1050: Antimicrobial/Antiinfective meds Exam 2

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Author:
xiongav
ID:
286969
Filename:
1050: Antimicrobial/Antiinfective meds Exam 2
Updated:
2014-10-24 18:15:12
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NURS
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Description:
Antimicrobials/Antiinfectives
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  1. penicillin G (given around the clock)

    *penicillin V is given orally, NOT G.
    *Do not give for kidney/liver abnormalities
    *Do not give w/ cephalosporins b/c from same family/mold.

    No max dose.
    action
    pt teaching
    SFX/AFX
    nurse interventions.
    Contraindications
    Action: Binds to cell wall-->weakens wall-->water enters-->cell bursts.

    • Pt teaching:
    • -notify nurse if phlebitis occurs (discomfort IV site)

    SFX: diarrhea, heartburn, N/V

    AFX: seizures, bloody diarrhea, anaphylaxis ULCERATIVE COLITIS

    • Nurse interventions:
    • -monitor for s/sx of SUPERINFECTION

    • Contra:
    • -pregnancy
    • -kidney&liver abnormalities
  2. cefazolin

    NO max dose
    action
    pt teaching
    SFX/AFX
    nurse interventions
    Action: binds to cell wall & acts against gram -/+ bacteria. 

    • Pt teach:
    • -notify prescriber of s/sx of SUPERINFECTION.

    SFX: urticaria (severe itching/red patches)

    • AFX: anaphylaxis, COLITIS, STEVENS-
    • JOHNSON SYNDROME (loss of skin cells), seizures, nephrotoxicity, superinfections.

    • Nurse interventions:
    • -Monitor for s/sx of SUPERINFECTION
  3. vancomycin *highly toxic & LAST RESORT drug

    NO max dose
    action
    pt teach
    SFX/AFX
    nurse interventions
    Action: kills bacteria

    • Pt teach: 
    • -Report tinnitus,
    • -Take entire drug
    • -Notify prescriber if phlebitis occurs

    SFX: REDMAN-SYNDROME (flushing/rashy) b/c of fast infusion, 

    AFX: OTO/NEPHROTOXICITY, anaphylaxis

    • Nurse interventions:
    • -evaluate ears & renal function prior to giving.
    • -s/sx of SUPERINFECTION.
    • -monitor renal function during therapy.

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