Immune Meds Flashcards Preview

NCLEX-RN (4) Pharmacology > Immune Meds > Flashcards

Flashcards in Immune Meds Deck (19)
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1
Indication:

Corticosteroids

To decrease inflammation in a variety of diseases.

2
Generic names:

Corticosteroids

beclomethasone, hydrocortisone, methylprednisolone,  prednisone

3
Most common side effects and nursing considerations:

Corticosteroids

  1. can increase blood sugar
    • check blood sugar and give insulin as needed
  2. can suppress immune system and increase risk of infection
    • assess for infection (WBC, temperature, symptoms of infection)

4

Which syndrome can be caused by chronic use of steroids?

Cushing's syndrome

5
Nursing considerations:

Antibiotics

General nursing considerations for all antibiotics:

  • get bacterial culture first before giving first dose
  • assess for superinfections like C. diff
  • monitor WBC, temp, and area of infection
  • teach to take entire dose even if feeling well
  • many cause rashes which can be mild to severe; hold med and report to HCP

6
Generic names:

Cephalosporin antibiotic

ceftriaxone, cephalexin

7
Generic names:

Penicillin antibiotic

amoxicillin, penicillin V

8

What two classifications of antibiotics can have a cross-sensitivity with each other? 

There is a cross-sensitivity with Cephalosporins and Penicillins.

Do not give if there is a reported allergy to either.

9
Generic names:

Fluoroquinolone antibiotic

levofloxacin, ciprofloxacin

10
Most common side effects and nursing considerations:

Fluoroquinolone antibiotic​

nephrotoxic

monitor BUN, creatinine and urine output

11
Generic names:

Aminoglycoside antibiotic

clindamycin, azithromycin

12
Most common side effects and nursing considerations:

Aminoglycoside antibiotic​

  • nephrotoxic - assess BUN, creatinine and urine output
  • ototoxic - assess hearing and balance

13
Most common side effects and nursing considerations:

Vancomycin antibiotic

  • nephrotoxic - assess BUN, creatinine and urine output
  • Redman syndrome - can get a red face with rapid IV infusion; give slowly

14
Generic names:

Tetracycline antibiotic​

doxycycline, minocycline

 

15
Nursing considerations:

Tetracycline antibiotic

  • don't give to children < 8 years old - due to teeth discoloration
  • avoid milk/dairy while taking med - can prevent absorption

16
Generic names:

Antiviral

tenofovir, acyclovir

17
Indication:

Antifungal

treat fungal infections, candidiasis, yeast infections

18
Generic names:

Antifungal

  • fluconazole, clotrimazole
  • nystatin (powder or liquid)
  • amphotericin B

19
Nursing considerations:

nystatin

  • give as a liquid - swish for 2 minutes then swallow
  • give as a topical powder - administer to skin folds