ABX 101
Looking for a Fun Gi!
Battleship Prophylactica
TB or not TB
Fungus Amongus
Going Viral
100
Antibiotic Drug Class that has cross-reactivity to those allergic to Penicillins
What is Cephalosporins?
( 1% chance)
100
Planning Two Client education points for clients with this drug class
-avoid tanning and stay out of sunlight or wear sunscreen and long sleeves if they must be out in the sun
-use antacids two hours before or three hours after to avoid malabsorption
What is Tetracyclines?
100
This drug is used prophylactically for bacterial decontamination of the GI tract BEFORE surgery
What is Neomycin PO?
100
Syndrome ,name of drug and alteration in administration responsible for Bothersome flushing and/or itching of the head, face, neck and upper trunk area
What is Red Man Syndrome, Vancomycin and infusing too rapidly?
100
The Four Types of Fungal Infections treated by Triazoles
What is
-Cutaneous
-Subcutaneous
-Superficial ( only superficial layers of skin)
-Systemic ( body systems, commonly the lungs)
100
Prophylactical use to prevent CMV
Treatment of initial and recurrent HSV virus
Treats both Influenza virus types A and B w/in 48 hrs. of symptoms
Treatment of Respiratory Syncytial virus ( RSV) and Hepatitis C
What is Ganciclovir ,
Acyclovir,
Oseltamivir, and
Ribavirin?
200
Name at least 3 Benefits of Newer Generation Anti Infectives
What is
- broader spectrum (destroys more bacteria)
-Less susceptible to beta-lactamose
-destroy more gram positive bacteria
-better penetration of gram negative bacterial cell walls
-more likely to cross blood-brain barrier for meningitis
200
Evaluation - This anti-infective drug class may cause Adverse reactions and signs of toxicity relating to fullness and ringing in the ears of the client
What is Gentamycin?
Prevention Plan - increase fluid intake, check renal function, and use probiotics to prevent superinfection
200
This intravenous drug is used to treat MRSA infections
What is Vancomycin IV?
200
Unique Symptoms that lean more toward Tuberculosis rather than other respiratory infections
What is a cough that lasts 3 or more weeks, hemoptysis ( coughing up blood), and night sweats?
200
The client has a systemic fungal infection (systemic mycoses) . The treatment ordered is Amphotericin B which has many adverse effects. Name at least three of them
What is Cardiac dysrhythmias, neurotoxicity, nephrotoxicity, BMS, Thrombophlebitis, electrolyte imbalances ( low K and Low Mg)
200
The maximum number of days that Oseltamivir must be started to reduce flu-like symptoms
What is 2 days?
300
Cefazolin, cephalexin
Cefoxitin, cefprozi
lceftriazone, cefprozil
ceftriaxtione, cefdinir
cefepime
cetaroline
What are 5 generations of cephalosporins in order?
300
Treats super-infections of antibiotic-induced Clostridioides difficile ( C. diff)
What is Metronidazole IV?
300
Evaluation A decrease in these cells show an expected finding in the positive response for the client using anti-infectives .
What is White Blood Cell ( WBC) count?
300
This drug treats tuberculosis and treatment can last 6-9 months ( sometimes up to 2 years).
This two color combination can be seen in the sputum, tears, sweat and urine in patients on this antibiotic.
What is Rifampin and red/orange
300
Your client has been ordered Nystatin oral suspension for oral candidiasis. These five elements are important and educational Do's and Dont's to discuss with the client
Suspension should be swished for AT LEAST 2 minutes before swallowed
Do NOT rinse, eat or drink right after taking
Do NOT use a straw to drink the solution
Do Swallow to coat the esophagus if ordered
Rinse and Spit for those who are unable to swallow or are NPO
300
Major Disadvantages of the broad spectrum antiviral Ribavirin, a treatment for RSV and Hepatitis C
The most concerning adverse effect associated with ribavirin use is hemolytic anemia. Those with heart condition may worsen to myocardial infarction.
Other adverse effects include anemia, fatigue, leukopenia, pruritis, rash, and gout.
Ribavirin is a well-known teratogenic drug and is in US Food and Drug Administration (FDA) pregnancy category X. Those who are or may have a chance of being pregnant should avoid inhalation exposure to aerosolized ribavirin in a client's room during treatment.
( interferes with both RNA and DNA synthesis to inhibit both protein synthesis and overall viral replication)
400
Analyze Adverse effect of this intravenous anti-infective drug class includes palpitations, chest pain, and QT prolongation
What are macrolides antibiotics? ( azithromycin)
400
This IV drug treats systemic fungal infections
What is Amphotericin-B IV?
400
Client Education- Name at least three principle points to education to clients using anti-infectives
What is
- Watch for watery diarrhea
-complete full course of antibiotics
- Notify HCP if symptoms worsen or do not improve
- Call 911 for difficulty breathing
-second form of birth control protection during abx tx
- do not take if allergic
400
Vit B6 is recommended for clients who are taking Isoniazid (INH) for the treatment of TB. Name the three adverse effect B6 is given to prevent.
What is peripheral neuropathy, hepatotoxicity, and optic neuritis?
400
Education The condition that is caused by Increased Uric Acid levels in the blood. Encouraging high volumes ( 2Liters/day) of fluids is helpful to avoid this condition
What is Crystalluria?
400
Goals of Antiretroviral Therapy
What is treating and preventing the progression of disease by decreasing viral load? They do not cure HIV-1.
500
Client education to Monitor for tendon pain with this group of anti-infectives
What are Fluoroquinolones ( ciprofloxacin, moxifloxacin)
500
This drug is use PO as swish and swallow or swish and spit for the the treatment of oral candidiasis
What is Nystatin PO?
500
Name of the condition when A client who takes a course of antibiotics for UTI develops a vaginal yeast infection.
What is superinfection?
Occurs when normal vaginal bacterial flora are reduced by abx tx and yeast growth is not kept in balance.
500
The number of oral fluconazole doses given to treat vaginal yeast infections.
What is 1?
500
Unique Treatment Goals of HIV and type of unique treatment provided to reduce drug resistance
What is decreased viral load ( how many HIV copies in a milliliter of blood )and increased CD4 counts which show how much damage virus has done.
HAART (Highly active antiretroviral therapy ) is a combination of drugs used to treat HIV infection. This method uses a cocktail of at least 3 medications to decrease drug resistance.
Lowers viral load to nontransmissible, not a cure
Downside - may cause bone marrow suppression
500
Reason to finish a course of antibiotics
and
The antibiotic that works on viruses
By stopping treatment before the antibiotic cycle is over, the remaining bacteria can continue to multiply. If these bacteria become resistant to the antibiotics, they can do even more harm. It may take longer to recover from the illness, and the physician may have to prescribe more medication.
and
NONE-