Unit 8 Drugs

Question 1

what sulfonamide drugs are in this unit

Answer 1

Sulfamethoxazole/trimethoprim

Question 2

what is the mechanism of action of Sulfamethoxazole/trimethoprim?

Answer 2

once bacteria growth slows the bodies defenses attack the organism

Question 3

what are the adverse reactions of Sulfamethoxazole/trimethoprim

Answer 3

• stomatitis !
• crystalluria/renal failure !
• steven-johnson syndrome
• anemia/ thrombocytopenia !

Question 4

what are some management or teachings for Sulfamethoxazole/trimethoprim

Answer 4

• Monitor CBC and BUN/Cr. !
• take 1 hour before or 2 hours after meals !
• take med with 8 oz. of water !
• increase fluid intake - 2L/day !

Question 5

what are some contraindications/interactions of Sulfamethoxazole/trimethoprim

Answer 5

• anticoagulants- increased bleeding risk !

Question 6

what is the penicillin drug in this unit ?

Answer 6

amoxicillin

Question 7

what are the adverse reactions of amoxicillin

Answer 7

hypersensitivity !
- stomatitis/ glossitis !

Question 8

what is the management/teachings for amoxicillin

Answer 8

• eat yogurt or probiotics !
• decreases effectiveness of BCP !

Question 9

what cephalosporins drug is in this unit

Answer 9

cephalexin

Question 10

what are some adverse reactions of cephalexin

Answer 10

• nephrotoxicity !
• steven-johnson syndrome !

Question 11

what are some nursing management/teachings of cephalexin?

Answer 11

• take on an empty stomach 1 hour before meals !
• notify provider if you develop a rash !

Question 12

what are some contraindications of cephalexin

Answer 12

PCN allergy !

Question 13

what are the misc antibacterial agents drug in this unit

Answer 13

vancomycin (oral or IV)

Question 14

what do you use vancomycin for ?

Answer 14

c. diff (oral) !
- reserved for serious infections !

Question 15

what are some adverse reactions of vancomycin

Answer 15

• nephrotoxicity !
• ototoxicity- loss of hearing !
• red man syndrome !

Question 16

what are some nursing management of taking vancomycin

Answer 16

administer IV doses slowly !

Question 17

what are some interactions of vancomycin

Answer 17

anticoagulants- increased risk of bleeding !

Question 18

what is the tetracyclines drug of this unit

Answer 18

tetracycline

Question 19

what do you use tetracycline for

Answer 19

alternative to PCN !

Question 20

what are some adverse reactions of tetracycline

Answer 20

• photosensitivity !
• gray tooth syndrome !

Question 21

what are some patient teachings of tetracycline

Answer 21

• calcium, iron, or antacids- 2hrs apart !
• protect skin from sun !
• take on empty stomach with full glass of water !

Question 22

what are some contraindications of tetracycline

Answer 22

• pregnant women and children under 8 !
• anticoagulants !

Question 23

what is the aminoglycoside drug in this unit ?

Answer 23

gentamycin

Question 24

what do you use gentamycin for ?

Answer 24

gentamycin- reserved for severe infections

Question 25

what are some adverse reactions of gentamycin

Answer 25

- nephrotoxitcity ! - ototoxicity ! - neurotoxicity !

Question 26

what are some nursing managements of taking gentamycin

Answer 26

- tinnitus, dizziness ! - gentamycin- peak and trough monitoring !

Question 27

what are the contraindications of gentamycin

Answer 27

not for long term use !

Question 28

what is the macrolide drug of this unit

Answer 28

azithromycin

Question 29

what are the adverse drug reactions of azithromycin

Answer 29

- N/V/D ! - pseudomembranous colitis- diarrhea !

Question 30

what is the patient teaching of taking azithromycin

Answer 30

take on an empty stomach !

Question 31

what are the interactions of azithromycin

Answer 31

- anticoagulants- increased risk of bleeding !

Question 32

what is the fluoroquinolones drug of this unit !

Answer 32

ciprofloxacin

Question 33

what is the adverse reaction of ciprofloxacin

Answer 33

- tendon rupture ! - photosensitivity ! - neuropathy !

Question 34

what are some management/teachings for ciprofloxacin

Answer 34

- monitor for rupture in px on corticosteroids ! - report any joint pain or tenderness ! - avoid dairy, calcium, antacids, and iron within 2hrs. of dose !

Question 35

what is the contraindications of ciprofloxacin

Answer 35

- children under 18 !

Question 36

what is the misc. anti-infective medication

Answer 36

metronidazole

Question 37

what are the adverse reactions of metronidazole

Answer 37

- perpheral neuropathy ! - gi upset: metallic taste ! - dark urine !

Question 38

what is a patient teaching of metronidazole

Answer 38

- avoid etoh for 48hrs after last dose !

Question 39

what is the urinary medication of this unit

Answer 39

nitrofurantoin and phenzopyridine

Question 40

what are the adverse reactions of nitrofurantoin and phenzopyridine

Answer 40

nitrofurantoin: neuropathy ! phenzopyridine: urine discoloration and nephrotoxicity !

Question 41

what is the patient teachiing for nitrofurantoin and phenzopyridine

Answer 41

do not take phenzopyridine for more than 2 days- be sure to see MD for ABT !

Question 42

what is the antiviral med of this unit

Answer 42

acyclovir

Question 43

what are the adverse reactions of acyclovir

Answer 43

nausea ! - N/V/D !

Question 44

what are the teaching for taking acyclovir

Answer 44

monitor renal function ! take at first onset of symptoms !

Question 45

what are the antifungal and anti-parasitic drugs of this unit

Answer 45

fluconazole- oral nystatin (topical, oral, vaginal, powder)

Question 46

what are the adverse reactions of fluconazole and nystatin

Answer 46

rash !

Question 47

what are the patient teachings of fluconazole and nystatin

Answer 47

- only apply as prescribed !

Question 48

what are the contraindications of taking fluconazole and nystatin

Answer 48

liver failure !