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OCTC License Practical Nursing
PNR 182 Test 5
90
Nursing
Professional
03/21/2013

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Cards

Term
where do ativirals come from?
Definition
enter the body by any route, such as swallowing, inj., insecct bite or inhaled
Term
drugs that combat viral infections by preventing the virus from reproducing in the cells
Definition
antivirals
Term
these drugs do not treat the actual virus & are hard to develop due to the rapidly changing structures
Definition
antivirals
Term
antivirals treat what?
Definition
CMV, HSV 1 & 2, HIV, Flu A&B,Hep B&C,RSV
Term
HIV is what kind of virus?
Definition
retrovirus
Term
when this virus attacks it doesnt use the DNA they focus on the RNA that can be turned into DNA which helps the virus to reproduce faster
Definition
retro viruses
Term
what drug regiment is used when it is needed to treat the virus at each stage of the life cycle?
Definition
HAART- Highly Active AntiRetroviral Therapy
Term
antiretrovirals treat what?
Definition
HIV,and AIDS
Term
when taking antiretrovirals their is a high risk of what?
Definition
contracting opportunistic infections even though being treated
Term

med given to treat/prevent resp. illness caused for Influenza A & to manage EPS in symptoms in Parkinson's

-monitor for s/s of anticholinergic drugs

Definition
Symmetrel(amantadine)
Term

med given by inhalation using a particular generator.

-can cause changes in resp. function so monitor this closely and report any worsening.

-female of child bearing age shouldnt inhale drug-causes birth defects

Definition
Virazol(Ribavirin)
Term

meds that are the only ones that comes enteric coated or in a powder

-Mix powder with 4oz of H2O/no juice

Definition
Videx/Baraclude
Term
inhibitors that cause redistribution of body fat
Definition
Protease inhibitors
Term
med that can cause kidney/bladder stones
Definition
crixivan
Term
drugs that can cause acute pancreatitis
Definition
antiretroviral drugs
Term
if a does is missed what should you do?
Definition
take it ASAP but dont double up
Term

dont cure viral infections/shortens the time you have it & promotes lesion healing

-doesnt prevent a person from spreading the disease

-teach how to apply topical drugs & no sex while lesions are present

Definition
antivirals
Term
antiretrovirals taken with Viagra can cause?
Definition
hypotension, visual disturbances, prolonged penile erections
Term
what is the antiviral that is a MDI?
Definition
Relenza
Term
able to destroy fungi?
Definition
fungicidal
Term
able to retart the multiplication of fungi
Definition
fungistatic
Term
fungicidal and fungistatic are used for?
Definition

prophylactically to prevent infec. in immunocompromised pts.

-superficial & deep fungal infections

-systemic infections

-superficial inf. of nail beds; oral,anal & vaginal areas

Term
antifungals are used cautiously in what pts?
Definition
renal dysfunction or hepatic impairment
Term
Griseofulvin is contraindicated in pts with?
Definition
severe liver disease
Term
Sporanox should not be used to treat nail inf. in pts with
Definition
heart failure
Term
when pt is receiving an oral or parenteral antifungal, how ofter should you observe for adverse reactions?
Definition
every 2-4hrs
Term

used with serious/life threatening fungal infections

-I&O should be monitored carefully

Definition
Amphotericin B
Term
most serious adverse reaction of Amphotericin B?
Definition
renal damage
Term
how soon can adverse reactions occur with IV infusion of Amp.B?
Definition
15-20min
Term
how do you treat oral thrush?
Definition

instruct pt to swish & hold solution in mouth for several seconds, gargle, then swallow,

-may also be treated with medicated with lozenges

Term
organism that lives in or on another organism without contributing to the survival or well being of the host
Definition
parasite
Term
drugs used to treat helminthiasis?
Definition
anthelmintic drugs
Term
most common parasitic worm in the US?
Definition
pinworm
Term
drug used to treal larval forms of pork tapeworm & to treat liver, lung and peritoneum disease caused by the dog tapeworm?
Definition
Albenza
Term
drug used to treat whipworm,pinworm,roundworm,American hookworm, & the common hookworm
Definition
Vermox
Term
drug used to treat roundworm & pinworm
Definition
Antiminth
Term
drug used to treat threadworm
Definition
Mintezol
Term
what is the serious adverse reaction to Pyrantel?
Definition
rash
Term
how are protozoans transmitted?
Definition
contaminated food & water, fecal matter or sexual intercourse
Term
transmited from person to person by certain species of mosquitoes
Definition
malaria
Term
used to tret infections such as malaria, giardiasis, toxoplasmosis, intestinal amebiasi, STDs(tichomoniasis) Pneumocystis pneumonia (PCP)----(Flagyl)
Definition
antiprotozoal drugs
Term
diagnosis of parasitic infections are most often made by?
Definition
stool eams
Term
for prophylactic prevention, therapy should begin 2 wks before exposure & continue for 6-8 wks after person leaves area where malaria is prevalent?
Definition
Choloroquine
Term
used to treat diseases or conditions that cause water retentionn/edema
Definition
diuretics
Term
ex of drug that is a carbonic anhydrase inhibitor?
Definition
diamox
Term
drug that causes loss of potassium
Definition
loop diuretics
Term
ex of loop diuretic drugs?
Definition
Bumex, Lasix, Demadex
Term
ex of Osmotic diuretic drug
Definition
Osmitrol
Term

