ATI PROCTORED PHARMACOLOGY
STUDY GUIDE LATEST(2021)
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Antibiotics affecting the Bacterial Cell Wall: Priority Findings to report to the Provider
• Antibiotics includes penicillin’s, cephalosporins, carbapenems, and monobactams Complications: Allergies, anaphylaxis, renal impairment, Hyperkalemia, dysrhythmias, Hypernatremia
• Notify Provider if allergies are present
Older Adults: Client teaching about insulin administration
• Older adult clients might not be able to drive to the providers office, grocery store, or pharmacy. Assess support systems available for older adult clients.
• Older adults are at risk for altered metabolism of medication due to decreased kidney and
liver function because of the aging process
• Older adults can have vision alterations (yellowing of the lens, decreased depth perception, cataracts), which can affect ability to read information and administer medication
Airflow Disorders: Teaching about Theophylline
Methylanilines
• Theoplylline purpose is relaxation of bronchial smooth muscle, resulting in bronchodilation.
• Oral theophylline is used for long-term control of chronic asthma or COPD
• Route: oral or IV
• Interactions: Caffeine increases CNS and cardiac adverse effects of theophylline levels.
• Nursing Considerations: Advise clients to avoid consuming caffeinated beverages (coffee, caffeinated colas).
• Phenobarbital, phenytoin, and rifampin decrease theophylline levels
• Advise clients to take medication as prescribed. If a dose is missed, the following dose should not be doubled.
• Instruct clients not to chew or crush, these medications should be swallowed whole.
• Advise patients to observe for manifestations of theophylline toxicity (N&V, Seizures), and notify provider.
Antibiotics affecting the bacterial cell wall: Adverse reactions
• Tetracyclines
adverse reactions
GI discomfort: cramping, N&V, diarrhea, and esophageal ulceration
Yellow or brown tooth discoloration, hypoplasia of tooth enamel – avoid administering to children younger than 8yrs and pregnant women.
Hepatotoxicity (lethargy, jaundice) Photosensitivity (intense sunburn)
Superinfection- pseudomembranous colitis(diarrhea), oral candidiasis, vaginal, pharynx and bowels
Dizziness, lightheadedness (minocycline)
• Macrolides – Erythromycin Azithromycin [Show Less]