Term
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Definition
used to tx infections caused by pathogens |
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Term
bacterialcidal and bacteriostatic |
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Definition
two actions of antiinfectives? |
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Term
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Definition
this means the drug is effective against several groups of organisms |
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Term
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Definition
this means the drug is effective against a few groups |
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Term
-take meds as directed -never share meds -take with full glass of water -expect to expect N/V/D -may experience superinfection |
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Definition
what are five pt teachings for taking antiinfective drugs? |
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Term
-inhibit bacterial cell wall, protein synthesis, reproduction, inhibit cell metabolism and growth, disrupt microbial cell membrane |
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Definition
these are the mechanisms of action of antiinfectives |
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Term
-s/s of infection, susceptibility to infection -c&s report -allergies -renal/hepatic function |
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Definition
for every drug, what do you want to assess? |
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Term
prevent spread of infection by coughing into sleeve, washing hands and good hygiene, support natural defense mechaisms |
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Definition
when you are trying to teach a pt how to avoid getting sick, what do you tell them? |
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Term
3000 ml/24 hrs, six pints |
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Definition
how much should one drink with any med? |
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Term
take around the clock, take on empty stomach, store in cool, dark dry place, take with full glass of water, report N/V/D |
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Definition
what are some other patient teaching things? |
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Term
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Definition
what labs will you look at to assess kidney function? |
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Term
observe for s/s of superinfection, compliance with instructions, decrease in s/s of infection, no drug allergies |
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Definition
what do you want to observe in patient when evaluating? |
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Term
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Definition
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Term
gram + bacterial infections (strep) |
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Definition
what are PCNs used to tx? |
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Term
previous hyper-sensitivities, cross sensitivities |
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Definition
what are some contraindications of PCN? |
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Term
anaphylaxis, GI VND, superinfections, seizures |
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Definition
what are some adverse reactions to PCN? |
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Term
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Definition
what meds are similar to PCN? and should watch for x sensitivity |
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Term
s/s of infection, VS, sputum, urine, WBC -h/P for allergy -specimen for C&S -observable for s/s of anaphylaxis |
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Definition
what are some important nursing implications for PCN? |
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Term
discontinue immediately, admin Epiniephrine/antihistamine on hand and resuscitation eqpt available. |
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Definition
if a pt has an allergic reaction to PCN, what do you do? |
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Term
-use additional contraceptive method, take around the clock, reprot diarrhea, blood in stool, pus/mucus, no ETOH x 72 hrs. |
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Definition
what are some imp pt teaching incplication for PCN |
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Term
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Definition
these are widely used/distributed/concentrated in the kidney/liver |
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Term
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Definition
this drug is chemically/structurally related to PCN |
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Term
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Definition
this is used as a surgical prophylaxis |
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Term
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Definition
this is used to txx RT, skin, soft tissue, UT, brain and spinal cord |
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Term
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Definition
this is a broad spectrum abx that fights gram +/- bacteria |
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Term
inhibit microbial protein synthesis |
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Definition
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Term
renal/hepatic failure hypersensitivity/pregnancy |
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Definition
contraindications for Tetracycline? |
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Term
dizziness, photosensitivity, blood dyscrasias |
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Definition
what are some adverse effects with Tetracyclines? |
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Term
s/s of infection (vs, wound appearance, sputum, urine, stool, WBC), obtain specimen for C&S, check renal/hepatic labs, CBC |
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Definition
what are nursing implications for TET |
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Term
causes staining of teeth, and softening of bones |
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Definition
why are tets not recommended for children under 8? |
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Term
dairy products, and no other meds within 1-3 hrs |
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Definition
what should the pt not consume with Tet? |
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Term
use non hormonal method of BC, use sunscreen lotion |
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Definition
what should you tell women and others in general who are on Tet? |
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Term
sulfonamides (bactrim and septra) |
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Definition
this is for tx of the holes |
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Term
urinary and resptory tract infections |
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Definition
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Term
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Definition
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Term
hypersensitivity, renal/liver impairment, pregnancy |
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Definition
contraindications for sulfonamides? |
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Term
blood dycrasias, photosensitivity and hepatic necrosis |
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Definition
adverse effects of sulfonamides includes: |
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Term
allergies to sulfa, inspect IV site for phlebitis, monitor CBC/UA |
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Definition
what should you assess for when giving someone sulfanomides? |
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Term
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Definition
do not administer these via IM |
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Term
complete dose, use sunscreen, notify MD of S/S of superinfection |
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Definition
what do you need to teach with sulfanomides? |
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Term
fluoroquinolones (cipro/floxin) |
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Definition
these are synthetic drugs against gram +/- bacteria |
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Term
fluoroquinolones (cipro/floxin) |
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Definition
these work by interfering with DNA synthesis |
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Term
photosensitivity, hyper/hypoglycemia (idiosyncratic reaction) |
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Definition
adverse effects of fluoroqinolones? |
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Term
zn and Fe will decrease absorption, use sunscreen lotion/protection, good oral hygiene |
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Definition
what are some pt teaching point for fluoroquinolones? |
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Term
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Definition
used to tx systemic infections, usually IV meds |
