Unit 6 Lecture

Question 0

Flu can cause:

Answer 0

Otitis
Viral or bacterial Pneumonia
Bronchitis

Question 1

Flu spreading

Answer 1

Up to 6 ft in any direction

Plus surfaces

Question 2

Bacterial pneumonia

Answer 2

More common with chronic conditions or older adults

Question 3

Flu timeline

Answer 3

Exposed 1-5 days before symptoms
Infectious for a day before symptoms
Infectious for 5-7 days after

Question 4

Flu symptoms (NVD FEARS)

Answer 4

NVD
Fever
Extreme fatigue
Aches
Runny nose 
Sore throat

Question 5

Live virus vaccines

Answer 5

Ages 2-49

Question 6

Assessments for flu

Answer 6

WBC are normal/low

Chest x to rule out pneumonia

Question 7

Antivirals

Answer 7

Prevents spread by Inhibit enzymes to prevent entry to cell

Takes a couple days to work

Question 8

Antivirals

Answer 8

Reduce duration and severity

Mivir and virin

Question 9

Relenza

Answer 9

Zanamivir
> 7 for treatment
> 5 for prevention
No resp issues
Inhaled powder
5 days

Question 10

Tamiflu

Answer 10

Oseltamivir
Pill or liquid
Treatment > 2 weeks
Prevention > 1 year

Question 11

Health care acquired pneumonia

Answer 11

20-50% mortality rate
Acquired in hospital
Susceptible PT and stronger bacteria
Ventilator increases risk

Question 12

Lobar

Answer 12

Isolated to one lobe and solid are on X-ray
Usually younger PT
Usually seek treatment early
Follows viral/flu

Question 13

Bronchopneumonia

Answer 13

Low grade fever
Cough
Crackles
Patchy X-ray 
Hospital correlation

Question 14

Walking pneumonia

Answer 14

Not debilitating with mild symptoms

May not need meds

Question 15

Pneumonia causes

Answer 15

Bacteria
Virus
Non-pathogens (chemicals, smoke, aspirations)

Question 16

Susceptible to pneumonia

Answer 16

Diminished swallowing/gag reflex
Immunosupressed
Smoker/drinker
Children/elderly

Question 17

Pneumonia in children

Answer 17

More susceptible
Fever can lead to seizure
Retractions and nasal flaring
Exhausted or restless

Question 18

Old people pneumonia symptoms

Answer 18

Mental confusion
Weakness/fatigue
Loss of appetite
Fever/cough absent

Question 19

Pneumonia diagnostic tests (CAB SOX)

Answer 19

Culture
ABG
Blood work
Serology if culture is negative
O2
X-Ray

Question 20

Meds for Pneumonia (classes)

Answer 20

Specific and BS Antibiotics 
Bronchodilators/sympathomimetics
Expectorants
IV fluids
Pain meds
Antipyretic

Question 21

Pneumonia home care (TREAT)

Answer 21

Tobacco avoidance
Rest
Eat
All meds
Talk to Doc if worse

Question 22

Penicillin lab effects

Answer 22

Lower RBC/WBC/PLT/K

Interfere with ACE inhibitors

Question 23

Penicillins goods

Answer 23

Safe for all
IM/IV
Absorbed well
Doesn’t cross blood/brain barrier

Question 25

Anaphylaxis interventions

Answer 25

Stop ABC Antihistamine/steroids

Question 26

Cephalosporins instructions

Answer 26

W/ Food No alcohol Store in fridge

Question 27

Penicillin s/e

Answer 27

Organisms are more resistant Risk for Anaphylaxis K Blood Interfere with ACE inhibitors

Question 28

Cephalosporins bads

Answer 28

Increased bleeding | Thrombophlebitis/pain

Question 29

Carbapenems

Answer 29

Penems | IV

Question 30

Cephalosporins prefixes

Answer 30

Cef/Ceph

Question 31

Cephalosporins bads

Answer 31

Increased bleeding | Thrombophlebitis/pain

Question 32

Macrolides Instructions

Answer 32

Oral/IV Empty stomach No juice Tastes metallic

Question 33

Macrolide assessments

Answer 33

``` Weight loss Renal/Hepato Increases coumadin effect Rash Prolonged QT ```

Question 34

Ketolides instructions

Answer 34

Food or not | Not for liver disorder

Question 34

Tetracycline

Answer 34

