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NUR 146 Protection Promotion > Patient Teaching for Antimicrobial Drugs > Flashcards

Patient Teaching for Antimicrobial Drugs Flashcards

1
Q

I am pregnant is it safe to take antimicrobial drugs?

A

No these drugs can cause problems for a developing fetus

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2
Q

Can a treat this viral infection with an antibiotic?

A

No don’t take it if it was not indicated to be used like that. It can cause more harm than good.

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3
Q

Time wise how should an antimicrobial be taken?

A

evenly spaced intervals this helps maintain adequate blood levels

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4
Q

Can antimicrobials be taken with food?

A

A patient should ask this question because some can be but some may decrease absorption. If it cant be taken with food take on an empty stomach or 1-2 hours before meals

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5
Q

I have a liquid preparation of an antimicrobial, are there any special precautions?

A

Most should be stored in a refrigerator
Always check expiration dates

^ Important to ensure medicine remains stable and is evenly dispersed in solution

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6
Q

What helps tables and capsules dissolve better in the stomach? What does it reduce?

A

Take it with a full glass of water.

It helps decrease stomach irritation.

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7
Q

Patient Teaching for Oral Penicillins: What is considered an allergic reaction to penicillin and what is not?

A

skin rash
swelling
difficulty breathing
- minor stomach upset is not an allergic reaction

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8
Q

Patient Teaching for Oral Penicillins: Why are more doses needed than most antibiotics?

A

they are rapidlly excreted by the kidneys

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9
Q

Patient Teaching for Oral Penicillins: How should most be taken?

A

On an empty stomach 1 - 2 hours before a meal

Penicillin V, Amoxicillin and Augmentin can be takin with food especially Augmentin because it increases absorption.

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10
Q

Patient Teaching for Oral Penicillins: What should I not take when swallowing these pills?

A

orange juice or other acidic fluids because they may destroy the drug

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11
Q

Patient Teaching for Oral Penicillins: I have liquid penicillin does this ever go bad?

A

Yes, throw away:

  • 1 week if stored at room temp
  • 2 weeks if refrigerated
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12
Q

Patient Teaching for Oral Penicillins: What significant changes should I report to my health care provider?

A 
skin rash
hives
itching
severe diarrhea
sob
fever
sore throat 
black tongue
unusual bleeding
---- these may be signs of an allergic reaction ----
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13
Q

Patient Teaching for Aminoglycosides (Gentamicin): How should I use gentamicin ophthalmic preparation?

A

do not take it by mought

wash hands before and after use

administer any other ophthalmic preparations 10 minutes before of after gentamicin ophthalmic

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14
Q

Patient Teaching for Fluoroquinolones (Ciprofloxacin, Cipro): What should I avoid when taking Cipro?

A

exposure to sunlight even sunscreen can’t save you but let the doctor know if you have any skin changes (burning, redness, swelling rash, itching)

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15
Q

Patient Teaching for Fluoroquinolones (Ciprofloxacin, Cipiro):

I have to be alert at work is Cipiro a good drug choice?

A

You need to be careful if driving or doing alert or physical coordinated task because Cipiro can make you dizzy and light headed

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16
Q

Patient Teaching for Fluoroquinolones (Ciprofoxacin, Cipiro):

When I take cipiro I get an upset stomach?

A

take it with food

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17
Q

Patient Teaching for Fluoroquinolones (Ciprofoxacin, Cipiro):

Why do i need to drink 2-3 quarts of fluid daily?

A

to prevent kidney problems

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18
Q

Patient Teaching for Tetracyclines:

Why should I take this around the clock?

A

because it inhibits bacteria it doesn’t kill them

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19
Q

Patient Teaching for Tetracycline & Sulfisoxazole:

What everyday things should I avoid?

A

Sunlamps, tanning beds and intense or long exposure to sunlight. So wear sunscreen and cover up.

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20
Q

Patient Teaching for Tetracycline:

What adverse affects should be reported to hcp?

A

n/v
diarrhea
skin rash
itchy groin

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21
Q

Patient Teaching for Tetracycline:

When should I take it?

A
  • on an empty stomach 1-2 hrs after meals with an 8 oz glass of water
  • 2 hours after taking dairy, antacids or iron
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22
Q

Patient Teaching for Tetracycline:

I was told I have to take an antacid but when should I?

A

at least 2-4 hours after Tetracycline

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23
Q

Patient Teaching for Tetracycline & Sulfisoxazole:

I should let you know I take an oral contraceptive.

A

Well until you finish taking Tetracycline you need to use a different method of contraception because it decreases your birth control effects

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24
Q

Patient Teaching for Sulfisoxazole:

When can I take it/ how?

A

before or after meals with 8 oz of water and 2-3liter of fluid a day min

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25
Q

Patient Teaching for Sulfisoxazole:

What hcp should I tell that I’m taking sulfisoxazole?

A

dentist because it changes lab values

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26
Q

Patient Teaching for Sulfisoxazole:

I was prescribed sulfisoxazole and I have diabetes. Are there any precautions I should take?

A

Yes monitor your sugar values. Reduced blood sugar levels can occur.

27
Q

Patient Teaching for Nitrofurantoin:

Why do people tell me to take this with food like its important?

A

It is, taking it with food aids in absorption and decreases the onset of a/e

28
Q

Patient Teaching for Phenazopyridine (Pyridium):

What should the nurse tell a pt about urine changes?

A

urine will turn reddish-orange

29
Q

Patient Teaching for Phenazopyridine (Pyridium):

Black box warning

A

if your skin turns yellow contact hcp immediately. This is a sign that the drug is accumulating in your body.

Also report sore throat, fever, bruising or bleeding

30
Q

Patient Teaching for Erythromycin:

when should I take it ?

