NUR 2407Exam2-Pharm-Study-guide
Exam Two Review
1. **For all anitibiotics/anti-infectives below – know class, nursing
considerations/interventions, side/adverse effects, and client teaching plus
detail as below…
2.
3. fluroquinolones (Cipro) – what to avoid taking with it, client teaching
4.
5. Class: Anti-infective; Usually end in “oxacin”; Pregnancy category C;
6. Used for Resp, GI, GU, skin/soft tissue infections.
7.
8. Nursing considerations/interventions: Observe for s/s of anaphylaxis,
monitor for diarrhea, abdominal cramping, fever, and bloody stool.
Monitor for C-diff s/s.
9.
10. Side/adverse effects: nausea, vomiting, dysrhythmias, hepatotoxicity,
*****Achilles tendon rupture esp if used with steroids. Cipro can cause
tendinitis******
11.
12. Client teaching: REPORT CALF PAIN immediately!! Wear
sunblock due to photosensitivity, avoid minerals, avoid alcohol due to the
***Disulfiram like reaction***, can increase effects of oral hypoglycemics,
Avoid caffeine.
13.
14. What to avoid: CAFFEINE, ALCOHOL. Avoid dairy products,
aluminum/magnesium antacids, iron, calcium. This decreases the
absorption 15.
16. macrolide (erythromycin) – know where mostly eliminated
17.
18. Azithromycin (Z-pak)
19.
20. Class: Anti-infectives; used for whooping cough (pertussis),
streptococcus and mycoplasma pneumoniae, H. pylori (peptic ulcer
disease); pregnancy category B.
21.
, NUR 2407Exam2-Pharm-Study-guide
22. Where it is mostly eliminated: **Almost completely eliminated in
the bile and can contribute to liver dysfunction (elevated liver enzymes and
jaundice)***
23.
24. Nursing considerations/interventions: assess for infection, monitor
bowel function, monitor liver and WBC.
25.
26. Side/adverse effects: Mild GI upset, ototoxicity, diarrhea,
abdominal pain, superinfections. Dysrhythmia’s and SCD can also occur.
Diarrhea, abdominal cramping, N&V more common with erythromycin so
give antiemetic, antidiarrheal, or ask for enteric coated.
27.
28. Client teaching: finish all of medication, notify doctor if yellowing
of the skin or eyes, signs of superinfection, fever, diarrhea.
29.
30. What to avoid: Do not take this drug with food or
antacids. 31.
32. tetracycline (Minocycline) - patient teaching
33.
34. Class: Broad spectrum Anti-infective; Pregnancy category D; used for
Chalmydia, gram positive and negative organisms, H. pylori, acne.
35.
36. Nursing interventions/considerations: give with full glass of water on
empty stomach. Educate if planning to become pregnant.
37.
38. Side/adverse effects: effects vaginal, intestinal, and oral flora and
leads to superinfections. Nausea, vomiting, pseudomembraneous
colitis, photosensitivity
39.
40. Client teaching: **Administer with a full glass of water on empty
stomach** interacts with milk, calcium, iron, magnesium and antacids.
NO lactation. Can turn babies teeth soapy and discolor them in utero.
41.
42. What to avoid: !!milk products and antacids!!
43.
44. ceftriaxione (Rocephin)/Cephalosporins – IM administration considerations
45. Keflex
46.
Exam Two Review
1. **For all anitibiotics/anti-infectives below – know class, nursing
considerations/interventions, side/adverse effects, and client teaching plus
detail as below…
2.
3. fluroquinolones (Cipro) – what to avoid taking with it, client teaching
4.
5. Class: Anti-infective; Usually end in “oxacin”; Pregnancy category C;
6. Used for Resp, GI, GU, skin/soft tissue infections.
7.
8. Nursing considerations/interventions: Observe for s/s of anaphylaxis,
monitor for diarrhea, abdominal cramping, fever, and bloody stool.
Monitor for C-diff s/s.
9.
10. Side/adverse effects: nausea, vomiting, dysrhythmias, hepatotoxicity,
*****Achilles tendon rupture esp if used with steroids. Cipro can cause
tendinitis******
11.
12. Client teaching: REPORT CALF PAIN immediately!! Wear
sunblock due to photosensitivity, avoid minerals, avoid alcohol due to the
***Disulfiram like reaction***, can increase effects of oral hypoglycemics,
Avoid caffeine.
13.
14. What to avoid: CAFFEINE, ALCOHOL. Avoid dairy products,
aluminum/magnesium antacids, iron, calcium. This decreases the
absorption 15.
16. macrolide (erythromycin) – know where mostly eliminated
17.
18. Azithromycin (Z-pak)
19.
20. Class: Anti-infectives; used for whooping cough (pertussis),
streptococcus and mycoplasma pneumoniae, H. pylori (peptic ulcer
disease); pregnancy category B.
21.
, NUR 2407Exam2-Pharm-Study-guide
22. Where it is mostly eliminated: **Almost completely eliminated in
the bile and can contribute to liver dysfunction (elevated liver enzymes and
jaundice)***
23.
24. Nursing considerations/interventions: assess for infection, monitor
bowel function, monitor liver and WBC.
25.
26. Side/adverse effects: Mild GI upset, ototoxicity, diarrhea,
abdominal pain, superinfections. Dysrhythmia’s and SCD can also occur.
Diarrhea, abdominal cramping, N&V more common with erythromycin so
give antiemetic, antidiarrheal, or ask for enteric coated.
27.
28. Client teaching: finish all of medication, notify doctor if yellowing
of the skin or eyes, signs of superinfection, fever, diarrhea.
29.
30. What to avoid: Do not take this drug with food or
antacids. 31.
32. tetracycline (Minocycline) - patient teaching
33.
34. Class: Broad spectrum Anti-infective; Pregnancy category D; used for
Chalmydia, gram positive and negative organisms, H. pylori, acne.
35.
36. Nursing interventions/considerations: give with full glass of water on
empty stomach. Educate if planning to become pregnant.
37.
38. Side/adverse effects: effects vaginal, intestinal, and oral flora and
leads to superinfections. Nausea, vomiting, pseudomembraneous
colitis, photosensitivity
39.
40. Client teaching: **Administer with a full glass of water on empty
stomach** interacts with milk, calcium, iron, magnesium and antacids.
NO lactation. Can turn babies teeth soapy and discolor them in utero.
41.
42. What to avoid: !!milk products and antacids!!
43.
44. ceftriaxione (Rocephin)/Cephalosporins – IM administration considerations
45. Keflex
46.
