part 14 Flashcards
Fungi infections can be divided into what two categories?
superficial mycoses
systemic mycoses
Sysytemic mycoses can be divided into what 2 categories?
opportunistic (the person provides opportunity for disease) and nonopportunistic (caused by external vector)
is the class and member for antifungal drugs?
polyene antibiotic
amphotericin B
What is the drug of choice for systemic mycosis?
-broad spectrum
polyene antibiotic
amphotericin B
this drug is highly toxic and may be associated with dleirium, hypotension, hypertension, wheezing, and hypoxia
polyene antibiotic
amphotericin B
Since polyene antibiotic amphotericin B is infused IV what do we need to watch?
- kidney function every 3-4 days
- watch I&O’s
How long is the treatment for polyene antibiotic
amphotericin B?
-6-8 weeks or up to 3-4 months
This is a boad spectrum antifungal, lower toxicity and can be given po. can cause cardiac suppression and liver injury.
Azoles
This treats herpes and varicella-zoster. Can be given PO or IV, serious side effects are uncommon.
antiviral: acyclovir
Are antibiotics effective against the flu?
no
What is the neuraminidase inhibitor oseltamivir?
tamiflu
When does tamiflu need to be administered in order to be effective?
no later than 2 days after symptom onset or sooner
What are some of the side effects of tamiflu?
N, V, anaphylaxis, serious skin reaction (epidermal necrolysis, erythema multiforme, steven-johnson syndrome)