A

on an empty stomach: 1 hour before meals or 2-3 hours after meals

31
Q

Patient Teaching for Erythromycin:

What juices should i not drink?

A

grapefruit juice

32
Q

Patient Teaching for Erythromycin:

Can i take it after drinking milk or taking an antacid?

A

no don’t take within 2 hours of those

33
Q

Patient Teaching for Erythromycin:

How will this effect me, since I’m on the birth control pill?

A

It will decrease b.c

34
Q

Patient Teaching for Erythromycin:

What should I reports to hcp?

A

severe or watery diarrhea, n/v, dark urine, yellowing of skin or eyes, hearing loss, itching and rash

35
Q

Patient Teaching for Erythromycin:

Are there any a/e I should know about?

A 
stomach cramps
GI discomfort
labile emotions
crying
laughing
abnormal thoughts
36
Q

Patient Teaching for Telithromycin (Ketek):

How should I take these tables?

A

swallow whole don’t chew or crush and take them with or without food it does not matter but if you get a stomach ache take them with food

take at the same time every day

37
Q

Patient Teaching for Telithromycin (Ketek):

Will any of my sense be effected?

A

yes don’t look quickly between objects far away if visual difficulties result

38
Q

Patient Teaching for Telithromycin (Ketek):

What a/e should I report to hcp

A

bloody diarrhea, rash, fainting or yellowing of skin or eyes

39
Q

Patient Teaching for Telithromycin (Ketek):

I drive a lot is it ok to take ketek?

A

no not if you have visual disturbances = no driving or heavy machine operating

40
Q

Patient Teaching for Linezolid (Zyvox):

Black box warning

A

You shouldnt take zyvox if you’re taking ssri, snri, maoi or tryicylic antidepressants. Seratonin syndrome can occur

41
Q

Patient Teaching for Linezolid (Zyvox):

Are there any diet restrictions?

A

Avoid foods high in tyramine: aged cheeses, fermented or air dried meats, sauerkrau, soy sauce, tap beers and red wine

42
Q

Patient Teaching for Metronidazole (Flagyl):

I’m taking flagyl but going to a st pattys day party, can I drink alcohol?

A

No consumption of alcohol will produce disulfiram reaction. This will cause flushing, headache, n/v and chest and ab pain.

43
Q

Patient Teaching for Vancomycin:

Are there any unusual a/e I should know about?

A

only with IV there is an a/e called red man syndrome where hypo tension, flushing and skin rash occur

44
Q

Patient Teaching for INH (Isoniazid) & Rifampin (Rifadin):

I have active TB, when should I feel better?

A

2-3 weeks and let your hcp know if you don’t

45
Q

Patient Teaching for INH (Isoniazid):

When should I take my vitamin b6?

A

at the same time as INH so you don’t forget also take all other anti-TB drugs along with it

46
Q

Patient Teaching for INH (Isoniazid) & Rifampin (Rifadin):

When / how should I take it?

A

try on an empty stomach unless gi upset occurs + a full glass of water

47
Q

Patient Teaching for INH (Isoniazid) & Rifampin (Rifadin):

What should I immediately report to hcp?

A

liver damage s/s stop taking INH IMMEDIATELY

appetite loss, nausea, jaundice, light colored stools, dark urine, fatigue and malaise

48
Q

Patient Teaching for INH (Isoniazid) & Rifampin (Rifadin):

wHY DO i NEED BLOOD TEST?

A

to check your liver function

only with INH: sputum cultures may also be done

49
Q

Patient Teaching for Rifampin (Rifadin):

I have trouble swallowing pills

A

ok you can take the oral suspension form

50
Q

Patient Teaching for Rifampin (Rifadin):

Should I be concerned about any temporary effects?

A

Tell you’re eye care professional about the drug you may have to stop wearing soft contact lenses because it may permanently stain soft contact lenses

51
Q

Patient Teaching for Rifampin (Rifadin):

I know some drugs alter contraception whats the best method to use?

A

Barrier methods

52
Q

Patient Teaching for Amphotericin B (Fungizone):

Do I really have to take this long term?

A

yes its necessary

53
Q

Patient Teaching for Amphotericin B (Fungizone):

When will I notice a change

A

in several weeks

54
Q

Patient Teaching for Amphotericin B (Fungizone):

what side effects should I expect

A

nausea/v so eat small frequent meals

55
Q

Patient Teaching for Amphotericin B (Fungizone):

I was ordered the topical form

A

be aware it can stain clothing

56
Q

Patient Teaching for Amphotericin B (Fungizone):

what a/e should I report

A

skin irritation w/ topical or at injection site

fever, chills, muscle aches and headache

57
Q

Amphotericin B: a/e
GI:
Genitourinary:
Hematologic:

A

GI: nausea, dyspepsia and bleeding

Genitourinary: hypo kalmia, azotemia, renal failure

Hematological: leukopenia, thrombopenia

58
Q

Patient Teaching: Fluconazole

What test should be ordered

A

Renal and hepatic function test

59
Q

Patient Teaching: Fluconazole

How can I avoid GI upset?

A

Eat small frequent meals

60
Q

Patient Teaching: Fluconazole

Ever since taking this med my stool and urine has changed

A

You should alert you’re hcp about that even about skin eruption

61
Q

Patient Teaching for: Antiparasitic drugs

What foods should be avoided

A

Raw fish and undercooked meats

62
Q

Patient Teaching for: Antiparasitic drugs

Metronidazole: can I drink alcohol when I take this?

A

No for even for three days after you finished your prescription.

A/e: headache, nausea, sweating, vomiting

63
Q

Patient Teaching for: Antiparasitic drugs

Metronidazole: will any changes happen while taking this

A

Taking this drug will make your urine dark in color

NUR 146 Protection Promotion (2 decks)

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