Pharinacology ‘STUDENT ACTIVITY SHEET BS NURSING / SECOND YEAR Session 3 LESSON TITLE: ANTFINFECTIVE AGENTS/ANTIBIOTICS Materials: LEARNING OUTCOMES: Book, Notebook, pens & paper ‘At the end of the lesson, the nursing student can: 4. Differentiate broad spectrum and narrow spectrum References: drugs; Hayes, Evelyn R. Pharmacology: A Nursing 2. Define bacterial resistance to antibictic; and, Process Approach: 6 th Editon, SingSpore: 3, Explain ways to minimize bacterial resistance. Elsevier Saunders Company. 4, Explain how an antibiotic is selucted for use in a Karch, Amy M. Focus on Nursing Pharmacology particular nial situation 5 edition. Philedelphia: Lippincott Wiliam 5, Develop a drug study guide, (therapeutic action, and Wilkins indication, contraindication, most common adverse reaction and nursing responsiblity) of the different classes of antibiotics; and, 6. Discuss the use of antibiotics across the lifespan. LESSON REVIEW! PREVIEW OR HOOK ACTIVITY (10 minutes) ANAGRAM Rearrange the scrambled letters to form a word. Words are related to the lesson. 1. ITNBTIAIOCS Aum yo Tes 2. ELINGGYCOAMSIDS \ii0, Ki ley govins 4 FQUNOLOUILORONES _FI¥O Avi noLonES 5. HISHEBEOSL Hace das 3, PHNISOREAOLPSE 8. COSALINMDEIS UNC? sanmids MATCOMASNBO Monn bacon 8 ENPILNECLIS Femi ai\Kins 8. SAMUNIELDFSO fev fonsmwcds) IO TENIELSTCRCAY Tera oy din MAIN LESSON (45 minutes) ANTIINFECTIVE AGENTS Development of Anti-infective Therapy * 1920s Paul Ehrlich worked on developing a synthetic chemical effective against infection-causing cells only. Scientists discovered penicilin in a mold sample This document and the information thereon is the property of PHINMA Education (Department of Nursing) tof 10+ iications: Treatment of various infections caused by susceptbe strains of bacteria and acne, and when Penicilin is urine , X. —_Antimycobacterials + Contain pathogens causing tuberculosis and leprosy 1 Aetion: Act on the DNA of the bacteria, leading to lack of growth and eventual bacterial death + Indication: Treatment of acid-fast bacteria 1 Pharmacokinetics: Well absorbed from the Gi tract; Metabolized inthe liver and excreted in the urine + Contraindications: Allergy and renal or hepatic failure + Adverse effects: CNS effects and Gl irritation Drug-to-drug interactions: Rifampin ana INH can cause liver toxicity CHECK FOR UNDERSTANDING (30 minutes) ‘Younall answer and ratonelize this by yourself. This will be recorded as your quiz. One (1) point wil be given to comect, alowed, Youre erecne,(1) point for the corect rationalization. Superimposiions or erasures In you oncneisng is not allowed. You are given 25 minutes for this activity: Multiple Choice 1. The nurse is administering an ‘Nurse should assess the client for 2. Any neurologic abnormalities. b. Cardiac history. c. Hypersensitivity. 4. Respiratory conditions, ANSWER: c RATIO: ee Angin Ase Yh, pure end cond ~caleating, Ys Lettres ee hy ten tn ae tee ech VON Yea, dat be te denen 2. The client asks the nurse why the physician didn't The best response by the nurse would be: 2. “it doesn't matter which antibiotic is taken.” b. "Try this medicine, and if you're not better in 10 days, return to the office.” . "You don't want to take the same antibiotic all the time.” anti-infective that is considered to be a bacteriocidal. Before beginning therapy, the Prescribe the same antibiotic that he always takes for an infection, 4. “Bacteria can become resistant to some antibiotics. answer RATIO__(F sage ciant te Umit she admin boron of 0b mtre +e ten He Keane hed de Bachem eater oe Aasse Op. resistance, all Hatt kage BA a pip ps 3. Anurse is preparing to administer a broad-spectrum ant Prior to administration regarding anti-infectives ie Yibiotic medication to a client. An important nursing intervention his document and the information thereon is the property of INMA Education (Depa:tment. ‘of Nursing) sorte'. "The infection has developed immunity to the current drug." ©. "The infection has become severe." 4 “The infection has a restricted group of microorganisms.” ANSWER: 5. Aclient has been discharged with a prescri 8. Penicilin can be taken while breastfeeding, '. The entire prescription must be finished. ¢. All penicilin can be taken without regards to eating G. Some possible side effects include abdominal pain and diarthea ANSWER: _> RATION Way Loca pe tine net fac us thet wehomatee uses det a ule bt a a pe ipton for penicilin, Discharge instructions includes wnich ofthe following? in Pipe. Cay the eet OF lines). i &. An antimicrobial medication that has selective toxicity has which characteristic? 2. Abllty to transfer DNA coding . Ability to suppress bacterial resistance ©. Ability to avoid injuring host cells 9. Ability to act against a specific microbe ANSWER: __C ee ee RATIO: oh iveohial uot ct can Wil the gone ahead s agus whale eavneg Ad Darna te dhe hog ‘The development of a new inf Resistant infection 7, ection as a result of the elimination of normal flora by an antibiotic Is a . Superinfestion ©. 