part 2 Flashcards
How do we as nurses decrease the risk of resistance?
EDUCATION
What are some education topics that should be discussed with a pt taking antibiotics?
- do not take to prevent illness
- importance of hand washing
- follow directions, don’t skip or stop
- do not request for cold or flu
- finish all required doses
- never take leftovers on a later date
This is a new infection that appears during the course of treatment for a primary infection? Due to the antibiotics altering the pt’s normal flora.
superinfection
Class question:
How do emerging and re-emerging infections effect healthcare?
- calling for evaluation of vaccine practices
- re-evaluating antimicrobial resistance
- challenging researchers to discover new antimicrobial therapies
What factors go into selection of antimicrobial agents?
- organism’s identity and sensitivity
- site of infection
- safety of the agent
- patient factors
- cost therapy
Why are antibiotics only given prophylactically in certain (surgery, dental, UTI, cardiac) situations?
-contributes to resistance
Status of the Patient:
What are some points that will help decipher which antibiotic a pt should be on?
- immune system: neutropenic pt (low/diminished WBC’s used to fight infection)
- renal dysfunction: excretion abilities
- hepatic dysfunction: erythromycin, tetracycline contraindicated in liver disease
- poor perfusion: compromised blood flow which effects how the medication will reach the infection
- pregnancy/lactation: teratogenic
- age: Ex: you kids should not take tetracyclines (affects bone growth), fluoroquinolones interfere with cartilage growth
- infection site: sinuses, prostate, etc.
What antibiotics are contraindicated in liver disease?
erythromycin (used as alternative to PCN)
tetracycline
What antibiotics are contraindicated for young kids?
tetracyclines
fluoroquinolones
Why would a diabetics have a hard time with antibiotics?
poor perfusion
