566 Midterm Study Guide 1 Week 1 – Things to know about each of the major antibiotic drug classes o Examples o Contraindications and high-risk…

Question 566 Midterm Study Guide 1 Week 1 – Things to know about each of themajor antibiotic drug classes o Examples o Contraindications and high-risk patients o Know examples of each of the major antibiotic drug classes. o Monitoring needs o Which ones require renal dosing adjustments and how much (i.e., 25%, 50%, etc.) o Patient education o Lifespan considerations including pregnancy o Indications for use – Community Acquired Pneumonia (CAP) o Causative agents o Treatment options ▪ Empiric treatment when culture results are not available ▪ Understand the use of macrolides in pregnancy and children under the age of 8 with CAP or M. Pneumoniae. ▪ When to prescribe fluoroquinolone for CAP o Progression of infectious process ▪ Treatment expectations o Know the most likely pathogen causing CAP according to patient population – Treatment of chlamydial pneumonia – Understand empiric treatment and when to use – Understand broad spectrum vs narrow spectrum agents o What are they o Drugs under each category o How they work (local vs. systemic) o When to use each – If someone is allergic to one antibiotic group, which do you prescribe in its place? o Allergic to penicillin- what would you prescribe? o Allergic to sulfa drugs- what would you prescribe? – Clostridium difficile o How to treat o Which antibiotics are more likely to cause? – Which antibiotics require renal dose adjustments? – What types of infections are usually viral and do not warrant antibacterial agents? 566 Midterm Study Guide 2 Week 2 – Know how to treat o Different types of Tinea o Oral candidiasis o Aspergillosis – Voriconazole and Phenobarbital should not be combined due to CYP450 o Phenobarbital is a CYP450 inhibitors which can reduce the levels of drugs like voriconazole. – Adverse reactions/Patient Teaching o Itraconazole o Nucleotide Reverse Transcriptase Inhibitors (NRTIs) ▪ Example drugs of NRTIs – Diagnostics & Monitoring for anthelmintics – Identifying High-Risk Patients with the following drugs o Albendazole o Mebendazole o Pyrantel pamoate o Ivermectin o Moxidectin o Didanosine o Zidovudine o Lopinavir – Adverse Effects o Albendazole o Pyrantel pamoate o Mebendazole o Ivermectin o Moxidectin o Lopinavir/ritonavir o Saquinavir o Enfuvirtide – Lifespan Considerations o Which medications are safe during pregnancy or childhood – How to measure therapeutic effect of HIV therapy Additional Notes: – Drugs that decrease gastric acid should be administered at least 2 hours apart from other drugs due to decreased drug absorption. – Prompt recognition of liver injury is essential with oral antifungal drugs. AST, ALT, alkaline phosphatase, and bilirubin should be monitored prior to initiation of therapy, monthly for 3 to 4 months, and frequently thereafter during treatment. 566 Midterm Study Guide 3 Week 3 – Treatment of glaucoma o Pros and Cons of beta blocker use o How to treat someone with glaucoma and either asthma or COPD – Treatment of Otitis Media and associated symptoms – Treatment of Otitis Externa and associated symptoms o Bacterial vs. Fungal – Treatment of acne o Mild o Moderate o Severe (two agents) – Treatment of eczema and complications that may arise – Key ingredient needed in organic sunscreen – Mechanism of Action o Expectorants (know examples) – Adverse Effects & Patient Teaching o Montelukast o Intranasal Glucocorticoids o Sympathomimetics ▪ Phenylephrine ▪ Pseudoephedrine o Brimonidine o Prostaglandin analogs o Salicylic Acid for Acne o Benzoyl peroxide o Isotretinoin – Be familiar with which medications control which set of symptoms: o Intranasal glucocorticoids, such as fluticasone propionate, are the most effective drugs for prevention and treatment of seasonal and perennial, because they prevent or suppress all the major symptoms of allergic rhinitis (congestion, rhinorrhea, sneezing, nasal itching, and erythema). o Pseudoephedrine is an oral sympathomimetic used to reduce nasal congestion associated with allergic rhinitis. It has no effect on other symptoms. o Loratadine, an oral antihistamine, reduces sneezing, rhinorrhea, and nasal itching only and is less effective than intranasal glucocorticoids. o Intranasal cromolyn sodium is moderately effective in the treatment of allergic rhinitis, but the benefits are much less than those of intranasal glucocorticoids. – How to manage rebound congestion – Understand role of biologics in treating allergies 566 Midterm Study Guide 4 Week 4 – Treatment of obesity o Evaluation of phentermine/topiramate – Adverse Effects and/or Patient Teaching o Orlistat o Lorcaserin o Naltrexone o Naltrexone/Bupropion – Drug Interactions o Orlistat – Baseline data and ongoing assessment needs for prescribing o Liraglutide o Orlistat o Lorcaserin o Phentermine o Naltrexone/bupropion – Drug interactions o Lorcaserin – Role of topiramate in the treatment for obesity – Obesity stages o BMI at each stage o Treatment recommendations for each stage – DEA Schedules of drugs used to treat obesity Health Science Science Nursing NR 566 Share QuestionEmailCopy link Comments (0)