4. referred to as what? . Nosocomial infection Allergic reaction ANSWER: . RATIO:_“Eugeriades ttn hapoun when whe bob rawr! Horn is teh ay andbie cob tiny te Yee birth oe a fee Leche : siarenant has been prescribed tetracyctine. When providing information regarding this drug, the nurse Would be correct in stating that tetracycline: 2. Is classified as a narrow-spectrum antibiotic. . Is used te ‘reat a wide variety of disease processes, ¢. Has beer identified to be safe during pregnancy. 4g. Is contra ndicated in children under 8 yeare of age. ANSWER: RATIO: Jee tea Aha ney cave, — 9t/nangat Seth nor Wing aw or ruaramiad ial dar HE aah OF eign a &-_lmportant information to inctude in the client's education regarding taking aminoglycosides is that 2. The drug can cause discoloration of teeth. _ b. Fluid intake should be decreased to prevent retention, . §: rhs drug primarily is given orally, because itis absorbed inthe Gl tract. 4. A serious side effect is hearing loss ANSWER: _D Sh tad ny e +, eG gi apbtation ease obs maly ark opine tment aaa as a nat Falko “wey cate hearin tei : This document and the information thereon is the property of PHINMA Education (Department of Nursing) Gah!10. Aci pow inalude ant has been prescribo eniiiayil (ye) yportant intonation tha he Hhirwe MMe! Know inoludew Br Thyg eal must be taken wt any haat Hane aap eerie 8 Tye adldne Is classed wa wh atunihsvonie MA iv yA 0 a ACO THs Medtaine should be given wit an aah wean ve Masry eft NSW eRe ine should not ba given wih He steel alan ANSWER: a RATIO. What —mediara Yd besny ABLE thie tes MW te eateey hie tf tether 21 Amusing intervention for actninistoving sitanwthrasole Wnvathopriny (Bact rn) te a ellen i to B: ave the client eink a ful gags of water it tomo nans '. Have the client drink a glass ol rulh SENS the ont take sho medicine with sot ove {2ave the client take te medicine on an anny seach ANSWER: Wee eat Heil Mtn tp nad bacaaleAAae_ tig ede vale 4. Poreh Auge RATIO; atari rong cif We Grd) pure Whi cave VEs hyo Ei eg fled te an = : 12,460 yard aa patent on th dynos bap anvane ara mest appopits nae te 8 and nausoR, Which Is the 4. _ Institute safety precaution and raise sido ras 1b. Collaborate with the doctor about antibiotic thera PY’ dosage and duration, © Provide comfort measures 4. _lastruct client to inform you i symptoms get worse ANSWER: _ 9 oe ‘ re A Rati s ths Paap sian nw gab v) Cond hor 1 WR en ap east lt file te nd aaamenutle sand worman cme tothe ER and complains of raging in tho aor, presthouow of tha extamitios, ang gxztrema of the back. She also noticed that she had decreased urina output Wie History of drug intake should the nurse ask?) 8 Oral contraceptive pills (OCPs) Anttungals &._Trmetoptm-sufainethorazle < fehl tach Alay the 5 iden cde pei pater’ i epoca phan Tho nuts mnie wo ar tra foot has an org resclon. he nse cecse aT shot and tna ht a a perks age sibility for the error is: Fiona manasa sud he chested aes beter adrinsering oe 2 Goby min ptyeidanie-—aho gnva tro order, the nurses eblgas era rh & Ome {ha phintriaciet eh should alert the Noor to possib4. _The pharmacist, physician, and nurse are all liable for the mistake ANSWER: RATIO: all we mel dee (abe for Vhe wnt dabe . the glraryaudt Shei altel ae ee te oe ping ~The td nate fac elie fui he allicgy F RATIONALIZATION ACTIVITY (THIS WILI. BE DONE DURING THE FACE TO FACE INTERACTION) The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves. Write the correct answer and correctladditional ratio in the space provided. 1. ANSWER: RATIO; 8. ANSWER: RATIO; 9. ANSWER: RATIO: a 10. ANSW3R: RATIO: one 11, ANSWER: RATIO: document and the information thereon is the property of Education (Department of Nursing) Sof 4012. ANSWER: RATI 13, ANSWER: RATIO“. 14, ANSWER: _ RATIO: 15. ANSWER: RATIO:_, LESSON WRAP-UP (5 minutes) ‘You will now mark (encircle) the session you have finished today in the tracker below, This is simply a visual to help you track how much work you have accomplished and how much work there is left to do. You are done with the session! Let's track your progress. 25 Period + Period 2 7 Peis 3 BIRT ATs Lele Tere Taal ae [aa Tea] v5 16 [a Tae vw Lew ar [oe as ae | 98 [PTB LS Ta © enyied ceading about te differt medwaten hewewer, [tink it Lithwll fe Pratl the ithe cffuts of drys: TWO ROSES AND A THORN Each student must note two tof ‘questions about. ics or concepts he or she enjoyed learning about, and another they didn't like or still have Fer the next session, review Antifungal & Antiprotozoal Drugs SE LE LTE LHL LEANN TT This document and the information thereon is the property of PHINMA Education (Depa-tmont of Nursing) 10 of 10