Med-Surg Exam 1 MEDS

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Med-Surg Exam 1 MEDS
2013-05-07 19:04:49
Intro Med Surg Exam meds

Lessons 1-3 Meds
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  1. ceftriaxone (Rocephin)
    • cephalosporin antibiotic
    • can cause c-diff
    • make sure they haven't had any reactions to cephalosporins or penicillins
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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