2011 NEMCC Antivirals

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  1. A virus needs a ____ ___ in order to reproduce
    host cell
  2. A virus attaches to a cell, enters it and releases ___ or ___ inside the cell.
    • DNA
    • RNA
  3. Common viral infactions are those of the ____,____ and ___.
    • nose
    • throat
    • respiratory system
  4. An example of a virus: ____, ____, ____ and ____
    • common cold
    • influenza
    • wart
    • herpes
  5. Systemic viral infections occur when a virus attacks specific organs or systems. Example of a virus which attacks the CNS is ____, liver is _____ or WBC is ____.
    • West Nile virus- CNS
    • Hepatitis C- liver
    • Immunodeficiency diseases-WBC
  6. drugs that combat viral infections
    antiviral drugs
  7. Antiviral drugs method of action
    interfering with the virus's ability to reproduce in a cell
  8. Antibioctics are ____ against viral infections.
    ineffective
  9. If a person has a bacterial infection in addition to a viral infection, then ____
    an antobiotic is often necessary.
  10. uses for antiviral drugs
    • cytomegalovirus
    • herpes simplex virus 1 and 2
    • herpes zoster
    • influenza A and B
    • RSV
    • Hepititis B and C
  11. severe lower respiratory tract infection primarily affecting children
    RSV (respiratory syncytial virus)
  12. transplant recients are prone to this infection
    CMV (cytomegalovirus)
  13. Unlabeled use refers to
    a drug that has not been officially approved by the FDA to treat a specific condition
  14. adverse reactions to antiviral drugs
    nausea, vomiting, diarrhea, headaches, rash, fever and insomnia
  15. The nurse should not administer antivirals to the client with a history of _____
    allergies to the drug or other antivirals
  16. Cidofovir(Vistide) should not be given to client with _____ or in combination with _____.
    • Renal impairment
    • aminoglycosides (could produce nephrotoxicity)
  17. Ribavirin should not be given to those with ____.
    unstable cardiac disease
  18. antivirals should only be given when ____
    the benefits outweigh the risks
  19. acyclovir (Zovirax)
    antiviral used to treat HSV herpes zoster, varicella zoster
  20. The client taking acyclovir (Zovirax) should be monitored for GI upset, fever, _____, ____,____ and _____
    dizziness, confusion, rashes and myalgia
  21. adefovir dipivoxil (Hepsera)
    antiviral used to treat chronic Hep B
  22. monitor the client for asthenia, headache, abdominal pain while taking this antiviral for Hep B
    adefovir dipvoxil (Hepsera)
  23. amantadine (Symmetrel)
    antiviral used in the treatment and prevention of influenza A and Parkinson's disease
  24. monitor the client for GI upset, dizziness, hypotension and insomnia while taking this antiviral for the treatment of Parkinson's and influenza A
    amantadine (Symmetrel)
  25. cidofovir (Vistide)
    antiviral used to treat CMV retinitis
  26. monitor the client for GI upset, anorexia, dyspnea, neutropenia, fever, rash, chills, and alopecia while taking this antiviral for the treatment of CMV
    cidofovir (Vistide)
  27. entecavir (Baraclude)
    one of two antivirals used to treat chronic Hep B
  28. monitor the client for dizziness, faigue and headache when taken this antiviral for the treatment of Hep B
    entecavir (Baraclude)
  29. famciclovir (Famvir)
    used in the treatment of acute herpes zoster, HSV-2
  30. monitor the client for fatigue, fever, GI upset, headache, constipation and sinusitis when taking this antiviral for the treatment of acute herpes zoster
    famciclovir (Famvir)
  31. foscarnet (Foscavir)
    used in the treatment of CMV retinitis, acyclovir-resistant HSV 1 and 2
  32. monitor the client for GI upset, abnormal renal function test results, seizures and headaches when taking this antiviral for acyclovir-resistant HSV 1&2 and CMV retinitis
    foscarnet (Foscavir)
  33. ganiciclovir
    antiviral used in the prevention of CMV in transplant recipients
