Corticosteroids
To decrease inflammation in a variety of diseases.
Corticosteroids
beclomethasone, hydrocortisone, methylprednisolone, prednisone
Corticosteroids
-
can increase blood sugar
- check blood sugar and give insulin as needed
-
can suppress immune system and increase risk of infection
- assess for infection (WBC, temperature, symptoms of infection)
- check blood sugar and give insulin as needed
- assess for infection (WBC, temperature, symptoms of infection)
Which syndrome can be caused by chronic use of steroids?
Cushing's syndrome
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
Cephalosporin antibiotic
ceftriaxone, cephalexin
Penicillin antibiotic
amoxicillin, penicillin V
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.
Fluoroquinolone antibiotic
levofloxacin, ciprofloxacin
Fluoroquinolone antibiotic
nephrotoxic
monitor BUN, creatinine and urine output
Aminoglycoside antibiotic
clindamycin, azithromycin
Aminoglycoside antibiotic
-
nephrotoxic - assess BUN, creatinine and urine output
-
ototoxic - assess hearing and balance
Vancomycin antibiotic
-
nephrotoxic - assess BUN, creatinine and urine output
-
Redman syndrome - can get a red face with rapid IV infusion; give slowly
Tetracycline antibiotic
doxycycline, minocycline
Tetracycline antibiotic
-
don't give to children < 8 years old - due to teeth discoloration
-
avoid milk/dairy while taking med - can prevent absorption
Antiviral
tenofovir, acyclovir
Antifungal
treat fungal infections, candidiasis, yeast infections
Antifungal
- fluconazole, clotrimazole
- nystatin (powder or liquid)
- amphotericin B
nystatin
