Lecture Notes: Antifungal Medications
Introduction
- Presented by Nurse Mike from SimpleNursing.com
- Promotion of a new app-based NCLEX product with practice questions and video rationales
- Over 1000 videos, study guides, and cheat sheets available
Antifungal Medications
- Purpose: Used to treat candida fungal infections.
Types of Antifungals
-
Nasal Ending Antifungals
- Examples: Fluconazole, Ketoconazole
- Usage: Treat nail and skin candida fungal infections
- Key Point:
- 'Nasal' for nail fungus
- Does not treat C. diff infections
-
Dazzle Ending Antifungals
- Example: Metronidazole (Flagyl)
- Usage: Treats C. diff bacterial infections
- Key Point: Remember, 'dazzle' treats gut infections and differentiates from 'nasal'
Important Considerations
-
Nasal Antifungals
- Duration: Taken for 2 to 6 weeks
- Toxicity: Very liver toxic
- Not effective for C. diff bacterial infections
-
Amphotericin B
- Usage: For serious fungal infections
- Adverse Effects: Renal injury is significant
- Indicators of Renal Injury:
- Creatinine over 1.3: Indicates poor kidney function
- Urine output of 30 mL/hour or less: Signals kidney distress
- Oliguria: Low urine output
Exam Preparation Tips
- NCLEX tips for recognizing antifungal medications and their side effects
- Remember sound-alike names and their correct usage to avoid confusion
Note: Be sure to review the critical adverse effects of antifungals like Amphotericin B on the renal system as both HESI and ATI exams focus on this area.
For more detailed study resources, consider accessing the SimpleNursing.com platform.