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