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Pharm Exam #2
Med Nsg Considerations/Teaching
13
Nursing
Undergraduate 3
03/10/2014

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Cards

Term
Prednisone
Definition

VS, weight, urine output, mental status, skin, s/sx bleeding, vision

Labs (electrolytes, glucose), meds, comorbidities, taper when d/c (q5 days)

Check wt daily, admin w/food, avoid preg, avoid people w/infections

Term
Bactrim
Definition

VS, renal/liver function, CBC, meds, s/sx infection

Monitor I/O, s/sx superinfection

Maintain adequate hydration

Antacids 2 hrs before/after

Take on empty stomach w/full glass H2)

Protection from sun

Monitor for skin breakdown

Term
Levofloxacin
Definition

VS, I/O, meds, caffeine intake, C/S, labs (BUN, creatinine, glucose if hypoglycemics)

2 hrs before/after antacids/iron

W/full glass H2O, W/food if GI upset

s/sx superinfection

Good hydration, avoid caffeine

Precautions for photosensitivity

Report SE (diarrhea)

Term
Azithromycin
Definition

VS, urine output, C/S before therapy

Monitor liver enzymes

Take full regimen

Antacids 2 hrs before/after

1 hr before/2 hrs after meals w/H2O (NOT fruit juice)

Term
Vancomycin
Definition

C/S before therapy

Monitor levels (peaks, troughs)

Admin over 1-2 hrs IV, rotate sites

Monitor BP, renal function, superinfection, hearing, IV site, labs (CBC, renal)

Term
Ancef
Definition
Monitor VS, output, renal/liver/CBC, superinfection, C/S before therpay
Term
Nitrofurantoin
Definition

Take w/food (dec GI upset)

Avoid antacids

Don't crush/open capsules

Shake liquid suspension well

Rinse mouth after (can stain teeth)

Inc fluid intake (cranberry juice, plums, proteins, prunes, Vit C)

Term
Antimalarials
Definition

Assess hearing (CN VIII), visual changes

I/O (at least 600 mL/day)

Monitor liver enzymes

Avoid large amts alcohol

Travelers should take prophylactic meds

Take w/food (dec GI upset)

Term
Acyclovir
Definition

Assess for other nephrotoxic drugs

Admin IV over 1 hr

Oral can be taken w/food

Monitor CBC, renal/liver function, urine output, BP

Superinfection (lont term, high dose)

Maintain adequate fluid status

Teach frequent dosing

Practice abstinence, condoms

Report dec urine output

Term
Metronidazole
Definition

W/food (to avoid metallic taste)

C. diff (give IV, PO 10-14 days)

Avoid alcohol

Term
Fluconazole
Definition

Monitor liver/renal function

Teach correct admin

Monitor effect

Term
Nystatin
Definition

Admin (swish & swallow)

Gargle if throat affected

Term
Isoniazid
Definition

1 hr before/2 hrs after meals

Follow complete regimen

Collect sputum sample early morning

Take pyridoxine (Vit B6) to prevent peripheral neuropathy

Liver enzymes (AST, ALT, bilirubin), CBC

Frequent eye exams

Report numbness, tingling, burning

Sun precautions

Avoid antacids, alcohol

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