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