MT 1 and 2 Flashcards
If there is no discharge, is there an infection
no
What is the significance about Methicillin?
resistant to staph aureus and staph epidermidis (MRSA/MRSE)
What drug is often combined with PCNase sensitive formulas?
Sulbactam
What drug has an adverse reaction called Red Man Syndrome and why does it occur?
Vancomycin
because of IV induced mast cell degranulation
What drug cannot be taken on an empty stomach because of its risk of erosive esophagitis?
Doxycycline
What is Fanconi’s Syndrome?
Renal toxicity resulting from expired tetracyclines
What drug class should be avoided in pregnant women and young children due to its impairment of bone and tooth development?
Tetracyclines
What are the 3 antibiotic drugs that were discussed in class as having a pregnancy rating B?
Erythromycin
Azithromycin
Tobramycin
What drug has an adverse reaction called Grey Baby Syndrome and why does it occur?
Chloramphenicol because of IV use in newborns with immature liver function
What is the most common site of ocular allergy?
Conjunctiva
What are the 4 types of hypersensitivity responses?
ACID Type 1 - Allergy Type 2 - Cytotoxic or Antibody mediated Type 3 - Immune complex Type 4 - Delayed
What should you always tell patients that present with ocular allergies?
Avoid rubbing eyes = busting open mast cells just going to make matters worse!
Which mast cell stabilizer has the least amount of adverse effects?
Nedocromil
What is a distinction between the parasympathetic and sympathetic nervous system?
Ganglia are very close to the target tissue in sympathetic nervous system
Mueller’s muscle retraction - patient comes in with what looks like a ptosis, but other eye is actually the eye that is abnormal
due to use of decongestants such as Visine
Phenylephrine causes _____ and Parmyed causes____
Bradycardia, Tachycardia
What are the systemic adverse effects of anticholinergics?
ABCDs anorexia blur constipation & confusion dryness sedation status of urine
Patient is taking hydrocodone and you need to use Atropine, what region of the body would you expect the symptoms to have the most effect?
Gastrointestinal
How is toxicity related to dose with systemic effects of anesthetics?
Toxicity is exponentially related to dose
What contraindication should you be aware of when prescribing Indocyanine Green and Rose Bengal
Iodine or shellfish allergy
Why are sulfonamides not very effective in highly mucopurelent environments?
Mucopurelent environs have a lot of PABA from decaying bacteria upon lyses. Sulfonamides are PABA analogs which have to compete with the excess PABA that is floating around in the discharge in order to work…
Which antibiotic is not appropriate for an anemic patient because they cause Fe deficiency
Fluoroquinolones
Which drug reduces metabolism of theophylline (asthma drug); and also cause white corneal precipitates
Ciprofloxacin
What is the most common toxicity associated with antifungal agents?
Hepatotoxicity
