Antibiotics
As a nurse, which of these patients will you admonish caution in, when they are medicating on Tetracycline? (SATA)
a) a 29-year-old first-time mum
b) an 18-year-old who works as a lifeguard at the beach
c) A 40-year-old farmer in a corn field
d) a 69-year-old who just went through coronary artery bypass surgery
a) a 29-year-old first-time mum
b) an 18-year-old who works as a lifeguard at the beach
c) A 40-year-old farmer in a corn field
What combination of drugs is useful for TB treatment?
Isoniazid, Rifampin, Pyrazinamide & Ethambutol
A doctor writes an order for 3 mg of Amphotericin B. What is your next line of action as a nurse?
Call the doctor to verify the order & request a dosage change.
A possible side effect of the use of Maraviroc is:
Orthostatic hypotension, cough, Liver injury
Your patient has an order of Penicillin VK for their strep throat treatment. What route do you anticipate this med to be administered?
Oral
To recall:
(i) Penicillin G: gIVe hIM
IV/IM: Na, K
IM only: Benzathine, Procaine
(ii) Penicillin VK: Oral
You educate your patient to take Pyridoxine Vitamin B6 while on Isoniazid. In return they question you, asking for the rationale behind this. What do you tell them?
What is the therapy for HIV treatment?
2 NRTI (e.g. Abacavir) + Another med
In a family of 6, 3 people tested positive for Influenza A. As a nurse, will you recommend Oseltamivir for the remaining 3 members of the house?
Yes. This med can be given prophylactically when there is an exposure.
These reactions of flushing, rash, pruritis, hives, tachycardia & hypotension are associated with what antibiotic?
Vancomycin
-What is this reaction called, DOC for what, preventative measures.
Decreased visual acuity
Ethambutol = Eye
A patient learns that they will be transitioning to Liposomal Amphotericin B, instead of the conventional form. How do you educate them on the reason for this?
- Treatment-resistant illness
- Poor tolerance
-Lesser side effects
With the use of Acyclovir, what are two critical nursing implications?
Topical: Use rubber gloves & Wash hands well
IV: Give over 1 hour & Hydrate patients with IV NS
A patient received their first infusion of Gentamicin at 9 am. The provider recently added a new order for another infusion at 2 pm. When will you check the trough & peak levels?
Peak: 10 am
Trough: Before next dose
A patient arrives at their next appointment, very worried about a change in their urine output. They report an orange discoloration of their urine and stains on their contact lenses. What medication are they likely on?
Rifampin
A diabetic patient may have to be cautious using Darunavir, due to what adverse effects?
Hyperglycemia, Diabetes, Hyperlipidemia
Hold medication and Notify the provider
Your patient reports tendonitis and sensitivity to a medication they are currently on. What medication is a likely culprit?
Ciprofloxacin
Ethambutol is contraindicated in patients with acute gout & severe liver disease.
True/False
False, pyrazinamide is
Discuss symptoms of liver dysfunction associated with Itraconazole
- Fatigue, N/V, Anorexia, right upper abdominal pain, jaundice, tea-colored urine, pale stool
What is an important piece to emphasize when educating patients with HIV?
Medication adherence & Monitoring CD4 count/viral load