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Author: admin, 06.09.2015. Category: Cure Ringing Ears

Cross sensitivity to Penicillin’s and watch for allergies (peanuts, chocolate, almonds, and etc. Antibacterial, 3d gen, kills gram negative organisms, inhibits cell walls, for serious infections of the lower respiratory tract, central nervous system, genitourinary system, bones and joints, for bacteremia or septicemia.
Pathogenicity:  ability of an organism to cause infection, this depends on an organism’s ability to evade or overcome body defenses.
Gram-positive bacteria:  bacteria that contain a thick cell wall and retain a purple color after staining, includes staphylococci, streptococci and enterococci.
Gram-negative bacteria:  bacteria that have thinner cell walls that will lose the violet stain, this includes bacteroides, Escherichia coli, klebsiella, pseudomonas, and salmonella. Either:  some that have the ability to change their metabolism and survive in either aerobic or anaerobic conditions depending on their external environment.
Bacteriostatic:  growth-slowing drugs, slow bacterial growth, allowing the body’s natural defenses to eliminate the microorganisms. Objective 4: Using a specific example, explain how resistance can develop to an antiinfective drug.
Objective 5: Describe the nurse’s role in the pharmacologic management of bacterial infections. Objective 6: Explain the importance of culture and sensitivity testing to antiinfective chemotherapy. Objective 7:  Identify the mechanism of development and symptoms of superinfections caused by anti-infective therapy.
Superinfections: one common adverse effect of anti-infective therapy is the appearance of secondary effects is one that occur when microorganisms normally present in the body are destroyed.
Explain the process of synaptic transmission and the neurotransmitters important to the autonomic nervous system.

Compare and contrast the types of responses that occur when drugs activate alpha1-, alpha2-, beta1-, or beta2-adrenergic receptors, and nicotinic or muscarinic receptors. Stimulation of the parasympathetic nervous system:  Cholinergic agents or parasympathomimetics, produce the characteristic symptoms of the rest-and-digest response.
Describe the nurse’s role in the pharmacologic management of patients receiving drugs affecting the autonomic nervous system.
HR, BP inc more blood to skeletal muscles -> liver produces more glucose for energy, Bronchi dilate to allow more air into lungs, and pupils dilate for better vision. Stimulation of the parasympathetic nervous system:  Cholinergic agents or parasympathomimetics,produce the characteristic symptoms of the rest-and-digest response. Atropine (Sulfate) (Atro-Pen, Atropair, Atropisol):  antidote for anticholinerase posioning.
Dysthymic disorder: characterized by less severe depressive symptoms that may prevent a person from feeling well or functioning normally. Seasonal affective disorder (SAD):  when ppl experience depression during the dark winter months.
Psychotic depression:  characterized by the expression of intense mood shift and unusual behaviors.
Objective 4: Discuss the nurse’s role in the pharmacologic management of patients with depression, bipolar disorder, or attention deficit–hyperactivity disorder. Objective 6:  Categorize drugs used for mood and emotional disorders based on their classification and drug action. When a child’s hyperactive behaviors involving difficulty in paying attention or focusing on tasks. Assessment: monitor VS, height and weight, hx, nutritional, social behavior hx, monitor adverse effects electrolytes.

Side effects: constipation, dry mouth, orthostatic hypotension, insomnia, nausea, loss of appetite. No other antidepressants, opiates, meperidine, sympathomimetics, caffeine can cause HTN or dysrhythmias, + ginseng headaches, tremors, mania, insomnia, irritability and hallucinations, no ma huang, ephedra, st. Generalized anxiety disorder (GAD):  a difficult-to-control, excessive anxiety that lasts 6 months or more. Panic Disorder: Is characterized by intense feelings of immediate apprehension, fearfulness, terror or impending doom, accompanied by increased ANS activity. Post-traumatic stress disorder (PTSD):   a situational anxiety that develops n response to re-experiencing of the traumatic event. Antidepressants have the ability to reduce anxiety symptoms by altering lvls of norepinephrine and serotonin.
REM Sleep:  rapid eye movement, loss of muscle tone, eye movement , dreaming takes place here, mind very active like waking state. Epilepsy: a disturbance of electrical activity in the brain that may affect consciousness, motor activity in the brain that may affect consciousness, motor activity and sensation. Sympathomimetic effects (HR, HTN inc) anticholinergic effects (dry mouth, blurred vision, urinary retention and constipation). DNG: intranasal, excitation, tremors, dysrhythmias, tachycardia, dysuria, severe vasoconstriction.

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