Pharmacology

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Author:
amgomez
ID:
107185
Filename:
Pharmacology
Updated:
2011-10-08 00:02:13
Tags:
Infection System Drugs
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Description:
Patient Instructions
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  1. What important instructions should the health care professional give the patient who is taking the cephalosporin drug cephalexin (Keflex)?
    • Take with food to decrease gastrointestinal symptoms.
    • Report watery or bloody diarrhea.
    • Stop drug and notify provider for possible allergic reactions.
    • Call 911 for severe symptoms, such as difficulty breathing.
    • Report unusual bruising or bleeding to provider.
    • Report burning, pain, or swelling at IV site during infusion of cephalosporin.
    • Understand the potential for nausea, vomiting, severe headache, and hypotension with the combination of the drug and alcohol.
  2. What important instructions should the health care professional give the patient who is taking the antimycobacterial drug rifampin (Rifadin)?
    • Report abdominal pain, nausea, unusual fatigue, or jaundice.
    • Be aware that red-orange color of body fluids may occur.
    • If wearing soft contact lenses, discuss the possibility of permanent staining with optometrist.
    • Report gastrointestinal (GI) symptoms.
    • Take with food or empty capsule into food if GI symptoms are problematic (food decreases absorption).
    • Consult provider for birth control change if taking oral contraceptive.
  3. What important instructions should the health care professional give the patient who is taking the sulfonamide drug trimethoprim and sulfamethoxazole (Bactrim, Septra)?
    • Report gastrointestinal (GI) symptoms.
    • Take with food to minimize GI symptoms.
    • Report rash and hives.
    • Report fatigue, pallor, easy bruising, or new infections.
    • Report watery or bloody diarrhea.
    • Report pain in mouth, difficulty eating, or vaginal burning or discharge.
    • Report onset of rash and/or blisters on the skin.
    • Be aware that sulfonamides decrease the effectiveness of oral contraceptives; use an alternate form of contraception.
  4. What important instructions should the health care professional give the patient who is taking the macrolide drug erythromycin (E-Mycin)?
    • Take with food if gastrointestinal symptoms occur, and report continuing symptoms to provider.
    • Report palpitations and fainting spells.
    • Report hearing loss, vertigo, and tinnitus.
    • Report bloody or watery diarrhea.
    • Report mouth pain with white patches on the oral mucosa, or vaginal discomfort and discharge.
  5. What important instructions should the health care professional give the patient who is taking the antiparasitic drug chloroquine (Aralen)?
    • Wear sunglasses to help minimize visual effects.
    • Report any vision changes.
    • Take just before or following a meal to minimize gastrointestinal symptoms.
  6. What important instructions should the health care professional give the patient who is taking the monobactam drug aztreonam (Azactam)?
    • Report pain, redness, or swelling at IV site.
    • Report mouth pain and inability to eat.
    • Report vaginal burning, itching, or discharge.
  7. What important instructions should the health care professional give the patient who is taking the antimycobacterial drug isoniazid (INH)?
    • Take with food if severe gastrointestinal symptoms occur, and report them to provider.
    • Increase fiber and fluids in the diet to prevent constipation.
    • Report jaundice, abdominal pain, and unusual fatigue.
    • Report numbness, tingling, and pain in hands and feet.
    • Report CNS symptoms.
  8. What important instructions should the health care professional give the patient who is taking the antiparasitic drug metronidazole (Flagyl)?
    • Take just before, with, or after a meal if gastrointestinal (GI) symptoms occur.
    • Report severe GI symptoms.
    • Report CNS symptoms.
    • Be aware of darkening of the urine.
    • Report pain in mouth, difficulty eating, vaginal burning or discharge, and prostatitis.
  9. What important instructions should the health care professional give the patient who is taking the azole drug ketoconazole (Nizoral)?
    • Report abdominal pain, jaundice, fatigue, or anorexia.
