Fluoroquinolones
A complication that the nurse should educate the patient to report
Report any tendon discomfort
An intervention necessary when a patient develops crystalluria after taking TMP-SMZ
Increase fluid intake
An action a nurse should take if their client on vancomycin has flushing of the neck and tachycardia.
Decrease the IV infusion rate
What a nurse should do FIRST when the client reports that the IV site itches and that he feels dizzy and short of breath.
Stop the infusion
The reason tetracycline is contraindicated in children under 8 years old
Discoloration of permanent teeth
A serious complication related to Fluoroquinolones
Monitor for tendon pain
Allergic to sulfonamides means the client could be allergic to this medication
Oral sulfonylureas
A way to assess for adverse effects of Gentamicin and Vancomycin
Peak and Trough levels
Education a nurse should provide to a patient on discharge that will help decrease bacterial resistance
Take the full course of antibiotics
Tetracyclines decreases the effect of what medication that requires doubling up
Oral contraceptives/Birth control
Teaching points for clients on Ciprofloxacin
a. Take antacids 2 hours before or 2 hours after this drug
b. This medication can increase the risk of bleeding.
c. Report symptoms of mouth ulcers or loose, bloody diarrhea
d. Report swelling of the Achilles tendon
TMP-SMZ results in an oral hypoglycemic effect when combined with this class of drug
Oral antidiabetics
Manifestations indicating the client is experiencing gentamicin toxicity related to ototoxicity
Tinnitus & Dizziness (Vertigo)
An adverse reaction that can occur with ceftriaxone when combined with a loop diuretic
Nephrotoxicity
3 Education points provided by the nurse to protect the patient from the sun when taking Doxycycline
Sunblock
Protective clothing
Sunglasses
Nursing considerations for patients taking Ciprofloxacin
Obtain culture prior to drug administration
Avoid administering this drug with multivitamins
Monitor the patient for tinnitus
Encourage fluids daily
Regarding meal time this medication should be administered
1 hour before or 2 hours after meals with a full glass of water
An adverse reaction that can occur with gentamicin when combined with loop diuretics
Ototoxicity
An adverse reaction that can occur with ceftriaxone if used in combination with oral anticoagulants
Bleeding
This antiulcer drug decreases the absorption of Doxycycline
Antacids
Labs that are important to assess with a patient on these medications?
BUN, creatinine, ALT, AST
3 general adverse effects of antibiotics
Allergic reaction
Organ toxicity
Superinfections (vaginitis, stomatits, C-diff)
Gentamicin effects these two electrolytes
Potassium and Magnesium
The amount of time ceftriaxone should be administered IV
30 minutes
The time an antacid should be administered when taking Doxycycline
2 hours apart from Doxycycline
2 hours before or 2 hours after