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She let us out early tonight.

We went over the test, did lecture and talked about the schedule for the next few weeks. test next week over ABX and funal; and she will lecture and then give us our final exam to take home (I think appx. 95 questions) the week after that 15th we will come to class and turn in our final; anyone that has to do makeup exams can do it then also; and hopefully find out our grade.

Tonight we covered the following: It is numbered by slides: 1. 2. 3. 4. 5. 6. 7. 8. 9. cover slide cover slide---Chapter 42 fungi 4 general types Candida AlbicansKNOW amphotericin is for systemic fungal**IV only** know Polyenes and Triazoles Amphocetricin B is IV only!! Systemic and Nystatin-topical Amphotericin B-main adverse effect is cardiac dysrhythmias (chest pains or palpations), and seizures 10. Nsg impl for Amphotericin B--***know that you can pre treat the client with pain meds and an antihistamine like Benadryl to help; when IV go in slow and most distal (farthest away from the heart) 11. Adverse effects Nystatin--**Know that the suspension should be swish and swallowshe said its best to spit out though 12. Imiadazoles and Triazoles---***know that its P-450 (meaning that they are highly protein bound so they compete and whichever med attaches first will be okay but the other med will have a prolonged effect ex) Coumadin PT/INR lab will be effected); ***KNOW Diflucan that its a one time dose only 13. check renal and liver panels 14. dont need to know NOT on test 15. NOT on test---only know about old school lamisil OTC 16. know Ampho Bwatch out for CHF clients; and Fluconazolewill increase BS and prone for bleeding 17. read 18. read only 19. read only **P-450 20. read

21. if on IV and have adverse reactions turn the rate down---***ONLY tunr off if c/o chest pains and/or seizures (for Ampho B) 22. Chapter 43 23. know only Hydrochloroquine-can be used for RA and/or malaria 24. dont need to know 25. dont need to know 26. nsg impl-****TQ***** bullet #2 about 1-2 weeks beforeand the 4 weeks after 27. read 28. read---Toxoplasmosis is the most severeattacks the brain 29. Antiprotozoal---***TQ she did not put on slide..but the #1 adverse reaction is VISUAL DISTURBANCES; KNOW flagyl for GI surgeryits both an antifungal and antiprotozoal 30. pseudomembranous coloitisinflammation if the large intestines 31. ****KNOW*****possible TQ 32. read 33. KNOW******possible TQ******** 34. Chapter 46 35. KNOW**********TQ**************know also that NO-ONE IS IMMUNE for the flu shot 36. read 37. read 38. read 39. read 40. know differences toxoid and Vaccines 41. KNOW***********TQ*******************ON FLU VACCINE----no TQ on Pneumococcal vaccine only on FLU 42. read 43. read and know what Rh is 44. KNOW*********TQ on serum sickness 45. read 46. read ***Reyes in children--aspirin 47. KNOW****anthrax and small pox 48. read 49. end

Any question just text or call me.hope this helps!!! =)

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