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Aminoglycosides kill the ________ cell by affecting ______ _______.
- Bacteria
- protein synthesis
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Aminoglycosides are effective against ______ gram-______ infections.
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Aminoglycosides are used to sterilize ____ prior to surgery.
bowl
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Aminoglycosides are used to destroy _____-producing bacteria to prevent absorption of _______ in hepatic ___________.
- urease-producing
- ammonia
- hepatic encephalopathy (is a worsening of brain function that occurs when the liver is no longer able to remove toxic substances in the blood)
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Aminoglycosides are used in infections caused by:
- Acineto-bacter
- Citro-bacter
- E. Coli
- Klebsiella
- Pneumoniae
- Proteus
- Pseudomonas
- Providencia
- Salmonella
- Serratia
- Staphylococcus
- (Also active against protozoal infections)
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When dealing with Aminoglycosides some common meds are:
- Genta-mi-cin
- Ami-ka-cin
- Kana-my-cin
- Ne-til-mi-cin
- Neo-my-cin
- To-bra-my-cin
- Paro-momy-cin
- strepto-my-cin
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_______ is the prototype for aminoglycosides antibiotic.
Gentamicin
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___ route is the preferred for optimal distribution to tissue, but may be use ___.
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When dealing with aminoglycoside oral route is _____ absorbed so effective orally only to cleanse ____ prior to surgery to eliminate bacteria in ____ or to prevent absorption of _______ in hepatic encephalopathy.
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What other 2 routes can be used b/c of poor penetration of CSF by other routes?
- intrathecal
- intraventricular
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When dealing with aminoglycosides a contraindication is if the pt has preexisting ____ disease, _________ _____, and _______ and ______ (use cautiously)
renal
my-as-the-nia gravis (a neuromuscular disorder. Neuromuscular disorders involve the muscles and the nerves that control them)
pregnancy and lactation
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Contraindications for aminoglycosides are concurrent orders for renal toxic agents such as: (list 3)
- Ampho-teri-cin B (Fungizone)
- Vancomycin (Vancocin)
- Loop diuretics as Furosemide (Lasix)
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When dealing with significant drug interactions, Aminoglycosides may be microbiologically inactivated with concurrently high concentrations of ________ greater than ____mcg/mL.
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When dealing with aminoglycosides do not mix other __________ in the same ___ fluid.
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With oral anticoagulant therapy, bleeding may increase b/c aminoglycosides decrease Vitamin __ synthesis in the _______ tract.
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When dealing with significant drug interactions of aminoglycosides, concurrent administration of __________ (_______) may mask signs of toxicity.
di-men-hydrinate (Dramamine)
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What lab studie determine that toxic levels do not occur?
Peak drug level
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what lab studie assures that theraputic levels of drug are maintained b/t doses?
Trough drug leve
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____ _____ _____ ( ) is used to monitor effectiveness of drug therapy.
White Blood Count (WBC)
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_______ and immature neutrophils, called ____ or ____, are increased in acute bacterial infections.
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Neutrophils and lymphocytes make up ___% to ___% of leukocytes; when one part of the differential increases, as in response to an acute infection, another part has to decrease; a "____ to the___" signifies an increase in neutrophils and, therefore, an acute bacterial infection.
- 75% to 90%
- shift to the left
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What 2 lab studies monitor renal function?
- serum creatinine
- blood urea nitrogen (BUN)
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Out of creatinine and BUN test which one is most specific test for renal function?
creatinine
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If creatinine level rises 3 to 4 days into treatment what does that indicate?
renal damage has occured
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List 4 side effects for aminoglycosides:
- headache
- paresthesia (a sensation of tingling, pricking, or numbness of a person's skin with no apparent long-term physical effect)
- skin rash
- fever
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When dealing with aminoglycoside's adverse effects/toxicity, __________ and __________ are two common toxicities associated with therapy with aminoglycosides and occurs when _____ levels are elevated.
- nephrotoxicity
- ototoxicity
- trough
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Neuromuscular blockade: secondary to inhibition of _________ release; may be seen in clients with _________ _____ or clients receiving neuromuscular blocking agents as ________ _____ (_____) or __________ (________); use ______ salts to reverse the blockade.
- Acetylcholine
- myasthenia gravis
- Pan-cur-o-nium bromide (Pavulon)
- Succinyl-choline (Anectine)
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________ is known as a secondary infection caused by eradication of normal flora.
Superinfection
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List 2 superinfections:
- Candidiasis
- Pseudomembranous colitis
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Candidiasis is a secondary infection usually of ___ and ____ _______ caused by ______ _____.
- skin
- mucous membranes
- Candida albicans
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Candidiasis is often associated with __________.
immunosuppression
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Pseudomembranous colitis is a secondary infection of the ____ usually caused by ________ ______.
- bowl
- Clostridium difficile
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Normal creatine levels are?
Normal BUN levels are?
- 0.8 t0 1.6 mg/dL
- 8 to 22 mg/dL
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Take oral ________ on an empty stomach, __ to __ hours before any meal or other drugs.
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When administring a med you need to know:
- drug name
- route
- administration schedule
- whether to take with food or without food.
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