1
|
- Inhibit viral DNA reproduction
- H. zoster & H simplex
- Oral, IV
- Initial and recurrent episodes
|
2
|
- Must be started asap
- Reduces viral shedding
- Decreases:
- Symptoms
- Severity
- Duration
|
3
|
- Nucleoside Reverse Transcriptase Inhibitors
- Non-Nucleoside Reverse Transcriptase Inhibitos
- Protease Inhibitors
|
4
|
- Rapid development of resistance
- Antiviral activity is inferior to combinations of 3 or more
|
5
|
- Substitutes for thymidine
- Inhibits reverse transciptase
- Prevention
- Slows progression
|
6
|
|
7
|
- Faulty version of building block
- Without building block, HIV cannot copy
- HIV uses NRTI=Viral replication is stalled
|
8
|
- Bone marrow suppression
- Dose limiting effects
|
9
|
- Treat advanced disease
- Used for synergistic effect
- Bind to and disable Reverse Transcriptase
- Inhibit viral replication
- Pg 586
|
10
|
- Pg 586
- Drug interactions pg 587
- PI’s disable protease
- Virus is unable to make copies
|
11
|
- Used as an anti-depressant
- Decreases blood levels of Protease Inhibitors
- Decreases blood levels NNRTI’s
|
12
|
|
13
|
- The World Health Organization estimates that in the next decade 300
million more people will become infected, that 90 million people will
develop the disease, and 30 million people will die from it. TB
currently kills more adults each year than AIDS, malaria and tropical
diseases combined, and almost 170,000 children (see the WHO Report on
Global Tuberculosis Control).
|
14
|
- Reduces incidence 54-88%
- 12 month course of medication
- Prevent progression to clinical disease
|
15
|
|
16
|
- Give with B6
- Single daily dosing
- Empty stomach if possible
- 6-9 months
|
17
|
- Reddish discoloration
- Rifampin and INH in combination eliminate TB from sputum and produce
clinical improvement
- Take on empty stomach
|
18
|
- N & V & diarrhea
- Neurotoxicity 8th cranial nerve (575)
- Hepatotoxicity
- Hypersensitivity
|
19
|
- Treatment of Fungal Infections
Candidiasis
· Oral
|
20
|
- Candidiasis
- Vaginal discharge, itching, burning
- Penile discharge, urinary frequency
|
21
|
- Lesions of the Skin/Nails
- · Warm moist areas of the body
|
22
|
- Lungs
· Fever, malaise, cough
|
23
|
- Swish for several minutes THEN swallow
|
24
|
- Obese people need teaching about skin protection
|
25
|
- Universal Precautions
- Nystatin (Mycostatin)
- Oral Hygiene
- Nonacidic Foods
- Soft bland food
|
26
|
- Amebiasis
- Giardiasis NO
- Malaria NO
- Pneumocystosis NO
- Toxoplasmosis NO
- Trichomoniasis
- Helminthiasis NO
- Scabies and Pediculosis NO
|
27
|
- Kills the amebia that causes intestinal and extraintestinal amebiasis
|
28
|
- Kills the ameba that causes trichomoniasis
|
29
|
- Determine exposure to parasite by history or lab report
|
30
|
- Identify signs and symptoms
- N/V
- Diarrhea
- Abdominal cramping
- Weakness
|
31
|
- Give Metronidazole(Flagyl) with food
- Common side effects
- Observe for adverse effects especially neurological
- Convulsions
- Paresthesias
- Vertigo
|
32
|
- Take Flagyl with or after meals
- DO NOT drink Alcohol products
- Cramps
- Nausea
- Vomiting
- Headaches
- flushing
|
33
|
- Decrease effectiveness
- Increase effectiveness
|
34
|
- Prevention
- Clean environment
- Travel precautions
- Handwashing
- Undercooked meat/fish
- Condom use
|
35
|
- You are going to give a client Amoxicillin clavulanate (Augmentin). Which of the following nursing
interventions are most important?
- Check allergies
- Assess pain level
- Observe respirations
- Evaluate blood pressure
|
36
|
- Always Check Allergies prior to administering any medication!!
|
37
|
- You are about to give a client Cephalexin (Keflex). The client states he is allergic to
penicillin. What is the
appropriate nursing action?
- Check all vital signs carefully
- Hold drug until physician notified
- Give drug after making an allergy bracelet
- Tell client allergic responses will be assessed
|
38
|
- Speak to the physician and remind him/her of the allergy…sometimes there
is a cross over between these drug families.
|
39
|
- Which of the following clients is most likely to be treated with
Gentamicin (Garamycin)?
- 56 yr old deep wound infection
- 42 yr old neuromuscular disorder
- 19 yr old chronic pain from auto accident
- 91 yr old post op urinary tract
infection
|
40
|
- This is a potent antibiotic
|
41
|
- You are told to do a peak blood level on a client who has been treated
with Gentamicin (Garamycin). What
nursing action is correct?
- Hold medication until pulse rate is assessed
- Assess blood pressure before giving medication
- Run blood sample after medication is given
- Draw blood immediately before medication is due
|
42
|
- Peaks are drawn After the medication is given.
|