``` +/- Static PO Contraceptive decrease Not for pregnant ```

Question 35

Carbapenem different bad

Answer 35

Seizure

Question 37

Tetracycline s/e

Answer 37

Teeth discolor especially in <8 Photosensitive Colitis Decreases Contraceptive

Question 37

Amino glycosides monitoring

Answer 37

Hearing Peak/trough I/O Nephro/hepato/neuro

Question 38

Peak

Answer 38

Measures rate of absorption Drawn 30 min after completed infusion Peak is high, prob toxic Peak is low, not therapeutic

Question 39

Aminoglycosides monitoring

Answer 39

Hearing Peak/trough I/O Nephro/hepato/neuro

Question 40

Tetracycline

Answer 40

PO | Not for pregnant

Question 41

Tetracycline gi

Answer 41

Not within 2hrs of dairy, antacids, iron Decreases effect Doxy or mino need food

Question 43

Sulfonamide instructions

Answer 43

No alcohol, mouthwash, aftershave | No 1st trimester

Question 43

Sulfonamide monitoring

Answer 43

I/O Flu symptoms/infection Bruising/bleeding

Question 44

Sulfonamide s/e

Answer 44

Crystals in red brown urine Metal Taste Aplastic/hemolytic anemia Steven Johnson syndrome- flu like then purple skin lesions, blisters

Question 45

Sulfonamide med avoidance

Answer 45

Thiazides (check) Aspirin Blood meds

Question 46

Trough

Answer 46

Lowest concentration Measures rate of elimination High- prob toxic because not clearing Immediately before next infusion

Question 48

Flouroquinolones s/e

Answer 48

``` Photo Cns Sleep dis heart Brown orange urine Levoquin-GLU may bottom out ```

Question 48

Fungal contraindications

Answer 48

Liver, kidney

Question 49

Glycopeptides Instructions

Answer 49

+ only Oral IV Rotate sites 1-2 hour

Question 50

Glycopeptide value monitor

Answer 50

Blood decreases

Question 51

Antifungals

Answer 51

Superficial infections | Diflucan

Question 52

Flagyl

Answer 52

Impairs DNA of weak bacteria | Treats: GI, vaginosis, skin, lower resp

Question 53

Med need to look ups

Answer 53

Charts Nursing interventions Key meds

Question 54

Aminoglycoside concerns

Answer 54

Avoid benzo/anesthetics Safety measures Urine Output

Question 55

Flagyl s/e

Answer 55

Drunk symptoms Dark urine Anorexia

Question 56

S-E for all meds

Answer 56

GI HA Supers

Question 57

Penicillin Instructions

Answer 57

1 hr before/2 hr after meals

Question 58

Vanc S/E

Answer 58

``` Hearing loss Shock Red Man SJ syndrome Nephro Anxiety/Memory ```

Question 59

Vanc Instructions

Answer 59

Serum levels 1-2 after and right before 1-2 hours IV Monitor Glycopeptide SE

Question 60

Ketolide Indications

Answer 60

Serious resp infections | Community acquired pneumonia

Question 61

Macrolide Indications

Answer 61

STD Allergy to Penicillins Soft Tissue

Question 62

Carbapenems indications

Answer 62

The broadest/Hospital Aq infection | Last resort

Question 63

Penicillin indications

Answer 63

+/- STD Proph

Question 64

Cephalosporins indications

Answer 64

+/- BL resistent Postop/Pelvic Min

Question 65

Aminoglycoside indications RUNG

Answer 65

``` -/Some + SERIOUS infections Resp Urinary Nervous GI ```

Question 66

Glycopeptide indications

Answer 66

``` + Resp Staph MRSA Bone Nothing else works ```

Question 67

Antifungal administration

Answer 67

PO/IV/Vaginal/Topical Monitor Urine No alcohol

Question 68

Flouroquinolones indications BS GAP

Answer 68

``` Bone infection STIS Gastrointeritis Antrhax Pneumonia ```

Question 69

Sulfonamide indications BE MO

Answer 69

Burns Eye Proph Meningitis Otitis Media

Question 70

Flouroquinolone instructions

Answer 70

``` PO Absorbed well Food or not antacids decrease Fe, Ca, Mg, Zn No children, baby, breasting, preg ```