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Chapter 92- Antifungal Agents
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Terms in this set (18)
Renal impairment occurs in practically all patients with administration of this drug
Ampho B
The patient is experiencing fever, chills and rigors from ampho B administration, the practitioner should expect to administer
diphenhydramine
To reduce the risk of ampho B toxicity the practitioner should prescribe this drug to reduce risk of toxicity
flucytosine
Severe liver failure has been noted with administration of
itraconazole
Signs of severe liver failure include but not limited to
persistent nausea, anorexia and pale stools
For the patient with serious fungal infections and heart failure the patient would be prescribed
itraconazole with careful monitoring
For the patient taking ranitidine and itraconazole the nurse should educate the patient
take 1 hour before or 2 hours after itraconazole
For the person taking Nexium, stomach acid may not be sufficient enough to take
itraconazole
Low-dose Fluconazole therapy is considered pregnancy risk category
pregnancy risk category D
The drug of choice for invasive aspergillosis
voriconazole
Fatal hepatic necrosis have occurred with administration of this medication and should only be used for systemic infection
ketoconazole
Toxicity of ampho b results from
binding to cholesterol in host cell membranes
Advantages of itraconazole to ampho b is
lower toxicity
Itraconazole has two major adverse effects
cardiosuppression and liver damage
Onychomycosis is difficult to treat, oral therapy is preferred with
terbinafine or itraconazole
Vulvobaginal candidiasis can be treated with a single oral dose of
fluconazole
Measurement of potassium levels is important with administration of ampho b d/t
renal injury that may cause hypokalemia
When providing teaching for a patient starting flucytosine [Ancobon] therapy, the nurse identifies what as the priority concern
You'll need to report any symptoms of bruising, fever, and fatigue
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