Crying Alone in the Dark
Antibacterial
Antifungal
Antiviral
Antimicrobial medications
Why do we use antiseptics before touching a patient?
We are more likely to spread bacterial to the patient
I have allergic rhinitis, do I need an antibiotic? What could I take instead? Name a common drug.
NO
I could take an antihistamine
Diphenhydramine
30ml is ?? oz (onces)
1 oz (ounce)
How many ml are in a tsp (teaspoon)
5ml
Treating an unidentified infection
1. obtain culture
2. May begin combination drug therapy
3. After labs, re-evaluate drug combination to treat specific organism
Type IIV - Inactivated influenza vaccine
Type RIV - Recombinant Hemagglutinin vaccine
Type LAIV - Live, attenuated influenza vaccine
1. Egg allergy a problem?
2. Which vaccine do we need to monitor for immunocompromised patients?
1. Egg allergy is not a problem
2. LAIV -Live, attenuated influenza vaccine
Antiseptic vs disinfectant
An antiseptic is applied to the body, while disinfectants are applied to nonliving surfaces
Tetracyclines treat?
1. Severe Acne Vulgaris
2. Peptic Ulcer, Periodontal Disease
3. Rickettsial diseases (e.g., Rocky Mountain spotted fever, typhus fever, Q fever);
4. Chlamydia trachomatis (trachoma, lymphogranuloma venereum, urethritis, cervicitis)
+ Many more - load realizeit module
What’s The Total Number Of Dots On A Pair Of Dice?
42
I have effects on the viral replication cycle. I can be prescribed for Hepatitis. Watch out for flu-like syndrome characterized by fever, fatigue, myalgia, headache, and chills. I frequently cause neuropsychiatric effects—especially depression. Suicidal ideation and suicide has occurred.
Interferon Alpha
1 gram = ?? milligrams?
1000
Common adverse effects of penicillin's?
Allergic reaction, hyperkalemia
List 3 aminoglycosides
What am I toxic to?
What will you do to minimize toxicity?
Amikacin, Gentamicin, Tobramycin
inner ears (ototoxicity) and kidneys (
Nephrotoxicity)
Run labs (trough)
Tuberculosis
1. type of contact precautions
2. Treatment with?
3. How long is treatment usually
1. airborne
2. 2+ antibiotics
3. 6 months or more
I can cause tendon rupture / tendinitis, make people sensitive to the sun and increase their risk of developing C-Diff. Name the drug class, what is the full name for C-Diff
Ciprofloxacin (CipToe)
Clostridium Difficile Infection
I can be nephrotoxic, I treat progressive and potentially fatal systemic fungal infections, I can have infusion reactions
1. Nephro means what organ?
2. what drug am I?
3. Besides labs, what can we monitor?
1. Kidney
2. Amphotericin B
3. Input/output
What Has A Head, A Tail, But Does Not Have A Body?
A coin
Vancomycin admin directions (IV)
1. Obtain Trough level
2. Infuse over 1 hour or more
3. Monitor creatinine
When do you measure Trough drug level?
Just prior to next dose
3 months ago I was diagnosed with Active TB and I was started on 2 antibiotics. My provider wants me to take a test to see how effective my treatment has been, what test might that be?
Also, how much longer will I need to be treated?
3+ more months
I start off looking like a rash, I am life threatening, I am a reaction to medications such as sulfonamides, lamotrigine, allopurinol, carbamazepine
Steven Johnson Syndrome
I am gram negative, I require a broad spectrum penicillin, what 2 penicillin's are broad spectrum?
Ampicillin
Amoxicillin
______ is active against a variety of anaerobic bacterial infections, including infections of the CNS, abdominal organs, bones and joints, skin and soft tissues, and genitourinary tract. I am the drug of choice for C-Diff.
Metronidazole
I am one of the drugs often used for TB, I am hepatotoxic (but rare), can cause peripheral neuropathy, I cross the BBB so I impact the CNS.
My most common adverse effect is peripheral neuropathy
isoniazid