Exam 3 Flashcards
When is a TB patient most contagious?
2-3 weeks from the initial period the illness was diagnosed.
B6 should be taken with what medication
INH( Isoniazid: Used to treat TB). B6 prevents peripheral neuropathy.
TB spreads through what type of transmission
droplets
Adverse effect of tetracycline is
photosensitivity
steven johnsons syndrone effects the
skin
What antibiotic causes archilies tendon rupture?
fluroquinolones.
- Administering medication for bone marrow. Closely monitor what?
CBC and platelet levels
Antidote for anaphylactic shock
Epinephrine
Red man syndrome caused by
Giving vancomycin too fast.
Adverse Reaction: Prolonged QT (waves on the monitor) caused from
Erythromycin
Sulfonamides treat
Treats UTI’s
Elderly patient admitted for thrombophlebitis. They are taking a Enoxaparin (LMWH). What statement shows patient understands medication use?
The medication will increase risk of bleeding.
Antidote for Warfarin is
Vitamin K
Patient taking anticoagulants. What is a statement of understanding?
This medication will keep clots from forming in the blood.
Antiplatelet Clopidogrel is used for
myocardial infractions.
Patients taking anticoagulants should watch for
signs of bleeding.
Patient taking Warfarin should eat what foods in moderation?
Leafy greens due to vitamin k.
Test used to monitor Heparin?
aPTT
Test used to monitor Warafin?
INS
Blood test used to monitor coumadin?
PT/INR
Antidote for Heparin
Protamine sulfate.
Enoxaparin can only be given which route?
subcutaneously.
Alteplase breaks down what?
blood clots
Normal INR range
Between 2-3
Monitoring a patient on antithrombolytic therapy who has had a heart attack. What adverse effect will you see?
An irregular heartbeat.
Patient is bleeding from an incision of heparin. Antidote is
Protamine Sulfate.
Corticoid steroids are taken after what?
Bronchodialators.
Patient taking theloxin should stop what habit?
Stop Smoking
Adverse effect of albuterol is
tachycardia
Salmeterol can only be administered by what route?
Inhaled BID
Educate asthma patient from getting yeast in their mouth
Rinse mouth out after each use.
A short-acting Beta 2 antagonist medication for an upper respiratory infection is
Albuterol
Reason for taking corticoid steroids is to
Reduce airway inflammation
What are some triggers for asthma attacks?
Exercise, medications, allergies and smoking
Patient with TB take alot of drug because
It prevents the TB from becoming drug resistant.
Patient is on long term INS therapy. What do we monitor?
Liver enzymes.
Patient has had a history of an allergic reaction to a medication. What will the nurse ask?
Tell me about the medication and the symptoms. you experienced.
What happened?
Patient prescribed INH for treatment. What should the patient not do the prevent liver damage?
No drinking alcohol.
Patient taking TB medications, What color symptom can they experience?
Urine discolored. saliva is orange.
Patient needs to drink what with penicillin?
WATER
Patient is administered vancomycin. What must be checked?
Check patient creatine and BUN levels for renal function.
Female client taking Rifampin (for TB) and on birth control pills. What will you tell them?
They need to switch to another form of medication because they can get pregnant.
Patient on aminoglycosides IV therapy report ringing in their ears. what should the nurse do?
Stop the line.
Patient on Aminoglycosides. medications may need to be adjusted is nurse observers changes in what system?
Renal system. we don’t want renal failure.
MRSA is resistant to
antibiotics.
Fluoroquinolones can be administered by what route?
Orally
C. Diff. patient given B6 before the fluoroquinolones. Why is that?
B6 protects the normal flora in the body.
What needs to get measures for INS?
Liver Enzymes
How long does it take for a TB patient to get better?
6-24 months
Patient is on vancomycin. What function must the nurse monitor?
Renal function
Health care associated Infections
healthcare-associated infections (HAIs) include central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections.
Super infection
(1) An infection occurring during antimicrobial treatment for another infection, resulting from overgrowth of an organism not susceptible to the antibiotic used. (2) A secondary microbial infection that occurs in addition to an earlier primary infection, often because of weakening of the patient’s immune system function by the first infection
Tetracyclines used for
.Gram-negative and gram-positive bacteria
-Chlamydia
-syphilis
-Lyme disease
-Rickettsia
-Rocky Mountain spotted fever
-Doxycycline can be used in prevention and treatment of anthrax and malaria
cephalosporins used for
Gram Positive bacteria
-Better gram negative coverage in later generations
quinolones used for
Gram-negative bacteria
-Complicated urinary tract, respiratory, bone and joint, GI, skin, and sexually transmitted infections
-Anthrax (ciprofloxacin)
Sulfonamides used for
-Gram negative and gram positive bacteria
-UTIs
-Pneumocystis jiroveci pneumonia
-Upper respiratory tract infection
