A student nurse has to administer a broad-spectrum anti-infective medication to a patient. The patient develops nausea, vomiting, and diarrhea while taking the medication. The student nurse has to teach the patient about the anti-infective medication. a. The faculty member asks the student nurse to identify the difference between a broad-spectrum and narrow-spectrum anti-infective medication. b. The patient asks the student nurse what it means to develop resistance to anti-infectives. When the student nurse is teaching the patient about the anti-infective agent, it is important to include what general points to minimize bacterial resistance? c. The faculty member asks the student nurse to identify the three common adverse reactions associated with the use of anti-infectives. This patient is complaining of what common adverse reaction? A patient is being treated with combination antiviral drugs for HIV and locally active antiviral drugs that include zidovudine and acyclovir. The student is preparing a 5-minute presentation on antiviral agents for clinical preconference. The student has to prepare medication information about the antiviral medications that are being administered to the client. a. What are the key characteristics of common viral infections? b. What are the common adverse effects of zidovudine? c. What key nursing considerations should the nurse focus on for the patient receiving a locally active antiviral agent?

a. The difference between a broad-spectrum and narrow-spectrum anti-infective medication lies in their spectrum of activity against different types of microorganisms. Broad-spectrum antibiotics are effective against a wide range of bacteria, including both gram-positive and gram-negative strains. They are often prescribed when the causative agent of an infection is unknown, or when the infection is caused by multiple bacteria. On the other hand, narrow-spectrum antibiotics are effective only against specific types of bacteria. They target a specific group of bacteria, such as gram-positive or gram-negative, and are often prescribed when the specific causative agent is known. By targeting a specific group of bacteria, narrow-spectrum antibiotics reduce the risk of developing resistance and minimize the disruption of normal flora.

b. Resistance to anti-infectives refers to the ability of microorganisms to survive and multiply in the presence of drug concentrations that would normally inhibit their growth or kill them. It is a major concern in the field of antimicrobial therapy and can lead to treatment failure and the spread of drug-resistant strains. To minimize bacterial resistance, it is important to follow certain general principles when using anti-infective agents. These include:

1. Using antibiotics only when necessary: Antibiotics should be prescribed only when there is a clear indication for their use, such as the presence of a bacterial infection. They should not be prescribed for viral infections, as they are ineffective against viruses.

2. Choosing the appropriate antibiotic: The selection of an antibiotic should be based on the susceptibility of the infecting microorganism. This may require obtaining cultures and performing sensitivity testing to ensure that the chosen antibiotic will be effective against the specific microorganism causing the infection.

3. Completing the full course of treatment: It is important to complete the full course of antibiotic treatment, even if symptoms improve, to ensure that all the bacteria are eradicated. Premature discontinuation of antibiotics can lead to the survival of resistant bacteria.

4. Preventing the spread of infection: Proper infection control practices, such as hand hygiene, isolation precautions, and appropriate use of personal protective equipment, can help prevent the spread of drug-resistant bacteria.

c. The three common adverse reactions associated with the use of anti-infectives are nausea, vomiting, and diarrhea. In the case of this patient, who is complaining of these symptoms, it is likely that the medication is causing gastrointestinal upset. This can occur as a result of irritation of the gastrointestinal lining by the medication or disruption of the normal bacterial flora in the gut. To alleviate these symptoms, the patient can be advised to take the medication with food or a glass of milk, as this may help reduce gastrointestinal irritation. Additionally, the patient should be encouraged to maintain adequate hydration and to report any severe or persistent symptoms to their healthcare provider.

Moving on to the topic of antiviral agents for HIV and locally active antiviral drugs, let us address the following questions:

a. Common viral infections have certain key characteristics. They are caused by viruses, which are small infectious particles composed of genetic material (DNA or RNA) surrounded by a protein coat. Unlike bacteria, viruses are unable to replicate on their own and require the host’s cellular machinery to reproduce. Viruses can infect various body tissues and organs, and their symptoms can range from mild to severe depending on the specific virus and host factors.

b. Zidovudine, also known as AZT, is an antiviral medication used in the treatment of HIV infection. Common adverse effects of zidovudine include nausea, vomiting, headache, malaise, and bone marrow suppression. Bone marrow suppression can lead to anemia, neutropenia, and thrombocytopenia. Regular monitoring of blood counts is important to detect and manage any hematologic abnormalities.

c. When a patient is receiving a locally active antiviral agent, such as acyclovir, the nurse should focus on certain key nursing considerations. Acyclovir is commonly used to treat herpes infections, both orally and topically. Nursing considerations include:

1. Educating the patient about the importance of adherence to the prescribed regimen, as the effectiveness of antiviral therapy depends on regular and consistent use.

2. Instructing the patient on proper application techniques for topical formulations, ensuring that the affected area is clean and dry before applying the medication.

3. Monitoring for any signs of local irritation or allergic reactions, such as redness, itching, or swelling at the application site. If these reactions occur, the healthcare provider should be notified.

4. Providing emotional support, as herpes infections can have a significant psychological impact on the patient. It is important to address any concerns or fears the patient may have and to provide appropriate counseling and resources.

In summary, understanding the difference between broad-spectrum and narrow-spectrum anti-infective medications, minimizing bacterial resistance through appropriate antibiotic use, identifying common adverse reactions, and addressing key nursing considerations for antiviral medications are all important aspects in patient education and care.