Major antibiotic classes with their key nursing considerations, allergy cross-reactivity, and administration timing.
39 cards · basic cards · AI-written, checked twice. Edit anything.
- What severe allergic reaction is the primary concern with penicillin administration?
- Anaphylaxis
- Why should cephalosporins be given cautiously to a patient with a penicillin allergy?
- Cross-reactivity between penicillins and cephalosporins can trigger an allergic reaction
- Which common penicillin can be taken with food, unlike many other penicillins?
- Amoxicillin
- What should patients avoid taking with tetracyclines because it reduces drug absorption?
- Dairy products, antacids, and iron supplements, since calcium and other cations bind the drug
- Why are tetracyclines avoided in children under 8 and during pregnancy?
- They cause permanent tooth discoloration and affect bone growth
- What skin precaution should patients on tetracyclines be taught?
- Use sunscreen and avoid excess sun exposure due to photosensitivity
- Which lab values must be monitored to detect aminoglycoside-induced kidney damage?
- BUN and creatinine
- What sensory function should be monitored during aminoglycoside therapy due to ototoxicity risk?
- Hearing and balance
- Why are peak and trough levels drawn for aminoglycosides?
- They have a narrow therapeutic index, so levels must be monitored to avoid toxicity while ensuring effectiveness
- How are aminoglycosides typically administered, and why?
- IV or IM, because they are poorly absorbed orally
- Infusing vancomycin too rapidly can cause ____, a flushing reaction of the face, neck, and trunk.
- Red Man Syndrome
- When should a vancomycin trough level be drawn?
- Immediately before the next scheduled dose
- What musculoskeletal injury is a known risk with fluoroquinolone use?
- Tendon rupture, especially of the Achilles tendon
- Why are fluoroquinolones generally avoided in children and pregnant patients?
- They can damage developing cartilage
- What should patients avoid taking near the time of a fluoroquinolone dose?
- Dairy products, antacids, and calcium, iron, or zinc supplements