ATI Pharmacology Proctored Exam -
2023
Medications for Infection: Aminoglycosides
Gentamcin - fights infection
- C: pregnancy, renal issues
- AE: Ototoxicity, nephrotoxicity, hypersensitivity
- NC: Peaks and troughs
Tip: Gentamicin is not gentle
Medications for Infection: Carbapenems
Meropenem, Imipenem - fights infection
- C: Penicillin allergy, renal issues
- AE: GI upset, superinfection, allergies
- NC: Monitor for allergic reactions
Medications for Infection: Penicillins
Penicillin, Amoxicillin, Ampicillin - fights infection
- C: Allergic to penicillin, renal issues
- AE: Allergies, renal issues, hyperkalemia, hypernatremia, dysrhythmias
- NC: Take with food, use additional contraceptive, complete entire course of therapy
even it pt. is feeling better.
Medications for Infection: Cephalosporins
Cefazolin, Ceftriaxone =- fights infection
- C: Penicillin or cephalosporin allergy, renal issues
- AE: Renal issues, pain with IM injections, superinfection
- NC: take with food, store oral's in refrigerator
Medications for Infection: Cell wall inhibitor
Vancomycin: fights infection
- C: hearing loss, renal issues
- AE: Red mans syndrome, otoxicity, renal toxicity, phelbitis
- NC: Give slowly over 60 mins IV to help prevent red mans syndrome, complete entire
course of therapy even it pt. is feeling better.
Tip: the red man drives the van - listening to loud music and not using the bathroom
Medications for Infection: Tetracyclines
Doxycycline: fights infection, acne, lyme disease
- C: pregnancy, liver/kidney disease
- AE: If given to children <8 - causes tooth discoloration, photosensitivity, GI upset,
superinfection
- NC: use additional contraceptive, complete entire course of therapy even it pt. is
feeling better.no calcium.iron
Tip: tetra reminds us about tetris, teeth, lots of little blocks
,Medications for Infection: Macrolides
Erythromycin, Azithromycin (z-pak) - fights infections, pneumonia, pertussis, chlamydia
(is an alt. med. for those who are allergic to penicillin)
- C: Liver disease, prolonged QT
- AE: GI upset, ototoxicity, prolonged QT
- NC: Use additional contraceptive, if treating an STD - treat partner as well.
Tip: throw mice - slide because of phlegm
Medications for Infection: Sulfonamides & Trimethoprim
Trimethoprim-silfamethoxazole - treats UTI's
- C: Pregnancy/lactation, folate deficiency, renal issues
- AE: Agranulocytosis, hyperkalemia, hypersensitivity
- NC: Take on an empty stomach! Use additional contraceptive, complete entire course
of therapy even it pt. is feeling better.
Medications for Infection: Urinary tract antiseptic
Nitrofurantoin: treats UTI's
- C: pregnancy/lactation, renal issues
- AE: GI upset, peripheral neuropathy
- NC: turns urine rust-yellow to brown, can stain teeth, complete entire course of therapy
even it pt. is feeling better.
Medications for Infection: Fluoroquinolones
Ciprofloxacin - fights infection
- C: Can cause spontaneous tendon rupture in children <18, pregnancy/lactation
- AE: GI upset, tendon rupture, superinfection, phototoxicity
- NC: Low doses in pt's with renal impairment, complete entire course of therapy even it
pt. is feeling better.
tip: that fox likes to eat tendons
Medications for Infection: UT analgesic
Phenazopyridine: treats UTI's (is a dye that functions as a local anesthetic on the
mucosa of the urinary tract)
Medications for Infection: Antiprotozoals
Metronidazole: treats protozoal infections
- C: pregnancy, kidney/cardiac/fungal/candida infection, seizure disorder
- AE: GI upset, darkening of urine, neurotoxicity, superinfection
- NC: Use additional birth control
Tip: met- metalic tastse, zole, protozoal
Medications for Infection: Antimycobacterials
Isoniazid: treats tuberculosis
- C: older adults, people with diabetes, alcoholism
- AE: hepatotoxicity, hyperglycemia, peripheral neuropathy
- NC: Use additional birth control
Rifampin: treats infection & TB
- C: hepatic impairment
- AE: Can turn excretory fluids orange, GI upset, superinfection, hepatotoxicity
, - NC: Full glass of water, non-hormonal contraception
Tip: RIPE orange
rifambin
isonazised
pyraziminde
ethambutoal
orange urine
Medications for Infection: Antifungals
Amphotericin B, Ketoconazole: treats fungal infections
- C: Anemia, pregnancy/lactation, renal issues
- AE: Gynecomastia, nephrotoxicity, hepatotoxicity, electrolyte imbalance, bone marrow
suppression
- NC: Amphotericin B is VERY toxic, used only for life-threatening situations, use
additional birth control, complete entire course of therapy even it pt. is feeling better.
Medications for Infection: Antivirals
Acyclovir, Oseltamivir: Herpes Simplex & Herpes Zoster (Acyclovir), Influenza
(Oseltamivir)
- C: Renal impairment
- AE: Acyclovir can cause phlebitis and nephrotoxicity
- NC: Use additional contraception, complete entire course of therapy even it pt. is
feeling better.
Medications for Pain and Inflammation: Non-opioid Analgesics
Aspirin, Ibuprofen, Naproxen, Indomethacin, Celecoxib: treats fever, pain, inflammation,
Antiplatelet (aspirin)
- C: Children (aspirin), pregnancy/lactation, peptic ulcer disease
- AE: Reye's syndrome, GI upset, renal issues, increased risk of stroke or heart attack
- NC: Take with food, DO NOT CRUSH/CHEW enteric coated or extended release
aspirin tablets
Tip: If you take Celecoxib you will celebrate since you wont feel your arthritis
Aspirin - abdominal pain, salicylism, peptic ulcer disease, intestinal blood loss, noise***
rewatch
Medications for Pain and Inflammation: Acetaminophen
Acetaminophen: pain, fever
- C: liver issues, chronic alcohol use disorder
- AE: Hepatotoxicity, 4mg
- NC: Read medication labels, over the counter products, if pain/fever lasts >3 days,
contact provider
Medications for Pain and Inflammation: Opioid Agonists
Morphine, fentanyl, dilaudid, oxycodone: pain, sedation, cough suppression (codeine)
- C: premature infants, asthma, renal/hepatic disease, kidney failure
- AE: Respiratory depression, sedation, ortho. hypo, constipation
- NC: Slow administration, Assess pain level, check vitals especially RR, double check
