This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with a history of congestive heart failure and renal impairment has esophageal ... (Read 60 times)

Pineappleeh

  • Hero Member
  • *****
  • Posts: 585
on: Jul 23, 2018
A patient with a history of congestive heart failure and renal impairment has esophageal candidiasis. Which antifungal agent would the nurse anticipate giving to this patient?
 
  a. Amphotericin B Abelcet
  b. Fluconazole Diflucan
  c. Itraconazole Sporanox
  d. Voriconazole Vfend

Question 2

A nursing student asks a nurse to explain the differences between amphotericin B Abelcet and the azoles group of antifungal agents. Which statement by the nurse is correct?
 
  a. Amphotericin B can be given orally or intravenously.
  b. Amphotericin B increases the levels of many other drugs.
  c. Azoles have lower toxicity than ampho-tericin B.
  d. Only the azoles are broad-spectrum anti-fungal agents.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Sammyo

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Fluconazole is a drug of choice for treating systemic candidal infections. Amphotericin is neph-rotoxic and should not be used in patients with existing renal disease. Itraconazole is a possible alternative agent for treating candidiasis but has serious cardiac side effects. Voriconazole is a drug of first choice for treating aspergillosis but not for candidiasis.

Answer to Question 2

C
The azoles class of antifungals is less toxic than amphotericin B. Amphotericin B may only be given parenterally. The azoles, not amphotericin B, inhibit hepatic P450 drug-metabolizing en-zymes, so they increase the levels of many other drugs. Both classes are broad-spectrum anti-fungal agents.


Pineappleeh

  • Member
  • Posts: 585
Reply 2 on: Jul 23, 2018
Gracias!

raili21

  • Member
  • Posts: 324
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

Arteries and veins around the heart. Arteries and veins around the heart.
Sequence of patient positions for heart auscultation Sequence of patient positions for heart auscultation
Examples of endocrine disorders. (D) A patient with gigantism. Examples of endocrine disorders. (D) A patient with gigantism.
History History
Heart (transparent) Heart (transparent)
Video: Lipid catabolism ( ketogenesis and oxidation of glycerol) and Lipid anabolism (lipogenesis)

For a complete list of videos, visit our video library