NUR 431 - ANTIFUNGALS/ANTIVIRALS-
EXAM QUESTIONS AND ANSWERS
what class is nystatin - Answer-polyene
nystatin route - Answer-topical
vaginal
oral
mycafungin class - Answer-polyene
mycafungin indication - Answer-esophageal candiasis
candidemia
disseminated candidiasis
mycafungin nursing considerations - Answer--must be ligh-protected
-given IV >1 hour
fluconazole class - Answer-azole
fluconazole moa - Answer-alters the cell membrane permeability
fluconzaole indication - Answer-wide spectrum use:
-esophageal candidiasis
-candiduria
-candida vaginitis
-disseminated candidiasis
-cryptococcal meningitis
fluconazole route - Answer-IV or PO
nursing consideration of fluconazole - Answer--90% absorption when fasting
-do not take with food
-used for people with candida uti's because it gets into the urethra/kidneys
-travels across BBB so it can be used for meningitis
what is the meningitis original drug regimen before cultures - Answer-Ceftriaxone
(rocephin) - antibiotic
Acyclovir - antiviral
Fluconazole - antifungal
Itraconazole class - Answer-azole
, ketaconazole indication - Answer-scalp fungal infections
men with advanced prostate cancer
what form does ketaconazole come in - Answer-gel, shampoo, cream foam, PO
miconazole class - Answer-azole
miconazole route - Answer-topical, buccal table (that can be used PO or vaginally)
miconazole indication - Answer-women with vaginal fungal infections
how do viruses replicate - Answer-viruses must replicate inside a living host to use their
DNA & enzymes to replicate
why are antivirals hard to make/use - Answer-because viruses use host cells to
replicate, it's hard to make an antiviral that doesn't also harm the host
cytomegalovirus (CMV) - Answer-herpes-type virus that usually causes disease when
the immune system is compromised
found in about 80% of the population and mostly asymptomatic, but can be fatal in
immunocompromised
ebstein-barr virus (EBV) - Answer-herpes virus that causes mono
herpes simplex virus - Answer-an inflammatory disease of the skin caused by a viral
infection and characterized by small vesicles in clusters
HSV-1 - Answer-herpes labialis
cold sore
HSV-2 - Answer-genital herpes OR herpes labialis
HSV symptoms - Answer-painful vesicles form then rupture, and then crust over
this virus after infection stays latent/dormant in a nerve root so it can reoccur
what are some causes of reocurrence of HSV - Answer--other infections
-stress
-decreased immune response
-sun exposure
what precedes an outbreak of HSV - Answer-burning or tingling along nerve and at site
EXAM QUESTIONS AND ANSWERS
what class is nystatin - Answer-polyene
nystatin route - Answer-topical
vaginal
oral
mycafungin class - Answer-polyene
mycafungin indication - Answer-esophageal candiasis
candidemia
disseminated candidiasis
mycafungin nursing considerations - Answer--must be ligh-protected
-given IV >1 hour
fluconazole class - Answer-azole
fluconazole moa - Answer-alters the cell membrane permeability
fluconzaole indication - Answer-wide spectrum use:
-esophageal candidiasis
-candiduria
-candida vaginitis
-disseminated candidiasis
-cryptococcal meningitis
fluconazole route - Answer-IV or PO
nursing consideration of fluconazole - Answer--90% absorption when fasting
-do not take with food
-used for people with candida uti's because it gets into the urethra/kidneys
-travels across BBB so it can be used for meningitis
what is the meningitis original drug regimen before cultures - Answer-Ceftriaxone
(rocephin) - antibiotic
Acyclovir - antiviral
Fluconazole - antifungal
Itraconazole class - Answer-azole
, ketaconazole indication - Answer-scalp fungal infections
men with advanced prostate cancer
what form does ketaconazole come in - Answer-gel, shampoo, cream foam, PO
miconazole class - Answer-azole
miconazole route - Answer-topical, buccal table (that can be used PO or vaginally)
miconazole indication - Answer-women with vaginal fungal infections
how do viruses replicate - Answer-viruses must replicate inside a living host to use their
DNA & enzymes to replicate
why are antivirals hard to make/use - Answer-because viruses use host cells to
replicate, it's hard to make an antiviral that doesn't also harm the host
cytomegalovirus (CMV) - Answer-herpes-type virus that usually causes disease when
the immune system is compromised
found in about 80% of the population and mostly asymptomatic, but can be fatal in
immunocompromised
ebstein-barr virus (EBV) - Answer-herpes virus that causes mono
herpes simplex virus - Answer-an inflammatory disease of the skin caused by a viral
infection and characterized by small vesicles in clusters
HSV-1 - Answer-herpes labialis
cold sore
HSV-2 - Answer-genital herpes OR herpes labialis
HSV symptoms - Answer-painful vesicles form then rupture, and then crust over
this virus after infection stays latent/dormant in a nerve root so it can reoccur
what are some causes of reocurrence of HSV - Answer--other infections
-stress
-decreased immune response
-sun exposure
what precedes an outbreak of HSV - Answer-burning or tingling along nerve and at site