Trimester 3 Exam Revision Flashcards
Revision
Name 3 Challenges of Acute Nursing?
- Complexity of Patients
- Working with Multidisciplinary teams
- Recognizing deterioration/Escalating care
- Demanding work
- Being able to priorities appropriately
- Adapting to constant changes
What are the names of the 4 Anti-Bacterial Medications?
Glycopeptides, Macrolides, Aminoglycosides, Beta-Lactums
How do Macrolides & Aminoglycosides prevent bacterial growth?
Preventing Protein Synthesis
Macrolids = Binding to Large subunit (50s)
Aminoglycosides = Binding to small subunit (30s)
Nursing Interventions of Macrolides? (HINT :) = 4)
- Rapid Infusion can trigger ventrical arrhythmia
- Renal Impairment (lower dosage)
- Hepatic impairment (Lower or omit dose)
- Monitor Renal Function (Urinalysis)
Nursing Interventions of Aminoglycosides? (HINT :) = 4)
Not including: - Renal Impairment (lower dosage) Monitor Renal Function (Urinalysis)
- Monitor creatine clearance (before starting dose)
- Dizziness?
- Tinnitus or ringing (Ototoxicity)
What are the Nursing Considerations of Aminoglycosides?
Nephrotoxicity, Ototoxicity, Neurotoxicity (muscular paralysis)
What are the Nursing Considerations of Macrolides? (HINT :) 2)
Superinfections (candidiasis = longer QT waves)
GI Disturbances
Name three Macrolides ( - mycin, Elephants can aspirate ! )
Erythromycin, Clarithromycin, Azithromycin
Name an Aminoglycoside… (Ma lady…)
Gentamycin
Interactions with Macrolids? (What does it interact with that causes other interactions? HINT 5 drugs)
Interacts with enzyme that metabolises drugs:
Warfarin = Increased bleeding
Metazolam = Prolonged sedation
Theophylline
Digoxine
Drugs that prolong QT Interval = fatal arrythmia
Interactions with Aminoglycosides?
Loop Diuretics = Irreversible hearing loss
NSAIDS = V renal function = ^ [Drug-plasma]
