Pharmacology Exam 4
1. Med to know under penicillins?: Amoxicillin
2. therapeutic use of amoxicillin: respiratory infections, otitis media, H. Pylori, and E. Coli
3. main adverse reactions with amoxicillin: angioedema, anaphylaxis and superinfections
4. main side effects of amoxicillin: rash/dermatitis and stomatitis
5. patient education with amoxicillin: monitor for bleeding, avoid acidic juices and s/s of superinfection
6. contraindications with amoxicillin: renal/liver failure and asthma
7. nursing considerations for amoxicillin: obtain culture and sensitivity; assess for cephalosporin
allergy
8. Med to know under Cephalosporins: Ceftriaxone
9. therapeutic use of ceftriaxone: STI's, Otitis media, skin/bone infections, and surgical prophylaxis
10. main adverse reactions with ceftriaxone: bleeding/anemia, renal failure, hepatotoxicity and SJS
11. main side effects of ceftriaxone: epistaxis, rash/dermatitis and stomatitis
12. contraindications with ceftriaxone: hepatic/renal failure
13. nursing considerations with cefrtriaxone: assess for PCN allergy
14. patient education with ceftriaxone: report changes in skin
15. med to know under Macrolides: Azithromycin
16. therapeutic use of azithromycin: otitis media, STI's, skin infections and respiratory infections
17. main adverse reactions of azithromycin: hepatotoxicity, superinfections and hearing loss
18. main side effects of azithromycin: GI upset (diarrhea), tinnitus, blurred vision and photosensitivity
19. contraindications with azithromycin: hepatic failure
20. patient education with azithromycin: take on empty stomach and with glass of water
21. Med to know under ahminoglycosides?: gentamicin
22. therapeutic use of gentamicin: life-threatening infections
23. adverse reactions with gentamicin: ototoxicity, nephrotoxicity and peripheral neuropathy
24. main side effects of gentamicin: confusion/tremors, stomatitis, photosensitivity, tinnitus/loss of balance, and vitamin
B6/12 deficiency
25. important nursing considerations with gentamicin: monitor peak & trough serum levels, obtain C & S, limit to 10 days
.
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, 26 patient education with gentamicin: increase fluids
27 Med to know under Tetracyclines: doxycycline
28 main therapeutic use of doxycycline: acne
29. main adverse reactions of doxycycline: hepatotoxicity
30. main side effects of doxycycline: photosensitivity, tooth/nail discoloration, vision changes and elevated liver enzymes
31. contraindications with doxycycline: pregnancy and children under 8
32. nursing considerations with doxycycline: monitor liver, renal function and potassium levels 33. patient education with
doxycycline: avoid calcium products, avoid sun exposure, avoid co-admin
with iron, take w/ food, increases effects of warfarin and digoxin
34. med to know under glycopeptides: vancomycin
35. therapeutic use of vancomycin: c-diff and serious systemic infections
36. main adverse reactions of vancomycin: ototoxicity, nephrotoxicity, neutropenia and superinfec-
tions
37. main side effects of vancomycin: hypokalemia and peripheral edema
38. nursing considerations with vancomycin: obtain C & S, peak and trough serum levels, admin-
ister slowly to prevent "red man syndrome"
39. contraindication with vancomycin: renal failure, loop diuretics
40. patient education with vancomycin: increase fluids
41. med to know under fluoroquinolone: ciprofloxacin
42. therapeutic uses with ciprofloxacin: systemic infections, UTI's, respiratory infections, STD's and skin/joint/bone infections
43. main adverse reactions with ciprofloxacin: hepatotoxicity, nephrotoxicity, ECG changes, hyperglycemia and pancytopenia
44. main side effects of ciprofloxacin: tinnitus/dizziness, blood glucose changes, tendon rupture, nightmares and
photosensitivity
45. important nursing considerations with ciprofloxacin: obtain C & S, increase fluids to
2L/day, increased effects of caffeine
46. contraindications with ciprofloxacin: diabetes, pediatrics, liver/renal disease, RA, myasthenia gravis, cardiac dysrhythmias
47. patient education with ciprofloxacin: take on empty stomach w/ water, infection prevention, do not take with calcium
products
48 med to know under sulfonamides: trimethoprim - sulfamethoxazole
