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Name that Drug antibiotics/pain
Name that Drug
49
Nursing
Undergraduate 3
10/07/2013

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Cards

Term
Penicillin
Definition
Gram (+), some (-)
Wide Range & Narrow
Not too Toxic
Watch for anaphylaxis
Caution with grapefuit
Birth control inactivated
Term
Cephalosporins
Definition
Need OK kidney function
Must push fluids
Watch for cross allergies with Penicillins
Take BUN and creatinine tests
Term
Cephalosporins
Definition
Poorly absorbed in GI Track-->therefore IM or IV route
Problem with Beta Lactamases and the ability to develop resistances
Term
2nd Generation Cephalosporin
Definition
Cefamandol (Mandol)
Term
3rd Generation Cephalosporin
Definition
Cefotaxine
Term
Aminoglycosides
Definition
Powerful but Dangerous
NEPROTOXICITY & OTOTOXICITY
If nephron destroyed, pt on Dialysis QOD for rest of life!
Term
Aminoglycosides
Definition
Peak level drawn from blood 30 min after durg infused IV; trough before does due
Serum Gent levels done after 1st, then every 72 hours
Term
Aminoglycosides
Definition
Check BUN and Creatinine leves for nephron damage
Check peak and trough concentrations
Calculate dosages carefully
3-5 mg/kg/day
Term
Aminoglycosides
Definition
IV every 8-12 hours
Usually need caution to infuse drug over 45 min - 1 hr
Excreted unchanged by glomerular filtration
Term
Tetracyclines
Definition
Potentiate anticoagulants when taken with anticoagulants
Binds to newly formed teeth and bones
Term
Tetracyclines
Definition
Avoid dairy and antacids b/c delayed absorption
Photosensitivity
Black hairy tongue
Term
Tetracyclines
Definition
Avoid paitents with liver and renal impairment
Gm (+)(-)
Hepato and nephrotoxic
Term
Macrolides
Definition
Given 4x/day - short half life
Best for Gm (+)
1 of the least toxic ATB; safer
Term
Macrolides
Definition
True allergies Rare
PO: inactivated by gastic acids (so use enteric coated or capsule)
Term
Sulfonamides
Definition
Drug of choice for UTI
Treats ear adn upper resp. infections
prevents the sythesis of folic acid
Term
Sulfonamides
Definition
Poorly soluble in urine causes CRYTALLIZE-ation in the renal tubule
Causes Orange urine
Term
Sulfonamides
Definition
Drink 1.5 L/day for adults
Risk of photosensitivity
Take on an empty stomach
Term
Quinolones
Definition
wide range- esp. Gm(-)
Medication of choice for Anthrax
Term
Quinolones
Definition
Can cause photophobia -->wear sunglasses
Keep patient well hydrated
Term
Vancomycin
Definition
Great if Penicillin allergy
Only Gm(+)
Never give IM
Push 2000-3000 cc/day
Term
Antifungals
Definition
Dilute with D5W (dextrose) - NOT SALINE
Light sensitive, protect with foil
Term
Antifungals
Definition
Pre-medicate to avoid allergic reaction. 30 minutes before give aspirin/benadryl/demerol/steroids
Used for Valley Fever
Term
Antifungals
Definition
Check K+ levels
Very toxic
Watch for anemia
Do drug QOD if pt stays on for a longer time
Term
Antivirals
Definition
Not a cure, just a treatment
Contraindicated if hypersensitivity
Term
Antivirals
Definition
Very expensive
Term
Anti-amebicide/Protozoal
Definition
Used with aminoglycosides
Metallic taste
Term
Anti-amebicide/Protozoal
Definition
Suck on hard candy to rid metallic taste
DO NOT DRINK WHILE ON DRUG
Not even cough syrup or elixirs
Term
Pentamidine
Definition
IM, IV, or Nebulized
Term
Isoniazid
Definition
RX choice for TB
Causes Peripheral neuritis/numb feet
Term
Rifampin
Definition
good for Methicillin resistant Staph Aureus (MRSA)
Term
Rifampin
Definition
Red-orange tears, urine and sweat
Term
Ethambutol
Definition
Optic nuerits, lead to color blindness, loss of visual acuity
Term
Pyrazinamide
Definition
Hyperuricemia leads to GOUT
Used to treat peripheral neuropathies from INH
Term
Steptomycin
Definition
Severe Case, leads to hearing loss and kidney toxicity
(Aminoglycoside)
Term
Anti-helminthic
Definition
Used for pinworms.
Pinworms can spread easily, so all family may need it
Term
Anti Malarial
Definition
May bleach scalp or body hair
Children susceptible to OD
Taken weekly at same time with meals
Give 1-2 weeks before and 6-8 weeks after
May exacerbate psoriasis
Term
Quinine (anti-malarial)
Definition
Used for leg cramps
Term
Narcan
Definition
Drug used if respiration drops below 12
Term
Opioid Agonists
Definition
Depresses GI Motility
Term
Morphine
Definition
IM 4-15mg
PO 30-60mg
IV PSA usually
Term
ASA
Definition
inhibits platelet aggregations to prevent clots
Term
ASA
Definition
causes hearing loss if used in long term in high doses
Term
Aspirin Dosage
Definition
325-650mg but can be as high as 2.6-5.4 grams/day
Term
Aspirin
Definition
Dont' chew or crush enteric-coated
Dont' take with NSAIDs
Term
ASA
Definition
Take with meals/milk/food
Term
Tylenol
Definition
Non-salicylates
Hold if rash/urticaria
Term
NSAIDS
Definition
may take 2-4 weeks to get anti-infammatory effect of does 200-800 mg/day
Term
COX2
Definition
inhibits prostaglandin synthesis
Advantage over other NSAIDS:
Doesn't disrupt platelets and have less GI bleeding problems
Term
COX2
Definition
Contraindicated for patients with hepatic disorders
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