Test 4 Immunology PART 2

Question 1

Amphotericin Education

Answer 1

Antifungal Drug
Most powerful but also most dangerous
Pretreat with NSAIDS and tylenol

Question 2

Amphotericin Side Effects

Answer 2

Fever
Chills
Vomiting
---Nephrotoxic
---Electrolyte Imbalances
Cardiac Arrest
Hypotension
Dysrhythmias
Phlebitis

Question 3

Common Superficial Fungal Infections

Answer 3

Most common is candida albicans

Also includes mushrooms, yeasts, molds

Question 4

Fungal Infections Risk

Answer 4

can be fatal - affect internal organs such as lungs, brain and digestive organs

Question 5

Malaria Prevention

Answer 5

Chloroquine
Prophylaxis for travelers going to countries where malaria is endemic
Start taking 2 weeks before and 4 weeks after travel

Question 6

Nystatin PO Education

Answer 6

(Prototype drug for superficial infections)
Liquid.. swish and swallow or swish and spit
Let fully dissolve in mouth

Question 7

Parasitic Infection-Common

Answer 7

Pinworm most common in US (fecal to oral… kids)

Roundworm most common worldwide

Question 8

Vermox (mebendazole) (antihelminth) Teaching

Answer 8

Take for only 1 day but no more than 3 days

Best if chewed or taken with a fatty meal

Question 9

Amantadine Contraindications

Answer 9

Anti-viral medication

-extreme caution with renal or hepatic disease

Question 10

Antiretroviral Agent Education

Answer 10

Emphasize compliance with antiviral therapy

Treatment is lifelong

Question 11

Genital Herpes Outcome

Answer 11

Relieve pain or prevent active lesions at term pregnancy (start at 36 weeks)

Question 12

HAART Teaching X2

Highly Active AntiRetroviral Therapy

Answer 12

Multi Drug Therapy

Question 13

Herpes Simplex Treatment

Answer 13

Acyclovir (5-10 days PO)
Not a cure.. once you have it you can have outbreaks anytime
Administer around the clock even if sleep is interrupted
Take with food

Question 14

HIV Risks

Answer 14

???

Fatal if left untreated

Question 15

Alopecia Therapeutic Plan

Answer 15

Spot baldness
Not life threatening but most distressing… give them time to discuss feelings and possible solutions such as wigs, hats, etc

Question 16

Chemotherapy Assessment

Answer 16

Contact physician immediately if fever occurs because infection can be LIFE THREATENING.

Question 17

Headache and Chemotherapy Treatment

Answer 17

Avoid NSAIDS d/t risk of bleeding especially with methotrexate
Acetaminophen much safer

Question 18

Nausea and Vomiting Prevention w/Chemotherapy

Answer 18

Treat 1-2 hrs prior with Zofran

Frequent small meals and sips of fluid

Question 19

Stomatitis Education

Answer 19

Magic mouthwash

Avoid acidic foods, extremes of temp, coarse textures, encourage frequent small meals with soft foods