions of mycostatin

Answer 34

- s/s in mouth for as long as possible - assess for skin color, rashes - keep wounds open to air - do not eat for 5-10 minutes after medication

Question 35

antiparasitic drugs

Answer 35

- amebicides(Flagyl) - antimalarial agents - anthelminitics - scabicides & pediculicides

Question 36

indications for Flagyl

Answer 36

- trichomoniasis - bacterial vaginosis - GI

Question 37

route of Flagyl

Answer 37

PO/IV/topical

Question 38

adverse effects of Flagyl

Answer 38

- rash - nausea - dysuria

Question 39

nursing interventions of Flagyl

Answer 39

- urine is dark brown/reddish - avoid alcohol! - increased lithium levels - assess CNS

Question 40

antimalarial agents

Answer 40

- purpose: to destroy the protozoa - focus: to kill or inhibit protein synthesis - chloroquine hcl - pyrimethamine - primaquine - quinine sulfate

Question 41

chloroquine hcl

Answer 41

- hemolytic anemia d/t G6PD deficiency - affect balance and sound (cranial nerve VIII involvement) - pregnant women: spinal problems with the fetus - caution when taking liver toxic drugs

Question 42

pyrimethamine

Answer 42

- taken when the area is resistant to chloroquine - depletes folic acid - don't take if kidney or liver disease - monitor for seizures

Question 43

primaquine

Answer 43

- absence of WBCs | - acute hemolytic anemia

Question 44

quinine sulfate

Answer 44

- pregnant women: deafness in fetus - thrombocytopenia - caution with breastfeeding - people with G6PD enzyme deficiency

Question 45

patient education with antimalarials

Answer 45

Notify MD - GI upset - cranial nerve involvement - renal & cardiovascular impairment - any signs of anemia or bleeding

Question 46

antihelminitics

Answer 46

- Vermox - entacyl - pin-x

Question 47

scabicide

Answer 47

- Elimite: drug of choice, safe after 2 months of age | - Kwell: 2nd drug of choice, put on cool skin, do not give to pregnant women

Question 48

pediculicides

Answer 48

Nix & Rid are both topical

Question 49

contraindications for pediculicides

Answer 49

- hypersensitivity to Permethrin cream - cream contains formaldehyde, can cause dermatitis - chrysanthemums - allergic reaction