100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Pharmacology For Nursing Practice (NR-293) NR_293_Final_Exam. $14.99   Add to cart

Exam (elaborations)

Pharmacology For Nursing Practice (NR-293) NR_293_Final_Exam.

 5 views  0 purchase

Pharmacology For Nursing Practice (NR-293)

Preview 2 out of 13  pages

  • September 1, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (18)
avatar-seller
YourAssignmentHandlers
NR 293 Final Concept Outline
The following is a list of concepts to be familiar with in order to be successful on the final exam.
For each of the following drug classifications or groups know the following:
· Therapeutic effect/indications
· Main adverse effects, interactions, warnings, contraindications
· Safety concerns, assessments
· Patient Teaching

Ø​ ​Anti-infectives
- 95% of sinus infections are viral
o​ ​Antibiotics
1.​ ​Sulfonamides
a.​ ​Sulfamethoxazole
b.​ ​Trimethoprim
- (Bactrim) very often given the UTI because absorbed in the kidney
¨ AE​: anemia, thrombocytopenia, hepatotoxicity, exfoliative dermatitis
¨ Interactions​: +warfarin= bleeding, +phenytoin= increase phenytoin level, +oral diabetic
meds= decrease blood sugar
2.​ ​Penicillin
- Most used for gram + bacteria, used for ENT (ear, nose, throat) infection
a.​ ​Natural- penicillin VK, Pen G
b.​ ​Penicillinase- resistant- Nafcillin
c.​ ​Aminopenicillins- amoxicillin, ampicillin
d.​ ​Extended spectrum- piparicillin, ticarcillin
¨ AE​: Rash, hives, angioedema

3.​ ​Beta- lactams
- Added to the penicillin to help reduce resistance of the bacteria to the drug
- Amoxicillin + clavulanic acid= augmenting (PO)
a.​ ​Clavulanic acid
b.​ ​Sulbactam
c.​ ​Tazobactam
PG 618

4.​ ​Cephalosporin
- Potential cross allergy to penicillin because they are very similar ​*ALWAYS GET
CULTURE FIRST
PG610

, a.​ ​1st​​ generation- cefazolin, cephalexin
- Pretty good gram +, not so much gram -, only available in parenteral use. Commonly for
surgical prophylaxis and for susceptible staphylococcal infections.
- Cefazolin: given before surgery to prevent skin infections

​ generation- cefuroxime, cefoxitin
b.​ ​2nd​
- Similar to 1​st​ generation but has better gram – coverage.
- Cephamycin: have better coverage against various anaerobic bacteria

​ generation- ceftriaxone, ceftazidime
c.​ ​3rd​
- Ceftriaxone: most potent of all 3 generation. One of the few drugs that can cross the
blood brain barrier. Good half-life so can be given just once a day, and treats gonorrhea

​ generation- cefepime
d.​ ​4th​
- Has better gram -, but at the expense of gram +

​ generation- ceftaroline
e.​ ​5th​
- Most broad spectrum. Effective for MRSA. Also, for acute skin and skin structure
infections and community associate pneumonia. Needs to be adjusted for decreased renal failure.
¨ AE for all​: abdominal cramps, rash
¨ Interactions​: +ETOH= disulfiram reaction

5.​ ​Macrolides
- Given for STDS, strep throat, chlamydia, STI, listeria, legionella, Lyme disease
- Problem is a lot of resistance because a lot of people want these drugs for ex: cold
a.​ ​Ery​thromycin
b. Azi​thromycin
- treatment for gonorrhea and other name is Z-Pack
c. Clari​thromycin
- given for H. Pylori + one of the tetracycline and a proton pump inhibitor
¨ AE​: QT prolongation, palpitation, abnormal taste, dizziness
¨ Interactions​: +carbamazepine, digoxin, warfarin, theophylline= increase level

6.​ ​Monobactam
- Gram –
- It preserves gram + normal flora so you don’t have the CDiff, good for severe systemic
infection and severe UTI, can be given IM or IV, good with other antibiotics.
- Less cross reaction with PCN allergy
a.​ ​Aztreonam

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart