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NUR 3145 exam 2 fsu Study Guide with Complete Solutions

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/85 Drawn 30 minutes after dose is administered (completed) trough levels - Ans:-Lowest blood level Drawn immediately before administering ordered dose treatment considerations: patient defense mechanisms - Ans:-Diminished defenses Chronic disease Severity of infection Renal status Liver function type of microorganisms - Ans:-Gram positive Gram negative Aerobic Anaerobic Treatment Considerations:Dosage/duration - Ans:-Adequate dosage Adequate length of therapy ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/85 Therapy failure Too small a dose Too short a time period May cause remission or exacerbation May cause development of resistance to therapy General nursing implications - Ans:-Monitor for therapeutic effects Improvement of signs and symptoms of infection Return to normal vital signs Negative culture and sensitivity tests

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NUR 3145 exam 2 fsu Study Guide with
Complete Solutions


Destroy growth of bacteria or fungi - Ans:✔✔-Bactericidal


Inhibit growth of bacteria or fungi - Ans:✔✔-Bacteriostatic


Primary goals of antimicrobial agents - Ans:✔✔--Destroy (or inhibit growth of) bacteria


-At the same time, not harm host tissue


General Adverse Reactions - Ans:✔✔-Determine any previous allergy or adverse reactions before

administration!




Always ask WHAT KIND OF reaction




Allergic reactions/hypersensitivity


Rash


Page 1/85

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FIRST PUBLISH OCTOBER 2024




Fever, chills


Urticaria, pruritus


Generalized erythema


Anaphylaxis - 911 - Ans:✔✔-Clinical signs and symptoms




May have all of the previous reactions


Laryngeal edema (airway swelling)


Dyspnea, SOB


Hypotension, tachycardia




Treatment




Epinephrine


Antihistamines




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Corticosteroids


Airway maintenance


superinfection - Ans:✔✔-Eradication or reduction of normal flora growth




Allows growth of other flora




Candida endogenous to body


Overgrowth


AKA yeast infection


Thrush




S/Sx: fever, perineal itching, cough, lethargy, or any unusual discharge


General Guidelines - Ans:✔✔-Identify infecting organism


Follow agency guidelines




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Collect specimens


Culture and sensitivity (C & S)


Obtain before giving first dose of antibiotic


Take specimen immediately to lab




Treatment begun


Based on tentative microorganism ID


Broad-spectrum antibiotics


Combinations




C & S results return


Antibiotics changed to one that will fight infection best


Blood levels drawn for therapeutic levels


peak levels - Ans:✔✔-Highest blood level




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