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61 terms

Pharm - 40,42,43

The nurse is administering acyclovir (Zovirax) and recalls that it's considered the drug of choice for treatment of which viral infection?
Varicella-zoster virus (VZV) aka The Herps
When administering ganciclovir (Cytovene), the nurse keeps in mind that the main doese-limiting toxicity for this drug is which condition?
Bone marrow suppression
When reviewing the health history of a patient who is to receive foscarnet (Foscavir), the nurse knows that which condition would be a contraindication to its use?
Renal failure
When reviewing the use of amantadine (Symmetrel), the nurse expects that the drug would be used most appropriately in which patient?
A heart transplant patient who is to receive prophylaxis for influenza A.
A patient calls the clinic nurse to ask for oseltamivir (Tamiflu) "because I was exposed to the flu over the weekend at a family reunion." The nurse knows that Tamiflu is indicated for what conditions?
-Prevention of infection after exposure to influenza virus types A and B
-Reduction of the duration of influenza by several days in adults.
Single-cell fungi that reproduce by budding.
One of the major groups of antifungal drugs; includes amphotericin B and nystatin.
A very large, diverse group of eukaryotic, thallus-forming microorganisms that requires an exernal carbon source.
One of the major groups of antifungal drugs; includes ketoconazole & miconazole.
A term for yeast infection of the mouth.
One of the older antifungal drugs that acts by preventing susceptible fungi from reprodicing.
The oldest antifungal drug.
amphotericin B
An antifungal drug commonly used to treat candidal diaper rash.
An infection caused by fungi.
Multicellular fungi characterized by long, branching filaments called hyphae, which entwine to form mycelium.
An infant has thrush. The nurse expects to administer which drug for the treatment?
During an infusion of amphotericin B, the nurse monitors for which side effects?
Fever, malaise, chills
A patient calls her gyno because she has begun to have her period while taking a med for a vaginal infection. She asked the nurse that she should do. What is the nurse's best response?
Its ok to continue to take the medication.
A patient will be receiving a one-dose treatment for vaginal candidiasis. The nuse expects to administer what med?
fluconazole (Diflucan)
The nurse is administering an antifungal drug to a patient who has a severe systemic fungal infection. Which drug would be most appropriate?
amphotericin B (Fungizone)
Before beginning antiprotazoal therapy, the nurse should assess for which possible contraindications?
Underlying renal, cardiac, thyroid or liver disease, or pregnancy.
The nurse should warn the patient taking thiabendazole (Mintezol) about which possible adverse effect?
Urine with an asparagus like odor.
Why would a doctor add sulfonamide or tetracycline along with quinine treatment?
The antibiotic helps the quinine work more effectively against the malaria.
What drugs are used mainly for the management of pneumocysis jirovecii pneumonia?
pentamidine (NebuPent)
atovaquone (Mepron)
The nurse is reviewing anthelmintic therapy. Which statement is true regarding anthelmintic therapy?
Specific anthelmintic drugs target specific organisms.
Several people have contracted a protozoal infection after a group trip to another country. The nurse is aware that which patient is at the hightest risk of dehydration?
An adult who had a kidney transplant a year ago.
During treatment with zidovudine, the nurse expects to monitor for which potential adverse effect?
Bone marrow suppression
AFter giving an HIV patient an injection, the nurse accidentally recieves a needlestick from a too full sharps box. Recommendations for occupational HIV exposure may include the use of which drugs?
When the nurse is educations a patient who is taking acuclovir for genital herpes, what would be an accurate statement?
This drug will help the lesions dry and crust over.
A patient who has been newly diagnosed with HIV has a lot of questions about the effectiveness of drug therapy. After a teaching session, which statement by the pt. reflects a need for more education?
These drugs will eventually eliminate the virus from my system.
Why would a patient, who just had an organ transplant, but has no infection, receive ganciclovir?
Its given to prevent CMV infection.
What are some statements that are correct regarding the reason for using mutiple drugs to treat HIV?
