Tetracyclines
What are some nursing interventions for tetracyclines?
-C&S before the drug is administered -Monitor kidney & liver function to prevent toxicity -MUST STORE OUT OF LIGHT & HEAT -Advise patient to use sunscreen due to photosensitivity -Advise & teach patient about superinfection -Warn & educate patient about taking meds. with milk, iron, & antacids -Advise patient to have excellent oral hygiene -warn against teeth discoloration in young kids below 8 years old
What are the adverse effects of tetracylines?
CNS toxicity Hepatotoxicity Nephrotoxicity (in high doses only)
What is an example of a intermediate acting tetracycline?
Demeclocycline (Declomycin)
What tetracycline is not be taken with milk, antacids, and iron products?
Doxycycline (Vibramycin)
What are some examples of long acting tetracyclines?
Doxycycline (Vibramycin) Minocycline HCL (Minocin)
What are the preferred routes of administration of tetracylines?
Oral, IM, and IV routes
What are the side effects of tetracylines?
Photosensitivity Teeth discoloration of kids X<8 Stomatitis Gi distress P. colitis
What is an example of a short acting tetracycline?
Sumycin
What are tetracylines used to treat for?
it treats acne
What is the drug action of a tetracycline?
tetracyclines inhibit protein synthesis making it bactericidal
What is one specific bacteria tetracyclines fight against?
tetracylines fight H. pylori or Helicobacter pylori
What happens to digoxin absorption when taken with tetracyclines?
the absorption rate of digoxin is increased and may lead to toxicity
What happens to the effectiveness of oral contraceptives when taken with tetracyclines?
the effectiveness of oral contraceptives decrease when taken with tetracylines, so an alternative must be in place
What makes tetracyclines a broad spectrum drug?
these group of drugs fight against gram positive and gram negative bacteria
