Meds

Question 1

Aminoglycosides

Answer 1

“A Mean Old Mysin”
Would be used to treat serious, resistant, life-threatening, Gram negatives infections
• So, treat a mean old infection with a “Mean Old Mycin”
o Examples are: TB, septic peritonitis, fulminating pyelonephritis, septic shock, infection from third degree wound covering >80% of the body

Question 2

NOT treated by –mycin

Answer 2

Sinusitis, otitis media, bladder infection, viral pharyngitis, and strep throat

Question 3

All aminoglycosides end in Mycin

Answer 3

• Gentamycin, Vancomycin, and Clindamycin, Streptomycin, Cleomycin, Tobramycin

Question 4

• Not all drugs ending in mycin are aminoglycosides

Answer 4

o Azithromycin, Clarithromycin, Erythromycin … All have THRO in the middle … So, THRO them off the “Mean Old Mycin” list
- Can cause prolonged QT

Question 5

What are toxic effects of aminoglycosides

Answer 5

• Mycin—Sounds like Mice (Think ears) … Monitor hearing (#1), balance, tinnitus (ringing of the ear, CN8 toxicity)
• The human ears are shaped like a kidney so another toxic effect of aminoglycosides is nephrotoxicity (Toxic to the kidneys)
o Therefore, monitor Creatinine

Question 6

The figure 8 drawn inside the ear should remind you of of 2 things

Answer 6

Aminoglycosides
They are toxic to CN8
Administer them q8 hour

Question 7

There are 2 cases where Mean Old Mycins are given PO

Answer 7

• Hepatic encephalopathy (or hepatic coma) where ammonia level gets too high
• Pre-op bowel surgery: to sterilize the bowel before surgery

Question 8

The #1 action of an “oral mycin”

Answer 8

Sterilize the bowel

Question 9

Who can sterilize my bowel?

Answer 9

Neo Kan

o Neomycin and Kanamycin

Question 10

When is the trough drawn

Answer 10

it is always drawn 30 minutes before next dose

Question 11

When is a peak drawn for SubL

Answer 11

5-10 mins after drug is dissolved

Question 12

When is a peak drawn for IV

Answer 12

15-30 min after bag is empty (drug is finished)

Question 13

When is a peak drawn for IM

Answer 13

30-60 min

Question 14

CCBs (Calcium channel blockers)

Answer 14

are like Valium for the heart
• They relax and slows down the heart
• In other words, CCBs have negative inotropic, chronotropic, dromotropic effects on the heart

Question 15

When do you want to relax and slows down the heart?

Answer 15

To treat “A, AA, AAA”
• Antihypertensive
• AntiAnginal drugs (decreasing oxygen demand)
• AntiAtrialArrhythmia

Question 16

Side Effects of CCB

Answer 16

Headache and hypotension

Question 17

CCB drugs end in

Answer 17

ends in “dipine” … Not “pine”

• Also, verapimil, Cardizem (diltiazem)

Question 18

• Cardizem (diltiazem) is given

Answer 18

continuous IV drip

Question 19

What are the parameters to assess before putting a pt on CCBs?

Answer 19

• Assess for BP

* Hold if SBP <100

Question 20

• QRS depolarization =

* P wave =

Answer 20

Ventricular

Atrial

Question 21

Chaotic P wave patterns =

Answer 21

atrial fibrillation (a-fib)
(Chaotic: word used to describe fibrillation)

Question 22

Chaotic QRS complexes =

Answer 22

ventricular fibrillation (v-fib)

Question 23

Bizarre QRS complexes =

Answer 23

ventricular tachycardia (v-tach)
(Bizarre: word used to describe tachycardia)

Question 24

Periodic wide bizarre QRS complexes =

Answer 24

PVCs (Salvos of PVCs = A short runs of v-tach)