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Term
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Definition
gentimicin and neomycin are both |
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Term
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Definition
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Term
prevent bacterial protein synthesis |
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Definition
how do aminoglycosides work? |
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Term
cuase nephro/neuro toxicity and ototoxicity |
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Definition
contraindications of aminoglycosides? |
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Term
aminoglycosdies (neomycin, gentimicin) |
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Definition
for this med, the peak and trough need to be adjusted |
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Term
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Definition
this is the lowest concentration of med before next dose |
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Term
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Definition
have an erythromycin base |
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Term
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Definition
this is the drug of choice for diptheria |
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Term
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Definition
azithromycin (zithromax) and clindamycin (cleocin) are both what? |
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Term
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Definition
used in tx of life-threatening infections |
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Term
binds to bacterial wall causing cell death |
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Definition
how does vancomycin work? |
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Term
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Definition
adverse effects of vancomycin? |
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Term
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Definition
used for intra abdominal, GU/integ. infections |
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Term
interferes with DNA synthesis |
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Definition
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Term
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Definition
contraindications with metrodiazole? |
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Term
seizures, dizziness, anorexia |
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Definition
adverse effects of metrdiazole? |
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Term
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Definition
when pcn cannot be given, these less toxic abx can be used |
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Term
Bacterialcidal, bacteriostatic, broad spectrum, narrow spectrum |
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Definition
Action of anti-infectives |
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Term
Tx of infections caused by pathogens |
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Definition
Anti-infectives are used for? |
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Term
Tx of RT, skin, soft tissue, UT, brain, spinal cord |
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Definition
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Term
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Definition
This can have cross sensitivities w PCN |
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Term
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Definition
with these two drugs, make sure to teach the patient to use additional contraceptive method |
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Term
inhibit bacterial cell wall, protein synthesis, cell membrane, reproduction, metab/gluco |
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Definition
5 mechanisms of action for anti-infectives |
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Term
1. take as directed 2. never share 3. take with full glass of water on empty stomach 4. expect to exp. NVD 5. may expect yeast or fungal infection (superinfection) |
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Definition
5 things to teach about antibiotics |
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Term
s/s of infection, susceptible to infection c&s report allergies renal/hepatic fnc side effects of drugs |
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Definition
what is the nursing assessment for every antibiotic? |
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Term
prevent spread of int handwash/hygiene support natural defenses take as prescribed/full course drink 300ml of fluid report NE allergies take around clock at evenly spaced intervals take on an empty stomach 1h before or 2h after store in a cool, dark, dry place take with full glass of water report NVD |
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Definition
pt. teaching for every antibiotic |
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Term
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Definition
what lab values do you want to look at to assess kidney function? |
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Term
observe for s/s of superinfection observe for compliance with instructions dec. in s/s infection no drug allergy |
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Definition
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Term
previous hypersensitivity, x sensitivity |
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Definition
contraindication with penicillin? |
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Term
antibacterial, penicillin |
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Definition
these drugs cause anaphylaxis |
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Term
tetracycyline, sulfonamides, fluroquinolones |
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Definition
These cause photosensitivity in aBX |
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Term
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Definition
this is a surgical prophylaxis |
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Term
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Definition
chemically/structurally r/t PCN |
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Term
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Definition
you should watch this drug for allergies to sulfa |
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Term
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Definition
these are widely used/distributed/concentrated in the liver |
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Term
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Definition
bc aminoglycosides cause oto, neuro, nephro toxicity, you should |
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Term
sulfadiazine, sulfisoxazole, cotrimoxazole |
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Definition
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Term
binds to bacterial wall-cell death |
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Definition
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Term
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Definition
penicillin G, Penicillin generic? |
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Term
discontinue, epinephrine and antihistamine on hand |
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Definition
if allergic reaction to pcn, then |
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Term
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Definition
when assessing for penicillin, need to take an ______ for allergy |
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Term
observe for s/s of anaphylaxis |
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Definition
special assessment for penicillin |
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Term
report blood in stool, pus, mucus, use additional contraceptive method no alcohol x 72 hrs |
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Definition
for penicillin, is there any special pt teaching? |
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Term
aminoglycosides, macrolides |
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Definition
these cause oto, neuro, nephro toxicity |
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Term
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Definition
this is effective against anthrax and typhoid fever |
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Term
antacids, mineral supplements, iron salts |
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Definition
flouroquinolones cannot be taken with |
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Term
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Definition
do not take fluoroquinolones with these, could cause inc. risk of CNS stimulation |
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Term
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Definition
this can be used as a prophylaxis for endocarditis before dental procdures in matients with valvular heart disease who are allergic to penicillin |
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Term
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Definition
this drug will increase serum levels of digoxin if taken concurrently |
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