Pharm Exam 4 Review
*If bolded or underlined he told us we would see it on the test!
Unit 10 –
Antibiotics “50% of the test”
- First do a culture before giving medication, then start broad spectrum don’t wait 72 hours
- x4 questions Superinfection: Secondary infection when normal flora killed example: Yeast
infection from antibiotics Let the health care provider know first!
- Mycin, Micin “Mice” = Ears Autotoxicity
- Know what Stevens – Johnson Syndrome is *
- If observed sores on tongue – Call Doctor first!
- Review WBC labs, make sure they are trending down
- Side effects/Adverse Reactions for all Antibiotics
- Tongue discoloration, stomatitis, glossitis
- GI distress
- Clostridium difficile-associated diarrhea
- Hypersensitivity, anaphylaxis
- Superinfection
- Bleeding (interferes with clotting)
- SJS
Amoxicillin - Inhibit bacterial cell wall
- Do not take citrus juice (Decreases Effect)
- If allergic to amoxicillin do not take cephalosporin
- Take on empty stomach but food is ok
Azithromycin – Macrolide Z Pack AZZZZZZ I have bacteria
- Inhibits protein synthesis – Stronger Antibiotic
- Photosensitive! Tinnitus – ototoxicity
- Do not give with pt with heart issues, check Liver labs
Vancomycin – Glycopeptide
- Can lead to permanent hearing loss
- IV push Slowly!
This study source was downloaded by 100000890074950 from CourseHero.com on 09-12-2024 21:45:18 GMT -05:00
, - Can cause thrombophlebitis
- Red Man syndrome – if given IV too fast
- Know peak and trough
Doxycycline – Tetracyclines DOXY has an infection
- Discoloration of permanent teeth! (DO not give with milk)
- Do not give to children under 8
- Check liver
- Can be given with food but no diary/ iron
Gentamicin – Aminoglycoside
- Watch for bleeding
- Renal Disease Kidneys
- Last resort for elder
- I&O
- Peak and Trough
Ciprofloxacin – Fluoroquinolones Flox is serious = Serious infection
- Severe infections
- Tendon rupture
- Steven Johnson syndrome
- Increases Hypoglycemia / Caffeine
- Drink A LOT of fluids
Sulfonamides- Trimethoprim Sulfamethoxazole
- Probiotics
- Crystal Uria
- Photosensitive!
Nystatin – Local – Lotions NY has Yeast infection
For Fungal superinfections
Thrush
Fluconazole – Antifungal Yeast infection
This study source was downloaded by 100000890074950 from CourseHero.com on 09-12-2024 21:45:18 GMT -05:00
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