  34. monitor the client for GI upset, sweats, fever, anemia and leukopenia when taking the antiviral for CMV prevention
    ganiciclovir
  35. oseltamvir (Tamiflu)
    antiviral used in the prevention and treatment of influenza A and B
  36. monitor the client for GI upset when taking this antiviral for influenza A and B
    oseltamvir (Tamiflu)
  37. ribavirin (inhalation) (Virazole)
    antiviral used in the treatment of RSV and chronic Hep C
  38. monitor the client for worsening pulmonary status, bacterial pneumonia and hypotension when taking this antiviral for RSV and Hep C treatment
    ribavirin (inhalation) (Virazole)
  39. ribavirin/interferon combination (Copegus, Rebetol, Ribaspheres)
    antiviral used in combination with interferon for the treatment of Hep C
  40. monitor the client for fatigue, headache, anorexia, GI upset, insomnia and nervousness when taking this antiviral for the treatment of Hep C
    ribavirin/interferon combination (Copegus, Rebetol, Ribaspheres)
  41. rimantadine (Flumadine)
    antiviral used in the treatment of influenza A
  42. monitor the cleint for dizziness, nausea, anorexia, insomnia and lightheadness when using this antiviral for influenza A
    rimantadine (Flumadine)
  43. valacyclovir (Valtrex)
    antiviral used in the treatment of herpes zoster ; HSV 1-2
  44. nausea and headaches are the adverse reactions for this antiviral used to treat herpes zoster
    valacyclovir (Valtrex)
  45. vangciclovir (Valcyte)
    one of two antivirals used to treat CMV retinitis and CMV in transplant recipents
  46. monitor the client taking this antiviral for CMV for headache, insomnia, vomiting, fever and pancytopenia
    vangciclovir (Valcyte)
  47. zanamivir (Relenza)
    inhaled antiviral used in the treatment of influenza A and B
  48. monitor the client taking tis antiviral for influenza A and B for nausea, headache and rhinitis
    zanamivir (Relenza)
  49. abacavir(Ziagen), amprenavir(Agenerase), atazanavir(Reyataz),darunavir(Prezista)
    • are all common in the fact that they are used to treat
    • HIV infection
  50. delavirdine(Rescriptor)
    HIV infection treatment in which clients experience headache nausea and diarrhea only
  51. didanosine (ddl) (Videx)
    HIV infection treatment in which rash, GI upset, abdominal pain, headache and peripheral neuropathy are experienced
  52. efavirenz (Sustiva)
    HIV infection treatment in which rach insomnia, GI upset, dizziness and pruritus are experienced
  53. enfuvirtide (Fuzeon)
    HIV infection treatment available in Sub Q injection. Only injection site discomfort and erythema are common
  54. indinavir (Crixivan)
    HIV infection treatment in which kidney stones are reported
  55. lamivudine (3TC) (Epivir)
    HIV and chronic Hep B infection treatment in which can cause nasal congestion, cough and fatigue
  56. nelfinavir (Viracept)
    HIV infection treatment in which diarrhea is its common reaction
  57. nevirapine (Viramune)
    HIV infection treatment in which stomatitis and liver dysfunction are among its adverse reactions
  58. ritonavir (Norvir)
    HIV infection treatment in which client may report peripheral and circumoral parathesia
  59. antivirals should be used cautiously in clients with
    renal impairment, low blood cell counts, history of epilepsy or respiratory disease
  60. those with a history of epilepsy should use this antiviral with caution
    rimantadine
  61. saquinavir (Fortovase)
    HIV infection treatment in which client may complain of flatulence and heartburn
  62. telbivudine (Tyzeka)
    Chronic Hep B treatment in which flu-like symptoms and URI symptoms are common
  63. CMV
    virus in the herpes family. Symptoms include malaise, fever, pneumonia and superinfection. Infants can aquire the disease from mother. It can infect the eyes and cause blindness.
  64. Herpes simplex virus
    virus divided into 2 divisions. Can infect oral, ocular, genital or facial areas.