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1. Med to know under penicillins?: Amoxicillin
2. therapeutic use of amoxicillin: respiratory infections, otitis media, H. Pylori, and E. Coli
3. main adverse reactions with amoxicillin: angioedema, anaphylaxis and superinfections
4. main side effects of amoxicillin: rash/dermatitis and stomatitis
5. patient education with amoxicillin: monitor for bleeding, avoid acidic juices and s/s of superinfection
6. contraindications with amoxicillin: renal/liver failure and asthma
7. nursing considerations for amoxicillin: obtain culture and sensitivity; assess for cephalosporin
allergy
8. Med to know under Cephalosporins: Ceftriaxone
9. therapeutic use of ceftriaxone: STI's, Otitis media, skin/bone infections, and surgical prophylaxis
10. main adverse reactions with ceftriaxone: bleeding/anemia, renal failure, hepatotoxicity and SJS
11. main side effects of ceftriaxone: epistaxis, rash/dermatitis and stomatitis
12. contraindications with ceftriaxone: hepatic/renal failure
13. nursing considerations with cefrtriaxone: assess for PCN allergy
14. patient education with ceftriaxone: report changes in skin
15. med to know under Macrolides: Azithromycin
16. therapeutic use of azithromycin: otitis media, STI's, skin infections and respiratory infections
17. main adverse reactions of azithromycin: hepatotoxicity, superinfections and hearing loss
18. main side effects of azithromycin: GI upset (diarrhea), tinnitus, blurred vision and photosensitivity
19. contraindications with azithromycin: hepatic failure
20. patient education with azithromycin: take on empty stomach and with glass of water
21. Med to know under ahminoglycosides?: gentamicin
22. therapeutic use of gentamicin: life-threatening infections
23. adverse reactions with gentamicin: ototoxicity, nephrotoxicity and peripheral neuropathy
24. main side effects of gentamicin: confusion/tremors, stomatitis, photosensitivity, tinnitus/loss of balance, and vitamin
B6/12 deficiency
25. important nursing considerations with gentamicin: monitor peak & trough serum levels, obtain C & S, limit to 10 days
.
.
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, 26 patient education with gentamicin: increase fluids
27 Med to know under Tetracyclines: doxycycline
28 main therapeutic use of doxycycline: acne
29. main adverse reactions of doxycycline: hepatotoxicity
30. main side effects of doxycycline: photosensitivity, tooth/nail discoloration, vision changes and elevated liver enzymes
31. contraindications with doxycycline: pregnancy and children under 8
32. nursing considerations with doxycycline: monitor liver, renal function and potassium levels 33. patient education with
doxycycline: avoid calcium products, avoid sun exposure, avoid co-admin
with iron, take w/ food, increases effects of warfarin and digoxin
34. med to know under glycopeptides: vancomycin
35. therapeutic use of vancomycin: c-diff and serious systemic infections
36. main adverse reactions of vancomycin: ototoxicity, nephrotoxicity, neutropenia and superinfec-
tions
37. main side effects of vancomycin: hypokalemia and peripheral edema
38. nursing considerations with vancomycin: obtain C & S, peak and trough serum levels, admin-
ister slowly to prevent "red man syndrome"
39. contraindication with vancomycin: renal failure, loop diuretics
40. patient education with vancomycin: increase fluids
41. med to know under fluoroquinolone: ciprofloxacin
42. therapeutic uses with ciprofloxacin: systemic infections, UTI's, respiratory infections, STD's and skin/joint/bone infections
43. main adverse reactions with ciprofloxacin: hepatotoxicity, nephrotoxicity, ECG changes, hyperglycemia and pancytopenia
44. main side effects of ciprofloxacin: tinnitus/dizziness, blood glucose changes, tendon rupture, nightmares and
photosensitivity
45. important nursing considerations with ciprofloxacin: obtain C & S, increase fluids to
2L/day, increased effects of caffeine
46. contraindications with ciprofloxacin: diabetes, pediatrics, liver/renal disease, RA, myasthenia gravis, cardiac dysrhythmias
47. patient education with ciprofloxacin: take on empty stomach w/ water, infection prevention, do not take with calcium
products
48 med to know under sulfonamides: trimethoprim - sulfamethoxazole
.
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