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mel26704
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ceftriaxone (Rocephin)
- cephalosporin antibiotic
- can cause c-diff
- make sure they haven't had any reactions to cephalosporins or penicillins
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ciprofloxacin (Cipro)
- Fluoroquinolone antibiotic
- can cause c-diff
- if taking theophylline, it may cause theo toxicity
- give on empty stomach or 2 hrs pc with full glass of H2O
- teach pt to avoid foods containing Ca, Mg, Al, Fe, or Zn
- drink fluids to prevent crystalluria
- phototoxicity during and for 5 days after last dose of med taken
- monitor bowel function
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clarithromycin (Biaxin)
- Macrolide antibiotic
- can cause Stevens-Johnson syndrome and hepatotoxicity
- assess bowel function
- assess for skin rash frequently
- monitor LFT, BUN
- do not administer within 4 hrs of zidovudine
- notify MD if pregnancy is planned
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erythromycin (ERYC)
- Macrolide antibiotic
- useful when PCN is the most appropriate drug but can't be used
- EC tabs best absorbed on empty stomach
- watch for hepatotoxicity s/s
- notify MD if jaundice occurs
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levofloxacin (Levaquin)
- Fluoroquinolone antibiotic
- do not use in children
- can cause c-diff
- monitor bowel function and LFT
- drink fluids to prevent crystalluria
- teach about photosensitivity and superinfection
- infuse slowly to prevent hypotension
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metronidazole (Flagyl)
- treatment of anaerobic infections (intra-abd)
- trichomonacidal
- can cause Stevens-Johnson syndrome
- assess neuro status
- monitor I&O and daily weight
- administer on empty stomach
- for tx of trichomoniasis, the sexual partner should be treated to prevent reinfection
- avoid alcohol
- metallic taste in mouth
- may turn urine dark
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vancomycin (Vancocin)
- used to treat potentially life-threatening infections like MRSA and c-diff
- can cause ototoxicity or nephrotoxicity
- assess IV site for extravasation
- monitor BP during infusion
- infuse over at least 60 min to prevent red-man syndrome
- report tinnitus
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zidovudine (AZT, Retrovir)
antiretroviral medication used for HIV
reduces viral load - can cause anemia or granulocytopenia
- monitor CD4 counts (T-helper cells)
- administration around the clock, even if sleep is interrupted
- isn't a cure
- avoid crowds
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