Pharmacology - Metronidazole Antibiotics nursing RN PN NCLEX

Summary

Nurse Mike introduces a new app with pharmacology and med-surg courses. He discusses metronidazole, a drug for treating C-diff infection and STIs, cautioning against alcohol use during treatment due to severe reactions. Normal side effects include dark urine and metallic taste, but patients should report rashes or skin peeling. Memory aids are provided for drug effects and precautions.

Takeaways

• 💊 Metronidazole, also known as Flagyl, is the primary drug for treating C-diff infection, a severe gut infection.
• ⚠️ Be cautious of the NCLEX trick question: Ceftriaxone can cause C-diff, not treat it.
• 🛑 Metronidazole is also used to treat STIs, specifically trichomoniasis, which was highlighted in Hesse exit exams.
• 🚫 Patients on metronidazole must avoid alcohol during and three days after treatment to prevent violent vomiting and cramping.
• 🔍 Normal side effects of metronidazole include dark urine (brown and rusty) and a metallic taste.
• ❌ Serious side effects like new rashes or skin peeling should be reported immediately, as they may indicate Steven Johnson syndrome.
• 💡 Memory aids for metronidazole include 'M' for metallic taste and dark urine, 'EtOH' for avoiding alcohol, 'tea' for treating C-diff and trichomoniasis, and 'hour' for rash and skin peeling.
• 📚 The video encourages viewers to subscribe for a free trial of their new pharmacology and med-surg mastery courses.
• 🙏 The video concludes with a thank you to the team of experts involved in creating the educational content.

Q & A

What is metronidazole primarily used to treat?

Metronidazole is primarily used to treat C-diff infection and sexually transmitted infections like trichomoniasis.

What is the brand name of metronidazole?

The brand name of metronidazole is Flagyl.

What is the common mistake students make regarding the treatment of C-diff in the NCLEX exam?

Students often confuse metronidazole with ceftriaxone, which actually causes C-diff, rather than treating it.

Why should alcohol be avoided during and after metronidazole treatment?

Alcohol should be avoided both during and for three days after metronidazole treatment because consuming alcohol can cause violent vomiting and cramping.

What are the common side effects of metronidazole that don't require medical attention?

Common side effects that don't require medical attention include dark urine (brown or rusty in color) and a metallic taste in the mouth.

What is Steven Johnson syndrome and why is it important in relation to metronidazole?

Steven Johnson syndrome is a serious skin condition involving necrosis of the skin and mucous membranes. If a patient develops a rash or skin peeling while taking metronidazole, it could indicate Steven Johnson syndrome and should be reported immediately.

What memory trick can help recall the key points of metronidazole?

The memory trick 'METRO' helps: M for Metallic taste and dark urine, E for avoid EtOH (alcohol), T for Treats C-diff and trichomoniasis, R for Report rash and skin peeling, and O for 'Oh, not dazzling' (nothing dazzling about C-diff or STIs).

What type of infection is trichomoniasis, and how is metronidazole related to it?

Trichomoniasis is a sexually transmitted infection, and metronidazole is used to treat it.

What does the video warn about alcohol consumption during metronidazole treatment?

The video warns that alcohol consumption during metronidazole treatment can lead to severe side effects like violent vomiting and cramping.

What are the instructions for patients regarding skin reactions while taking metronidazole?

Patients are advised to report any new rash or skin peeling immediately, as this could be a sign of Steven Johnson syndrome, a potentially deadly side effect.