Infection 3 Flashcards
Vancomycin treats (MSSA or MRSA) does it treat (Orally or IV)
MRSA
IV
Vancomycin treats (Clostridium difficile or MSSA) Does it treat it (Orally or IV)
Clostridium difficile
Orally
Is hand washing good for killing the spores of C Diff
Y/N
Yes
Vancomycin Adverse Side Effects
monitor SCr/BUN, vancomycin levels (troughs)
Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome
Nephrotoxicity
Vancomycin Adverse Side Effects
Rare and potentially reversible
Vestibular damage- dizziness/balance
Cochlea- hearing, tinnitus (ringing in ears), fullness in ears
Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome
Ototoxicity
Vancomycin Adverse Side Effects
Formerly (and still called) “Red Man Syndrome
Rash, Itching, Flushing
Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome
Histamine release/flushing syndrome
What the normal range for trough
10-15mcg/mL, 10-20mcg/mL, or 5-20mcg/mL
10-20mcg/mL
Nursing considerations for Ototoxicity Vancomycin?
A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn
B.
Nursing considerations for Nephrotoxicity?
A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn
C.
Nursing considerations for Red Man Syndrome/ Histamine Flush?
A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn
A.
Macrolides = ACE
Y/N
Yes
ACE= Azithromycin, Clarithromycin , & Erythromycin
Y/N
Yes
Are Macrolides good for Useful for Penicillin Allergies?
Y/N
Yes
Which is used for pneumonia and covid pateints?
Azithromycin, Clarithromycin , & Erythromycin
Azithromycin
Does Involves Azithromycin, Erythromycin
QT prolongation!, heart palpitations? (Y/N)
Yes
OTOTOXICITY = sound or hearing?
Hearing
OTOTOXICITY = Azithromycin or Erythromycin
Erythromycin
Do we worry about QT prolonging drugs interations?
Y/N
Yes
Which antibiotic treats Acne, Lyme Disease, Chlamydia, & Anthrax?
Macrolides or Tetracyclines
Tetracyclines
Which antibiotic irritate the GI tract
Should you drink a full glass of water on an empty before bed? (Y/N)
Macrolides or Tetracyclines
Tetracyclines
Yes
Which antibiotic causes sunburns?
Macrolides or Tetracyclines or Sulfonamides or Fluoroquinolones
Tetracyclines
Sulfonamides
Fluoroquinolones
Tetracyclines and Fluoroquinolones bind to (Calcium or Potasium)
Calcium
Tetracyclines can be given to children younger than 8, nursing mothers, and pregnant mother. (T/F)
False
Which antibiotic deals with Pseudomonas aeruginosa?
Macrolides or Tetracyclines or Aminoglycosides
Aminoglycosides
Vancomycin Or Aminoglycosides
Trough
Peak
Trough and Peak
Van
none
Aminoglycosides
Which Antibiotic causes kidney issues due to crystallization/
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which Antibiotic treats UTIs- E.coli and HIV patients
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which antibiotic cause Stevens-Johnson Syndrome/TEN (rare)- Rashes?
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which Antibiotic cause Blood dyscrasias- PANCYTOPENIA- dec WBC, RBC, plts?
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which antibiotic causes Kernicterus in newborns (excessive bilirubin)?
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which antibiotic causes SULFA ALLERGY?
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Avoid Pregnancy (last 2 months)Breastfeeding, Infants?
Vancomycin Or Aminoglycosides or Sulfonamides
Sulfonamides
Which Antibiotic deals with Tendon rupture/tendonitis Exacerbates Myasthenia Gravis Peripheral Neuropathy, potentially irreversible CNS mental health disturbance
Vancomycin Or Aminoglycosides or Sulfonamides
or Fluoroquinolones
Fluoroquinolones
This is a dye that help treat symptom for UTI
Fluoroquinolones or Phenazopyridine
Phenazopyridine
Is Phenazopyridine an antibiotic? (Y/N)
No
Does Phenazopyridine turn in to Orange/Red or Purple ?
Orange/Red
levofloxacin and ciprofloxacin =
Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide
Fluoroquinolones
Sulfamethoxazole-Trimethoprim =
Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide
Sulfonamides
Gentamicin, Tobramycin, Neomycin =
Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide
Aminoglycosides
Azithromycin, Erythromycin =
Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide
Macrolides
Vancomycin =
Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide
Glycopeptide