Ch. 40, 97-100

Question 1

What are helminths

-treatment

Answer 1

parasitic worms

-anthelminths to treat

Question 2

Nematoda are

Answer 2

round worms

Question 3

Cestoda are

Answer 3

tapeworm

Question 4

Tematoda are

Answer 4

Flukes

Question 5

Mebendazole

• treat
• M/A
• time to effect
• A/E
• pregnant

Answer 5

Intestinal roundworms

• Act by inhibiting glucose uptake by worm causing death over 3 days
• Abdominal pain, D
• Avoid pregnant women

Question 6

Albendazole

• treat
• M/A
• A/E
• Pregnant

Answer 6

Cestodes and nematodes

• acts by inhibiting uptake of glucose in worm
• Liver impair- Check LFTs
• Avoid pregnant women

Question 7

Pyrantel

• treat
• M/A
• A/E

Answer 7

Nematodes

• Causing flaccid paralysis of parasites and then excretion from body occurs
• NVD, CNS irritability

Question 8

Cause of Malaria

Answer 8

protozoa of plasmodium

Question 9

Mararia symptoms

-why

Answer 9

chills, fever, sweating

-response by the body to the continued lysis of RBCs with protozoa present

Question 10

Vivax Malaria

• Cause length to show
• length
• Symptoms
• Relapse
• Treatment success

Answer 10

• caused by plasmodium vivax
• 26 days until symptoms appear
• mild, fever every 2 days
• High relapse due to dormant parasites in the liver ceases entirely in about 2 years
• Drug resistant is uncommon

Question 11

Falciparum Malaria

• Length to show
• Symptoms
• Relapse
• Treatment success

Answer 11

• 12 days for symptoms to appear
• severe, 60% erythrocytes can be destroyed, *anemia and weakness, *Dark urine, *Pulmonary edema, *hypoglycemia, *toxic encephalopathy
• No relapse
• Drug resistance is common

Question 12

What is radical cure

Answer 12

a drug that will kill dormant parasites in liver, preventing relapse

Question 13

Chloroquine

• Use, Line
• M/A
• A/E
• Use with
• Take

Answer 13

1st line oral for cure

• mild to moderate acute attacks for P. Vivax and P. Falciparum
• Acts by causing heme accumulation within parasite
• Visual disturbance, pruritus, HA, and GI Effects, *ototoxicity, liver disease
• Photophobic- sunglasses
• take with meals

Question 14

Quinine

• Use
• M/A
• A/E
• Pregnancy

Answer 14

• Treat chloroquine- resistant malaria
• causing heme accumulation within parasite
• Cinchonism (Tinnitus, HA, visual disturbances, N/D)
• Hemolysis in its with G6PD deficiency *Hypotension , * A-fib, *Hypoglycemia
• Pregnancy C

Question 15

Amebiasis

• infects
• symptoms

Answer 15

• Primary infects intestine

- asymptomatic, – D, wt loss

Question 16

Crytosporidiosis

• infects
• transmitted
• symtoms

Answer 16

• infects intestinal tract
• transmitted by contaminated water, fruit, veggies
• DNV, anorexia, low-grade fever

Question 17

Girdasis

• infects
• transmitted
• symptoms

Answer 17

• intestine with migration to bile ducts and gallbladder
• contaminated water or object
• malaise, heartburn, VD, colicky pain after eating, malodorous belching, flatulence

Question 18

Toxoplasmosis

• affects
• deadly to who

Answer 18

• brain, eyes, liver and other organs leading to encephalitis and death
• immunocompromised (AIDS)

Question 19

Metronidazole

• Use
• M/A
• A/E
• When to stop
• Drug interactions
• Pregnancy

Answer 19

• used to treat symptomatic intestinal amebiasis and systemic amebiasis, giardiasis, trichomoniasis
• Alters synthesis of DNA
• NVD, HA, dry mouth, *Metallic taste, Stomatitis, insomnia, vertigo, weakness
• 1st sign of neuro issues
• Alchohol, Warfarin (decrease dose), Phenytoin, lithium, fluouracil, cyclosporine, and tarcilimus
• Avoid 1st trimester

Question 20

What is scabies

• where infected
• manifests as
• transmitted

Answer 20

infestation with mites

• elbows, nipples, navel, genital region and web on fingers
• itching
• towels, linen or clothing

Question 21

Pediculosis is

-where

Answer 21

Infestation with lice

• Phthirus pubis ( Pubic lice)
• Pediculuc humanus capitits- (Head Louse)
• Pediculus humanus corporis (Body louse)

Question 22

Permenthrin

• M/A
• Failure %
• A/E

Answer 22

• killing mites, lice and their ova by causing paralysis
• 5% missed
• Itching, erythema, Edema, buring, stinging and numbness

Question 23

Malathion

• Use
• A/E

Answer 23

• Kill lice and ova

- devoid serious A/E

Question 24

Heroin

• Age group
• Behavioral effects
• Route(s)

Answer 24

• 18-25, social
• 45 sec orgasm, Euphoria, N/V
• IV, Smoking, Nasal- Lipid Soluble

Question 25

Meperidine - Who - Why (A/E)

Answer 25

- Nurses and physicians | - No exterior signs, Less urinary retention and constipation

Question 26

Oxycodone - toxicity - antagonist

Answer 26

- Classic Triad *Respiratory Depression, *Coma, *Pinpoint pupils - Naloxone, Nalmefene

Question 27

Opioid - Tolerance - Physical Dependence

Answer 27

- Euphoria, resp. depression, N, Pain effects