Medications
What is the mechanism of action for Azithromycin?
Stops the cell from making protein
liver function test
The shingles vaccine is recommended for which patients?
Patients over the age of 50. Administered in 2 doses roughly 2 to 6 months apart
Difference between trough and peak level?
Trough is drawn right before the administration of a medication
Peak is drawn 30 minutes after administration or 30 minutes after completion of an IV infusion
A female patient is prescribed a vaginal cream. What education should provided to the patient?
Do not use tampons
What labs do you monitor with vancomycin?
Renal function
Causes Nephrotoxicity
What should the nurse monitor for when a patient is getting Epotein Alfa?
Blood pressure
The MMR vaccine is recommended for which adult patients?
A pregnant patient who is not immune to Rubella. MMR will be given after the birth of the baby.
What provides passive immunity?
Immunoglobulins specifically containing IgG
A patient is taking oral nystatin. What education would be provided to the patient?
Swish the medication in the mouth.
Nystatin is used for Thrush.
What is an adverse effect of gentamycin?
Tinnitus
*Can mean gent toxicity
What adverse effect would educate the patient when taking Rifampin?
Medication can cause a discoloration of secretions (urine, saliva, sweat, tears and feces)
The influenza vaccine is not recommended for patients?
Live any one under the age of 2 or over the age of 50 and pregnancy.
Inactivated history of Guillain Barre syndrome
What medication do you take for Influenza A?
Tamiflu
Must be started within 2 days of onset of symptoms to be effective
Why are IV antibiotics recommended for pneumonia?
Rapid delivery to the bloodstream which creates a maximum effectiveness
What drugs interact with St. Johns Wort?
HIV protease inhibitors, some cancer drugs, cyclosporine
When taking Fluconazole, what finding would indicate liver issues?
Jaundice and yellowing of the eyes
What is Tdap?
Tetanus diphtheria toxoids and pertussis.
When taking Isoniazid, the nurse will administer Vitamin B6 as well. What education would the nurse provide as to why we administer Vitamin B6 along with Isoniazid?
Vitamin B6 can reduce the risk of developing peripheral neuropathy
What would you avoid if you are taking an antibiotic such as Doxycycline or Ciprofloxacin?
Dairy products
*affects absorption of antibiotic
What patient education would we give for Acyclovir?
A patient is taking Metronidazole. What interaction should the nurse educate the patient on?
Alcohol will cause a disulfiram-like reaction which is facial flushing, vomiting, dyspnea and tachycardia
Who would be recommended to get the Hepatitis B vaccine?
All healthcare workers
Assessing vision
can cause visual field changes
What are the rights of medication administration?
Right client/patient, right drug, right dose, right time, right route, right documentation, right client education, right to refuse, right evaluation, right assessment