La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.

Core measure memo cards

Core Measures Memo Cards
Congestive Heart Failure
Pneumonia - patients 18 & older
● Physician orders complete on CHF standing order set ● Obtain blood cultures before administering first antibiotic ● ECHO ordered or previous copy to chart and
● Initial antibiotics received within 6 hours of arrival; Acute RN to ask ED RN if cx and abx completed ● ACE Inhibitors/ARBS for LVSD prescribed at DC ● Physician orders completed on Pneumonia standing ● Review physicians orders for correct antibiotic ● Contraindications for not prescribing ACE/ARBS
selection for admission(non-ICU pt or ICU pt) correct must be documented in medical record
antibiotic must be administered within 24 hours of arrival ● High creatinine ● Angioedema with ACE/ARBS
● Bilateral renal stenosis ● Hypotension
● Hyperkalemia ● Patient/family refusal
● Adult smoking cessation advice/counseling including anyone who has quit within 12 months
● CHF booklet reviewed with patient - document on DC ● Pneumococcal vaccine (year round) / Influenza (October 1 through March 31); document on DC orders ● Adult smoking cessation advice/counseling including
anyone who has quit within 12 months
● Pneumococcal vaccine/Influenza (October 1 through ●●DC instruction must be reviewed by a CN
before the patient leaves!
March 31) document on DC orders when completed ● DC instructions include:
● Diet ● Activity ● Follow-up appt ●●DC instructions must be reviewed by a CN
before the patient leaves!●●
Acute Myocardial Infarction
Children's Asthma Care
● Aspirin at arrival and DC
● Review physician's orders for reliever medications (Contraindication for not prescribing ASA must be ordered (e.g., Atrovent, Maxair, Albutol Sulfate) ● Review physician's orders for corticosteroids ordered ● Physician orders completed on AMI standing order set (e.g., Decadron, Prednisone, Solu-Medrol) ● Adult smoking cessation advice/counseling ● Home management plan of care MUST be completed by
including anyone who has quit within 12 months
physician with documentation that the patient/caregivers
were given a written plan of care that addresses ALL of
● LV Function assessment/documentation ● ACE Inhibitors/ARBS for LVSD prescribed at DC ▪ Arrangements for follow-up care
▪ Environmental control and control of other
● Contraindications for not prescribing ACE/ARBS
triggers
must be documented in medical record
▪ Method and timing of rescue actions
● High creatinine ● Angioedema with ACE/ARBS

▪ Use of controllers
● Bilateral renal stenosis ● Hypotension
● Hyperkalemia ● Patient/family refusal
▪ Use of relievers
●●DC instructions must be reviewed by the CN
● Pneumococcal vaccine/Influenza (October 1 through before the patient leaves!●●
March 31) document on DC orders when completed ● Beta-blocker prescribed at discharge (or documentation
in medical record for contraindication for not
prescribing)
●●DC instruction must be reviewed by a CN
before the patient leaves!●●

Source: http://www.hospitaloqr.net/media/Core-Measure-Memo-Cards-508.pdf