Galen pharm exam 4 with verified detailed solutions
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Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - ✔✔Gentamycin || || || || || || ||
Gentamycin clinical use - ✔✔Used in gram negative sepsis & many life-threatening
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infections.Inactive against anaerobic bacteria. || || ||
Gentamycin side effects - ✔✔GI upset, rash, visual disturbances, photosensitivity, dizziness,
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weakness
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gentamycin adverse reactions - ✔✔Nausea/ DiarrheaVery OTOTOXIC and
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NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection || || ||
gentamycin nursing implications - ✔✔Monitor for ↑BUN and SERUM CREATININE for
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Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER
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than 10 days!!!
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Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - ✔✔Amoxicillin, Ampicillin
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(can be given with food. NO Acidic fruits and juices.)
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Amoxicillin & Ampicillin clinical use - ✔✔Broad Spectrum PCNUsed to treat gram + and
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gram -, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
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Amoxicillin & Ampicillin side effects - ✔✔GI disturbance, headaches, rash, stomatitis,
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dizziness, anxiety, confusion || ||
, 2
Amoxicillin & Ampicillin adverse reactions - ✔✔Thrombocytopenia, leukopenia,
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angioedema, Hepatotoxicity ||
Amoxicillin & Ampicillin nursing implications - ✔✔↓ effectiveness of Oral contraceptives,
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assess for allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST,
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BUN, CreatinineMonitor for bleeding
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Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - ✔✔Ceftriaxone,
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Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - ✔✔Third generation cephalosporin
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Ceftriaxone & Cefpodoxime side effects - ✔✔GI upset, headaches, dizziness, rash, dyspepsia
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Ceftriaxone & Cefpodoxime adverse reactions - ✔✔Bleeding, angioedema, hepatoxicity,
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agranulocytosis, renal failure || ||
Ceftriaxone & Cefpodoxime nursing implications - ✔✔Cross-sensitivity w/ penicillin.Give
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WITH Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid
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superinfectionMonitor labs: ALT, AST, LDH, PT, INR || || || || || ||
Tetracyclines prototype (Obtain Culture and Sensitivity) - ✔✔Doxycycline(Vibramycin)
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Doxycycline(Vibramycin) clinical use - ✔✔Broad spectrum, low dose therapy used to tx || || || || || || || || || || || ||
ACNESTD's, respiratory infections, UTI's
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Doxycycline(Vibramycin) side effects - ✔✔GI upset, photosensitivity || || || || || ||