ex of potassium-sparing drugs

** these drugs prevents excretion of K+

Definition
Aldactone, Triamterene
Term
ex of Thiazides Drugs?
Definition
Diuril,HCTZ,zaroxolyn,Enduron
Term
all diuretics can cause _____ when given with HTN meds
Definition
hypotension
Term
diuretics are used to treat?
Definition
edema,HTN,renal disease,cerebral edema,glaucoma, & seizures
Term
why are diuretics used in heart failure?
Definition
remove excess sodium & H2O due to pulmonary congestion & edema
Term
what is the adverse reaction with Aldactone?
Definition
gynecomastia (usually reversible when meds stopped)
Term
drug not given if has active intracranial bleeding?
Definition
Mannitol
Term
when giving Mannitol IV for ICP how often should you ck VS?
Definition
30-60min
Term
when giving Thiazides what need to be checked?
Definition
kidney function test & joint fuction
Term
loop diuretics can lead to a loss of?
Definition
Mg+
Term
when on HTN meds and diuretic med you need to avoid?
Definition
ETOH and OTC meds unless MD is aware
Term

caused by pathogen in urinary tract

-bladder most common structure affected

Definition
UTI/cystitis
Term
involuntary contractions of bladder muscle, c/o urgency, freq. during day & night & urge incontinence
Definition
overactive bladder
Term
has a high concentration in the urine and is bacteriostatic  or bactericidal
Definition
anti infective
Term
ex of anti infective drugs?
Definition
amoxil,trimox,monurol,hiprex,macrobid,bactrim,septra
Term

cholinergic blocking drugs stop bladder contractions and decreases the urge to urinate

-they relax the detrusor & other muscles

Definition
antispasmodics
Term
ex of antispasmodic drugs?
Definition
urispas, ditropan, detrp, pyridium, enablex
Term
increase fluids to how much per day?
Definition
2000+
Term
Fosfomycin/monurol dissolves in how much water?
Definition
90-120mL
Term

fluid in the middle ear accompanied by symptoms of intense local or systemic infection

-most common disorder of the middle ear

Definition
otitis media
Term
drugs to remove Cerumen are not used if?
Definition

ear drainage,discharge, pus, or irritation is present,eardrum perforated or after ear surgery

-do not use if suspected allergy to drug

Term
condition of the eye in which there is an increase in the IOP causing progressive atrophy of the optic nerve w/ deterioration of vision & blindness if untreated
Definition
glaucoma
Term
acute/sudden) iris blocks trabecular meshwork & limits flow of aqueous humorous from the anterior chamber of the eye
Definition
Angle closure
Term
the angle that permits the drainage of aqueous humor, appears to be normal but does function properly
Definition
open-angle(chronic)
Term
reduces production & increase the outflow of aqueous humor
Definition
a2-adrenergic drugs(agonist)
Term
decreases the IOP by increasing the outflow of aqueous humor
Definition
sympathomimetic drugs
Term
produces miosis; used primarily after eye exams to reverse dilation of pupil
Definition
a-Adrenergic blocking drugs
Term

decreases the rate of production of aqueous humor & thereby lowers the IOP;

-used to treat glaucoma

Definition
B-Adrenergic blocking drugs
Term
used to contract the pupil of the eye thus increasing the space through which the aqueous humor flows & decreased IOP
Definition
miotics, direct acting & Cholinesterase inhibitors
Term

used to trat elevated IOP in open angle glaucoma

-administered systemically

Definition
carbonic anhydrase inhibitors
Term

used to lower IOP in pts with open angle glaucoma & ocular hypertension

-increases the outflow of aqueous humor

Definition
prostaglandin agonist
Term
used to prevent itching of he eyes caused by allergic conjunctivitis
Definition
mast cell stabilizers
Term

used to treat post-op pain & inflammation after cataract surgery

-relief of itching of the eyes caused by seasonal allergies

-during eye surgery to prevent miosis

Definition
nonsteroidal anti inflammatory drugs
Term

used for inflammatory conditions such as allergic conjunctivitis,keratitis,herpes zoster keratits, & inflammation of the iris

-may also be used after injury to the cornea or after corneal transplant to prevent rejection

Definition
corticosteroids
Term
tx of eye infections
Definition
abx & sulfonamides
Term
antibacterial activity against gram-pos & gram neg. microorganisms
Definition
silver
Term

used in the tx of herpes simplex inf of the eye

-tx of immunocompromised pts with CMV retinitis

-prevention of the CMV retinitis in pts undergoing transplantation

Definition
antiviral drugs
Term
used for a vaiety of yeast & fungal inf.
Definition
antifungal drugs
Term

used before eye surgery in the tx of glaucoma

-for relief of minor eye irritations & to dilate the pupil for exam of eye

Definition
vasoconstrictors/mydriatics
Term
used to treat inflammatory conditions of the iris & uveal tract of the eye & for exam of the eye
Definition
cycloplegic mydriatic
Term
lubricate the eyes
Definition
artificial tears solution
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