    • Take with food to minimize gastrointestinal symptoms.
    • Do not take with antacids due to poor absorption of ketoconazole.
    • Do not drive or perform other hazardous activities if drowsiness or dizziness occurs.
    • Report hormonal symptoms.
  10. What important instructions should the health care professional give the patient who is taking the aminoglycoside drug Gentamicin (Garamycin)?
    • Report onset of tinnitus, headache, vertigo, or hearing loss.
    • Report an increase in the output of dilute urine.
  11. What important instructions should the health care professional give the patient who is taking the penicillin drugs amoxicillin (Amoxil) and amoxicillin and clavulanic acid (Augmentin)?
    • Report watery or bloody diarrhea.
    • Take drug at the start of meals.
    • Report mouth pain or inability to eat.
    • Report vaginal burning, itching, and discharge.
    • Stop drug and notify provider for possible allergic reactions.
    • Call 911 for severe symptoms, such as difficulty breathing
  12. What important instructions should the health care professional give the patient who is taking the polyene antibiotic drug amphotericin B (Fungizone)?
    • Be aware that an infusion reaction may occur, and notify staff at beginning symptoms.
    • Comply with laboratory testing.
    • Report increasing fatigue.
  13. What important instructions should the health care professional give the patient who is taking the fluoroquinolone drug ciprofloxacin (Cipro)?
    • Report CNS symptoms.
    • Decrease caffeine use during treatment.
    • Report gastrointestinal symptoms.
    • Report tendon pain.
    • Avoid exposure to sunlight or sunlamps.
    • Wear clothes that fully cover the body, and apply sunscreen to remaining areas of exposure.
    • Take antacids, iron, calcium, dairy products, and sucralfate 2 hr after or 6 hr before oral ciprofloxacin.
  14. What important instructions should the health care professional give the patient who is taking the carbapenem drug imipenem (Primaxin)?
    • Report nausea, especially when it occurs during IV infusion.
    • Report pain, swelling, or redness at IV site.
    • Report all drug allergies.
    • Report mouth pain and difficulty chewing and swallowing.
    • Report vaginal irritation and discharge.
  15. What important instructions should the health care professional give the patient who is taking the antibacterial drug tetracycline (Sumycin)?
    • Take with nondairy foods if gastrointestinal symptoms occur; report symptoms.
    • Report to provider if pregnant.
    • Report jaundice, abdominal pain, or fatigue.
    • Report mouth pain and difficulty chewing or swallowing.
    • Report vaginal irritation or discharge.
    • Report watery or bloody stools.
    • Wear protective clothing and sunscreen for sun exposure.
  16. What important instructions should the health care professional give the patient who is taking the urinary tract antiseptic nitrofurantoin (Macrodantin)?
    • Take with food or milk.
    • Report acute or subacute respiratory symptoms, such as dyspnea, fever, or cough.
    • Report numbness, tingling, and weakness of the extremities.
    • Report fatigue, easy bruising, or repeated infections.
    • Swallow capsules whole.
    • Dilute liquid suspension.
    • Rinse mouth after taking suspension.
  17. What important instructions should the health care professional give the patient who is taking the antibacterial drug vancomycin (Vancocin)?
    • Report flushing and feelings of faintness during IV infusion.
    • Report tinnitus or perceived loss of hearing.
    • Report an increase or decrease in urine output.
    • Report pain, swelling, and redness at IV site immediately
  18. What important instructions should the health care professional give the patient who is taking the antiviral drug acyclovir (Zovirax)?
    • Avoid scratching application site.
    • Avoid getting topical form into eyes.
    • Report persistent skin symptoms.
    • Take with food if gastrointestinal (GI) symptoms occur.
    • Report persistent GI or CNS symptoms to provider.
    • Be aware that IV hydration will occur during and after infusion.
    • Report early symptoms of CNS toxicity, such as restlessness and tremors.
    • Report burning and pain at IV site.

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