Galen pharm exam 4
Doxycycline(Vibramycin) nursing implications - ✔️✔️Milk products prevent absorption.↓
oral contraceptive effectiveness, avoid antacids, iron, Monitor liver enzymes, BUN
Creatinine
Ceftriaxone & Cefpodoxime nursing implications - ✔️✔️Cross-sensitivity w/
penicillin.Give WITH Food! Encourage patients to eat yogurt, buttermilk or use
probiotics to avoid superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Gentamycin clinical use - ✔️✔️Used in gram negative sepsis & many life-threatening
infections.Inactive against anaerobic bacteria.
Gentamycin side effects - ✔️✔️GI upset, rash, visual disturbances, photosensitivity,
dizziness, weakness
gentamycin adverse reactions - ✔️✔️Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - ✔️✔️Monitor for ↑BUN and SERUM CREATININE
for Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO
LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - ✔️✔️Amoxicillin,
Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - ✔️✔️Gentamycin
Amoxicillin & Ampicillin clinical use - ✔️✔️Broad Spectrum PCNUsed to treat gram +
and gram -, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
Amoxicillin & Ampicillin side effects - ✔️✔️GI disturbance, headaches, rash, stomatitis,
dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - ✔️✔️Thrombocytopenia, leukopenia,
angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - ✔️✔️↓ effectiveness of Oral
contraceptives, assess for allergies to cephalosporins, asthma, Renal impairment Lab
monitor: ALT, AST, BUN, CreatinineMonitor for bleeding
, Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - ✔️✔️Ceftriaxone,
Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - ✔️✔️Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects - ✔️✔️GI upset, headaches, dizziness, rash,
dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - ✔️✔️Bleeding, angioedema,
hepatoxicity, agranulocytosis, renal failure
Tetracyclines prototype (Obtain Culture and Sensitivity) -
✔️✔️Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - ✔️✔️Broad spectrum, low dose therapy used to
tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - ✔️✔️GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions - ✔️✔️Discolors teeth permanently if given
to children under 8 yrs.
Macrolides prototypes (Obtain Culture and Sensitivity) - ✔️✔️Erythromycin,
Azithromycin
Erythromycin & Azithromycin clinical use - ✔️✔️Used to treat Otitis Media, STD's, skin
infections, and respiratory infections
Erythromycin & Azithromycin side effects - ✔️✔️Photosensitivity, headache, GI upset,
Blurred vision, rash
Erythromycin & Azithromycin adverse reactions - ✔️✔️Hepatoxicity, superinfection,
Steven Johnson
Erythromycin & Azithromycin nursing implications - ✔️✔️No meals 1 hour before or 2
hours afterTake on empty stomach w/ full glass water. No antacids 2 hours before or 2
hours afterMonitor labs ALT, AST, ALP, Bilirubin
Sulfonamides"Sulfa" prototype(Obtain Culture and Sensitivity) - ✔️✔️Sulfisoxasole,
Trimethoprim-sulfamethoxazole
Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical uses - ✔️✔️Respiratory
infections, UTI's, Otitis Media, MRSA, gastroenteritis, E. coli,
