True or False
True or False? There are medication to treat all viruses?
False
What are some common respiratory virus and how should they be treated?
Influenza A
Influenza B
RSV
Prevention is key! Vaccines
What are some contraindications of agents for Influenza A and Respiratory viruses?
Pregnancy-can cause fetal development issues, use barrier contraception
What are some AE of rimantadine?
Lightheaded, dizziness, insomnia, and urinary retention
hallucinations in kids
What are some nursing considerations and pt edu for rimantadine?
Get hx and physical
check for drug interactions and allergies
True or False? Acyclovir cures herpes.
False, pt should avoid intercourse because it is not a cure and you are contagious during outbreak.
What medication is used to treat herpes and cytomegalovirus?
acyclovir
What is the drug-drug interaction for acyclovir?
Risk for nephrotoxicity when combined with other nephrotoxic meds?
What are AE of acyclovir?
Vertigo and tremors
What should you do if you are applying topical agents?
Wear gloves
True or false HIV or AIDs can lay dormant in the body?
True, pt may not know that they have it
How soon should acyclovir be taken after start of symptoms?
48 hrs
False, you can still get the flu but the vaccine helps with severity of symptoms
What are some AE of agents for HIV and AIDs?
Immunosuppression, extreme fatigue, severe skin rash, severe HA
What labs should be monitored for a pt who is on acyclovir and what are the normal ranges?
Monitor GFR, BUN and Creatinine
GFR- 90-120
BUN- 7-18
Cr- 0.7-1.4
True or False. HIV and AIDs can be cured.
False, combination of drugs not cure but control of disease
Can cause resistance to medication
What is another reason beside having to take multiple pills is compliance a concern for agent for HIV and AIDS?
High Cost and transportation
Pt taking agents for HIV and AIDs need to stop taking med and contact their doctor if what AE occur?
Rash with blisters
How should a pt take acyclovir, how is it normally prescribed?
Take 4 times a day around the clock. pt may need to wake up at night to take.
True or False. A large number of pills, once a day is taken for treatment of HIV and AIDs
False, A large number of pills, multiple times per day- this makes compliance a concern
Pt's with AIDs are susceptible to what?
Fungal infections
What are the normal values for AST and ALT?
AST 8-48
ALT 7-55
What should a pt report while taking agents for HIV and AIDs?
Extreme rash, fatigue, difficulty breathing, severe HA,
What should be monitored while a pt is taking agents for HIV and AIDs?
Renal and hepatic function, CBC and before giving get baseline labs
GFR, Creatinine, ALT, AST