12.30 Trimethoprim-Sulfamethoxazole (Bactrim)
bronchitis, UTI, diarrhea, pneumonia, multiple types of infection
bacteriacidal by preventing metabolism of folic acid
folate antagonists, sulfonamides
• may cause renal damage, Steven Johnsons Syndrome – rash, pseudomembranous colitis, nausea,
vomiting, diarrhea, rash, agranulocytosis, aplastic anemia, phlebitis
• contraindicated with sulfa allergies
• monitor CBC
• obtain cultures prior to initiating therapy
• monitor intake and output
• instruct patient to complete dose
• drink 8-10 glasses of water
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell