Thursday, March 12, 2009

Blueprints For Marshmallow

antibiotics






means "acting against something alive."
  • are of course originally formed metabolites of fungi and bacteria
  • today are predominantly synthetic or semi-synthetic antibiotics used
effect
  • bacteriostatic = inhibit growth and / or multiplication of bacteria
  • bactericidal (bacteriolytic) = bacteria are killed
Antibiotics - Therapy
Indications:
  • bacterial infections
  • prophylactic antibiotics - treatment for ...
    • contamination-risk surgery
    • diagnostic / therapeutic interventions for heart valve insufficiency (& artificial heart valves)
distinction:
broad-spectrum-A.
narrow band-A.
  • cover a broad excitation field
  • high hit probability for unknown pathogens
  • corresponds to the clinical reality
  • cover a narrow excitation field
  • very effective action
  • avoid disturbance of the physiological microflora
  • possible after the detection of pathogens ( antibiogram) and resistance testing
forms of antibiotics - treatment
monotherapy
combination therapy
  • low Therapy risk
  • broad antibiotic coverage, for unknown pathogens or mixed infections
  • to prevent development of resistance
side effects
most common side effects
patient observation
allergies
lesions, redness, pustules, itching
gastrointestinal intolerance
excretion, nausea, vomiting, diarrhea
damage to the physiological resident flora in the intestine, skin, mucous membranes, female genital
itching, vaginal discharge
resistance
stop the symptoms of the underlying disease
vein irritation from iv administration
puncture of the venous access; Scmerzen
nursing principles
  • keeping accurate dosing / dosing intervals
  • when taken orally, gastrointestinal complaints, the absorption decrease of the antibiotic -> the therapy is ineffective
  • close attention to the preparation requirements (with iv administration)
  • Consistent intake to the end

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