Exam 3 Flashcards

(41 cards)

1
Q

Describe what the following stages of infection mean:

-Incubation Period
-Prodromal Stage
-Full Stage of Illness
-Convalescent Period

A

-Incubation Period: Organisms growing and multiplying.
-Prodromal Stage: Person is most infections without symptoms.
-Full Stage of Illness: Presence of signs and symptoms.
-Convalescent Period: Recovery from infection.

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2
Q

Define the following terms:

-Zoonosis
-Chemotaxis

A
  • Migration of disease from animals to humans.
    -Migration of WBCs to injury site.
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3
Q

Which medications decrease contraceptive effect?

A

-Penicillins
-Tetracycline

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4
Q

Which medications will you take on empty stomach?
MTF

A

-Macrolides
-Tetracycline
-Fluoroquinolones

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5
Q

Which medications cause photosensitivity?
FTS

A

-Fluoroquinolones
-Tetracycline
-Sulfamides

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6
Q

Which medications are super ototoxic and nephrotoxic?
-D
VGN

A

-Drugs ending in -mycin
* Vancomycin
*Gentamicin
*Neomycin

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7
Q

Penicillin & Cephalosporins mixing:
CC
Common side effects?
DB

A

-Cannot mix both.
-Can cause anaphylaxis allergy, mostly penicillin.

-ceph: Diarrhea
-cillins: Bleeding (monitor platelet count).

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8
Q

What do you do when there’s an allergic reaction to a medication?
SAE

A

STOP
ASSESS TYPE OF REACTION
EPINEPHRINE

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9
Q

Vancomycin: What can happen from too rapid infusion?
R - H - I
What can you not mix it with?
V

A
  • Red man’s syndrome
  • Hypotension
  • Itching
  • Very toxic in combination of aminoglycosides.
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10
Q

Macrolides:
ECH

A
  • End in -thromycin
  • Causes prolonged QT intervals.
  • Hepatotoxic
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11
Q

Tetracyclines:
ENTPHA

A

-End in -cycline.
- Not pregnancy safe.
- Tooth discoloration.
- Photosensitivity.
- Hepatotoxicity.
- Avoid calcium.

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12
Q

Sulfonamides:
B/P/U/I/T

A

Begin with -sulfa.
- Photosensitivity
- Urine crystals (kidney stones)
- Increase water intake
- Take folic acid

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13
Q

Fluoroquinolones:
E/A/T/P

A

-End in -floxacin.
-Avoid antacids.
-Tendon rupture.
-Prolonged QT interval.

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14
Q

Aminoglycosides:
E/P/O/N

A

End in -mycin/-micin
- Photosensitivity.
- Ototoxicity.
- Nephrotoxicity.

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15
Q

Antituberculars: Isoniazid: Reactions:
GPTPH

A
  • GI distress.
  • Photosensitivity.
  • Tinnitus.
  • Paresthesias.
  • Hepatotoxicity.
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16
Q

Antituberculars:
-Streptomycin: ON
-Rifampin: R
-Ethambutol: V

A
  • Ototoxicity, nephrotoxicity.
  • Red body fluids.
  • Visual disturbances.
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17
Q

Antifungals:
- Nystatin: SG
- Amphotericin B: FBGS

A

-Swish and swallow.
-Gargle if mouth is affected.
- Fever, BP imbalance, GI Distress, Seizures.

18
Q

Antivirals:
-Amantidine & Rimantadine: IDAC

A
  • Insomnia
  • Depression
  • Anxiety
  • Confusion
19
Q

Antivirals:
Acyclovir: NDH

A
  • Nephrotoxic
  • Delivered thru IV over 1hr
  • Hyperplasia
20
Q

Antimalarials:
Nursing Interventions:
MTA

A

-Monitor kidney and liver function
-Take w/ meals
-Avoid alcohol

21
Q

Atelectasis: C/A/A
Cause: F/T/I
Clinical manifestations: D/A
Commonality: B/P

A

Collapsed, airless alveoli.
Foreign bodies, tumors, immobility.
Diminished/absent breath sounds
Bedridden/post-op surgery.

22
Q

Atelectasis treatment: DCIE

A

Deep breathing
Coughing
Incentive spirometer
Early mobility

23
Q

Pneumonia Risk factors: A/S/A
Pneumonia Clinical manifestations: C/D/C/F

A

Abdominal/thoracic surgery
Smoking
Air pollution

Cough
Dyspnea
Chest pain
Fine/course crackles

24
Q

COPD Risk factors: S/D/R/A

A

Smoking, dust (inhalation), recurring respiratory infections, aging.

25
COPD Clinical manifestations: E/U/T/W/B/I/N
Easily fatigued Use of accessory muscles Thin appearance Wheezing breath sounds Barrel chest Increased expiratory times Nail clubbing
26
COPD Diagnostic studies: S/X/A/6
Spirometry XRAY ABGs 6 min walk test
27
Bronchodilators: Albuterol Action: D Uses: A/A Side Effects: H/R/T/T
Dilates the airways. Used for asthma, acute bronchospasm. Headache, rhinitis, tachycardia, tremors.
28
Glucocorticoids (Steroids): Action: A Side Effects: T/H/I/M/W
Anti-inflammatory effect. Throat irritation. Hyperglycemia. Insomnia. Moon face. Weight gain.
29
Antitussives: Action: S
Suppresses cough reflex.
30
Expectorants: Action: L/A
Loosens bronchial secretions. Allows elimination by coughing.
31
Loop Diuretics: Action: R/D/W Side Effects: O/H/I Pt. Teaching: D/R
Reduce hypertension, decrease edema, wastes potassium. Orthostatic hypotension, hypokalemia, increased BUN and creatinine. Do not take at bedtime. Rise slowly from sitting position.
32
Cardiac Glycosides: Digoxin Action: I/D/D/I/I
Increases heart contractibility. Decreases heart rate. Decreases conduction. Increases stroke volume. Increases cardiac output.
33
Cardiac Glycosides: Digoxin Side Effects: B/A/H/D Nursing Interventions: M.S/M.E
Bradycardia. Anorexia. Headache. Dizziness. Monitor serum digoxin level. Monitor electrolytes.
34
Nonselective Beta-Adrenergic Antagonists: Beta 1 Action: D Beta 2 Action: B
Decrease BP & pulse. Bronchoconstriction.
35
Selective Beta Blockers: Metoprolol Action: D Side Effects: H/F/F
Decreases BP & heart rate. Headache, fatigue, fainting.
36
ACE Inhibitors: Action: B/B
Blocks angiotensin II, blocks aldosterone.
37
Calcium Channel Blockers CCBs: Action: B/D
Blocks Ca+ causing vasodilation. Decreases myocardial contractibility.
38
Nitroglycerine: Action: U/C/D/R Side Effects: H/H/W/S
Used to relieve angina pectoris. Causes vasodilation. Decreases preload and afterload. Reduces O2 demand. Headache, hypotension, weakness, syncope.
39
What are the five rights of delegation?
Right task Right Circumstances Right person Right Direction/communication Right supervision
40
What are the normal lab values of ABGs pH: PaCo2 HCO3
pH: 7.35-7.45 PaCo2: 35-45 (higher = more acidic) HCO3: 22-26
41
What are the normal lab values of: K+ WBC Creatinine Na+ BUN eGFR Specific Gravity Mg
K+: 3.5-5 WBC: 5-10 Creatinine: 0.5-1.2 Na+: 136-145 BUN: 10-20 eGFR: >60 Specific Gravity: 1.005-1.03 Mg: 1.3-2.1