-The use of multiple drugs is more effective against resistant strains of HIV.
-The goal of this treatment is to reduce viral load.
-This type of therapy reduced the incidence of opportunistic infections.
The nurse is assessing a patient who is about to receive antifungal drug therapy. Which problem would be of the most concern?
Hepatic disease
While monitoring a patient who is receiving intravenous emphotericin B, the nurse expects to see which side (book: adverse) effects?
Fever and chills
When administering antifungal drug therapy, the nurse knows that a problem that contributes to many of the drug interactions with antifungals is what?
Cytochrome P-450 enzyme system
When infusing amphotericin B, the nurse knows that whis administration technique may be used to minimize infusion-related adverse effects?
Infusing the med over a longer period of time.
When the nurse is teaching a pt. who is taking nystatin lozenges for oral candidiasis, which instruction by the nurse is correct?
Dissolve the lozenge slowly and competely in your mouth.
When monitoring a pt. who is receiving caspofungin, the nurse should look for which serious side effects?
Blood dyscrasuas, hypotention, hepatoxicity
When reviewing a med history of a pt. who is on hydroxychloroquine, the nurse notes that the pt. has no history of malaria and has never traveled outside the US. Why might the pt. be taking this drug?
Rhuematoid arthritis
What pt. teaching regarding adverse effects would be appropriate for someone taking antimalarials?
The medications may cause anorxia and abdominal distress.
What drug should the nurse stress regarding potential interactions with a patient taking an antiprotozoal drug?
What baseline assessment should be reviewed before administering antiprotozoal drugs?
Hemoglobin level
The nurse knows that antimalarial drugs are used to treat pts. with infections caused by which protozoans?
Plasmodium ssp.
When giving metronidazole, the nurse implements appropriate admin techniques that include what?
-Giving oral forms with food
-Infusing IV doses over 30-60 minutes
-Obtaining specimens before starting the medication
The nurse is obtaining a med history from an 18 yr old female pt. who has been diagnosed with genital herpes. Which drug would the nurse expect to be perscribed?
acyclovir (Zovirax)
The dose limiting side effect of ganciclovir is assessed by monitoring what?
Meds used to treat HIV are mostly specifically what?
Antiretrovirals drugs
Effectiveness of antiviral drugs administered to treat HIV infection is evaluated by what?
Viral load
Which types of antiviral drugs are used to treat HIV infection?
Nonnucleoside reverse transcriptase inhibitors
Protease inhibitors
Reverse transcriptase inhibitors
Fusion inhibitors
What might an HIV pt say that demostrates a need for further teaching?
"I don't need to use condoms as long as I take my meds as prescribed."
During a teaching session at a senior citizens home, the nurse would include info about which med that is used to decrease the duration of influenzas A & B?
oseltamivir (Tamiflu)
What is a common drug used to treat oropharyngeal candidiasis?
Before administering IV amphotericin B, it's important for the nurse to do what?
Premedicate the pt. with an antipyreetic, antihistamine & antiemetic as ordered.
What antifungal drug can be given via IV to treat severe yeast infections ans well as a 1 time dose to treat vag yeast infections?
fluconazole (Diflucan)
What is most likely to be prescribed to treat tinea pedis (athletes foot)?
terbinafine (Lamisil)
What is most important for a nurse to monitor when giving an antifungal?
Daily weights
I & O
How long should a patient taking chloraquine prohlactically while traveling to a foreign country with a malarious outbreak take the drug after leaving the affected area?
4 weeks
When admitting a patient diagnosed with Pneymocystis jirovecii pneumonia, the nurse will anticipate adminsitering what drug?
pentamidine (Pentam)
A pt. taking an anthelmintic drug should be instructed to notify the doc right away if they experience what?
Darkened urine.
The nurse would question an order for chloroquine in a pt also prescribed what med?
valproic acid
A pt has s/s of malaria after a trip to South America. What drug should the nuse expect to be prescribed?
chloroquine (Aralen)