NCLEX MED

28 cards   |   Total Attempts: 182
  

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Cards In This Set

Front Back
Aminoglycoside
(ending)
-mycin
Aminoglycoside
drug class
Antiinfective
bactericidal
Aminoglycoside
DRUGS
-gentamicin (Garamycin)
-streptomycin- can sometimes be used for TB
-tobramycin (Nebcin)
-amikacin (Amikan)
-kanamycin (Kantrex)
-neomycin
Aminoglycoside
Adverse Effects
Ototoxicity- vertigo, tinnitus, balance problems, hearing loss
nephrotoxicity- monitor renal fxn tests: bun, creatinine, creatinine clearance, I &O’s
neurotoxicity/ neuromuscular blockade- observe for headache, lethargy, tremor, paresthesia
Aminoglycoside
Miscellaneous
Take Peak and Trough
Contraindicated for pts with renal probles, pts taking other ototoxic meds
Vancomycin
trade name
Vancocin
Vancomycin
Indications
IV- MRSA
PO- C. diff and Psuedomembranous colitis
Vancomycin
Adverse effects
Ototoxicity
Nephrotoxicity
Red man syndrome-occurs if vanc is given to quickly, causing itching of head and red rash around neck, face or torso
Vancomycin
Administration
Give slowly @A least over 1 hour (minimum)
- Never give IM because it is so harsh and irritating
-Watch site of administration for tissue irritation, (high incidence of pain and thrombophlebitis)
-*****Must draw blood for drug levels peak and trough*****
Penicillin
ending
-cillin
Penicillin
Short half life so frequent doses required
Penicillin
-penicillin (Penicillin V Potassium- Pen VEE K)- should be taken on an empty stomach: decreases effectiveness of oral contraceptives
amoxicillin (Amoxil)
-ampicillin (Amcil, Omnipen)
-Dicloxacillin (Diclox)
-nafcillin (Nafcil, Unipen)
-Benzylpenicillin, commonly known as penicillin G, is the gold standard type of penicillin. 'G' in the name 'Penicillin G' refers to 'Gold Standard'[citation needed]. Penicillin G is typically given by a parenteral route of administration (not orally) because it is unstable in the hydrochloric acid of the stomach.
-ampicilin/claulanate (Augmentin)
-ampicillin/sulbactam (Unasyn)
-ticarcillin/ clavulanate (Timentin)
Penicillin
adverse effects
-Diarrhea, nausea,
-superinfection,
-neurotoxicity,
-hypersensitivity (allergic rxn), urticaria (hives), rash
Penicillin
administration
-penicillins are incompatible with aminoglycosides so do not mix and administer at different sites at least 1 hour apart
-increases the risk for bleeding so use cautiously in person taking anticoagulants
-asses iv site for signs of phlebitis
Cephalosporins (ceph; cef)
1st generation
First Generation: treat gram pos organism
-Cephalexin (Keflex)
-cefazolin (Ancef, Kezol)
-cefadroxil (Duracef)