  65. HSV 2 is associated with
    genital herpes
  66. HSV 1 is associated with
    oral, facial and ocular infections
  67. Clients with this infection may appear jaundiced, irritable, lethargic and have grayish ulcerations around mucous membranes
    HSV2 genital herpes
  68. herpes zoster (shingles)
    viral infection caused by varicella (chickenpox) virus. Often seen in older adults as pustules along sensory nerve route
  69. A client asks the nurse what are the potential complications and how long it will be until they should recover. The nurse states ____.
    Influenza may cause pneumonia in children, elderly and other immunosuppressed groups. Most people recover in 1-2 weeks
  70. RSV
    highly contagious infection affecting mostly children causing bronchiolitis and pneumonia. Infants <6mos are the most affected.
  71. A child is suffering from fever, cough, nasal congestion and is less than six months old. What viral infection should be suspected?
    RSV
  72. Antivirals may interact with meds used for treating what 6 things
    • gout(probenecid)
    • heartburn(cimetidine aka Tagament)
    • pain (ibuprophen)
    • anti-infective (imipenem-cilastatin)
    • bladder spasms (anticholinergic agents)
    • respiratory problems(theophyline)
  73. HIV
    a virus causing aquired immunodeficiency syndrome which is caused by a retrovirus
  74. HAART
    a multidrug therapy used in the treatment of HIV/AIDS
  75. most drugs used to treat HIV/AIDS have the same common reactions. What are these?
    • nausea,diarrhea, altered taste
    • other: headache, fever, chills, rash, numbness and tingling in circumoral area
  76. Antiretrovirals are used to treat primarily what condition?
    HIV/AIDS
  77. Antiretrovirals should not be administered to the client who has allergies to the drugs and ___.
    women who are lactating
  78. Antiretrovirals should not be given to the client who is taking bupropin(Wellbutrin), zolpidem(Ambien) or ____
    antiarhythmic drugs
  79. Antiretrovirals should be used cautiously in clients with ____, ____,____ or ____
    diabetes mellitus, impaired hepatic function, pregnancy, hemophilia
  80. Antifungals, clarithromycin(used to treat bacterial infections),sildenafil(used to treat erectile dysfunction)and opioids all interact with ___
    antiretrovirals
  81. The client taking an antiretroviral should be informed about its effects on birth control, interleukins, anticoagulants,____ and ____
    • anticonvulsants
    • fentanyl (used in anesthesia)
  82. amantadine
    used in the previntion or treatment of respiratory tract illmess caused by influenza A
  83. ribavirin
    given by inhalation using a SPAG-2 aerosol generator. Women of childbearing yrs should avoid breathing this in. It is used to treat resp. infections
  84. HIV clients should be monitored for
    imbalanced nutrition, impaired skin integrity, risk of injury,disturbed body image,acute pain
  85. Clients with HIV are at risk for contracting
    opprtunistic infections
  86. antivirals ____ cure the viral infection. They ____ symptoms and ____ feelings of well being.
    • do not
    • decrease
    • increase
  87. antivirals will ___ the course of disease outbreaks and promote healing
    shorten
  88. The nurse should inform the client on antiretrovirals that _____ could occur, so they should aviod tanning.
    photosensitivity
  89. What is an adverse reaction to acyclovir via oral route?
    nausea and vomiting
  90. The nurse would report immediately any _____ in a 3 month old client receiving ribavirin.
    worsening of respiratory status
  91. The nurse administering didanosine properly would ____.
    crush and mix with 1oz of water.
  92. Administration of antiretrovirals can result in ____.
    body fat redistribution
  93. You are to give 100mg of zidovudine orally. You have 50mg/5mL syrup available. How much do you give?
    10mL
  94. A client is to be givien 2 inhalations of zanamivir. It's available as one 5mg blister per inhalation and is given ina diskhaler. How many mg administered in the dose?
    10mL

Card Set Information

Author:
Anonymous
ID:
61336
Filename:
2011 NEMCC Antivirals
Updated:
2011-01-22 22:18:43
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NEMCC antvirals
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drug cards for LPN program
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