Intro to Med Surg-Test 1

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Author:
ncorbin10
ID:
218650
Filename:
Intro to Med Surg-Test 1
Updated:
2013-05-08 20:58:19
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meds
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Review of the meds for Intro to Med Surg Test 1
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  1. Brand name for ceftriaxone
    Rocephin
  2. contrainidicated for those with serious hypersensitivity to penicillins
    ceftriaxone (Rocephin)
  3. Side effects/adverse reactins: Seizures, pseudomembranous colitis (c-diff), pain at IM site/phlebitis at IV
    ceftriaxone (Rocephin)
  4. Fluorophinolone antibiotic
    ciprofloxacin (Cipro)
  5. Assessment: S/s of infection, determine previous use and reations to cephalosporins or penicillins, s/s of anaphylaxis, keep epinephrine, andtihistamine, and CPR equip. close, monitor bowel function
    ceftriaxone (Rocephin)
  6. Implementation:Observe IV site for phlebitis; change IV sites every 2-3 days; IV fusion rate is 30 minutes IF given IM give it DEEP IM in large muscle
    ceftriaxone (Rocephin)
  7. Teaching: Report any diarrhea, abd cramping, bloody stools, or superinfection
    ceftriaxone (Rocephin)
  8. Side effects/ adverse reactions: Seizures, pseudomembranous coitis (c-diff); concurrent administration with thephylline may cause theo toxicity
    ceprofloxacin (Cipro)
  9. Assessment: S/s of infection, S/s of anaphylaxis, keep epinephrine, antihistamine, and CPR equipment close, monitor bowel function
    ciprofloxacin (Cipro)
  10. Implementation: Give on empty stomach or 2 hrs pc with full glass H2O; tech pt to avoid foods containing calcium, magnesium, aluminum, iron, or zinc for 4 hours before and 2 hrs after administration; food slows and slightly decreases absorption; if given IV infuse over at least 1 hr to avoid irritation of vein
    ciprofloxacin (Cipro)
  11. Teaching: encourage 1500-2000 ml fluid/day to prevent crystalluria, avoid antacids, may cause drowsiness and dizziness, phototoxicity during and for 5 days after last dose of mdication taken, report superinfection
    ciprofloxacin (Cipro)
  12. macrolide antibiotic used for URI, skin, and H. pylori infections
    clarithromycin (Biaxin)
  13. side effects/adverse reactions: Stevens-Johnson syndrome, hepatoxicity, pseudomembranous colitis
    clarithromycin (Biaxin)
  14. Assessment: S.s of infection, bowelfunction; assess for skin rash frequently and D/C at first sign of rash--may be life threatening (S-J syndrome may develop); monitor LFT, BUN
    clarithromycin (Biaxin)
  15. Implementation: Administer doses around the clock. Do not administer within 4 hrs of zidovudine
    clarithromycin (Biaxin)
  16. Teaching: Report superinfection, diarrhea, notify MD if pregnancy is planned/suspected or if breastfeeding
    clarithromycin (Biaxin)
  17. Macrolide antbiotic that is useful when PCN is most appropriate drug but cannot be used
    Erythromycin (ERYC)
  18. used for URI and variety of other infections
    erythromycin (ERYC)
  19. side effects/adverse: QT prolongment, ventricular arrhythmias
    erythromycin (ERYC)
  20. assessment: s/s of infectin LFT
    erythromycin (ERYC)
  21. implementation: EC tabs best absorbed on an empty stomach; give at least 1 hour ac or 2 hr pc, administer IV med over 30-60 mins
    erythromycin (ERYC)
  22. Teaching: May cause n/v/d, notify MD if persists of if abd pain is severe, notify MD if jaundice noted in eyes or skin, urine dark, pale stools, or unusual fatigue (hepatotoxicity)
    erythromycin (ERYC)
  23. fluoroquinolone antibiotic
    levofloxacin (Levaquin)
  24. treatment of UTI, prostate infections, RTI, kin infections, and post exposure to antrhax
    levofloxacin (Levaquin)
  25. Contraindications: Do not use in children under 18, except for inhalational anthrax
    levofloxacin (Levaquin)
  26. Side/adverse effects: seizures, arrythmias, liver toxicity, pseudomembranous colitis
    levofloxacin (Levaquin)
  27. Assessment: Observe for anaphylaxis and bowel function; monitor LFT
    levofoxacn (Levaquin)
  28. Implementation: Products or foods containing calcium, magnesium, aluminum, iron, or zinc should not be ingested for 4 hrs before and 2 hr after; diluted IV infusion over at least 60 mins for 250 mg to 500 mg doses and over 90 mins for 750 mg dose (infuse slowly to prevent hypotension)
    levofloxacin (Levaquin)
  29. Teaching: Notify MD iftaking theophylline, 1500-2000 ml fluid intake/day to prevent urine crystal formation, dietary teaching, may cause drowsiness or dizziness, notify MD of personal or family history of QT prolongation or arrhythmic conditions such as low K, recent MI, or bradycardia, or if fainiting or palpitations occur, photosensitivity, superinfection, diarrhea, rash, jaundice, pain, swelling or inflamation occur
    levofloxacin (Levaquin)
  30. Treatment of anaerobic infections (intra-abd, GYN, skin, low RT, bones and joints,CNS, endocarditis)
    metronidazole(Flagyl)
  31. bactericidal, trichomonacidal, or amebicidal action
    • metronidazole, or amebicidal action
    • metronidazole (Flagyl)
  32. side/adverse affects: Seizures, Stevens-Johnson syndrome
    metronidazole (Flagyl)
  33. Assessment: Infection, neuro status, notify MD if numbness, paresthesias, weakness, ataxi, or seizures occur; monitor I&O and daily weight-each 500 mg contains 5mEq of sodium; observe for toxic rash
    metronidazole (Flagyl)
  34. Implementation: Administer on empy stomach, if pt has GI irritation may give with food or milk; IV infusion over 30-60 mins
    metronidazole (Flagyl)
  35. Teaching: For tx of tichomoniasis the sexual partner should be treatd to prevent re-infection. Pt should avoid alcohol, including gels or lotion for 3 days after taking med-will cause flushing, n/v, h/a, abd cramps-may cause drowsiness/diziness. May have metallic taste in mouth-frequent mouth care. May turn urine dark. Advise MD if pregnancy is expected or breastfeeding before taking this med:
    metronidazole (Flagyl)
  36. used to tx potentially life-threatening infections when less toxic antiinfectives are contraindicated, especially Staphyloccocal infections (ex. MRSA and C-diff)
    vancomycin (Vancocin)
  37. side/adverse reactions: ototoxicity, nephrotoxicity, phlebitis
    vancomycin (Vancocin)
  38. assessment: infection, IV site for extravasation, monitor BP during infusion, evaluate the 8th cranial nerve, having serum levels of drug cecked for pt over 60 yrs, monitor I&O, pink or cloudy urine may be sign of nephrotoxicity, superinfection, anaphylaxis, assess bowel function, monitor RFT
    vancomycin (Vancocin)
  39. peak and trough: trough concentration should not exceed 10 mcg/ml in mild-moderate infections or 15-20 mcg for sever infection
    vancomycin (Vancocin)
  40. Implementation: IV dilute in at least 100 ml of fluid for every 500 mg being administered and infuse over at least 60 minutes (90 min for doses more than 1g) to prevent thrombophlebitis/hpotension/red-man
    vancomycin (Vancocin)
  41. Teaching: report tinnitus, vertigo, or hearing loss
    vancomycin (Vancocin)

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