Treatment FAQ

for which of the following patients would treatment with acyclovir be most clearly indicated?

by Miss Twila Pagac Jr. Published 3 years ago Updated 2 years ago

Acyclovir intravenous infusion is indicated for the treatment of- Acute clinical manifestations of Herpes simplex virus in immunocompromised patients Severe primary or non-primary genital herpes in immune competent patients

Full Answer

What should I know before using acyclovir?

A 77-year-old whose recent debilitating pain has been attributed to a herpes zoster infection A 2-month-old infant brought to the emergency department with signs of respiratory syncytial virus (RSV) A man who contracted hepatitis A virus (HAV) while on a tropical vacation Jeff's mother tells you that she finds it difficult to give ritonavir solution to him.

How does acyclovir work to treat herpes?

Nov 28, 2017 · Question 1: (see full question) For which of the following patients would treatment with acyclovir be most clearly indicated? You selected: A man who contracted hepatitis A virus (HAV) while on a tropical vacation Incorrect Correct response: A 77-year-old whose recent debilitating pain has been attributed to a herpes zoster infection Explanation: …

Which drug is prescribed to a 45-year-old client for genital herpes?

The dermatologic preparation consists of 5% acyclovir in a cream or polyethylene glycol ointment base. Topical acyclovir is intended for treatment of minor mucocutaneous HSV infections and plays no role in treatment of VZV. Oral acyclovir preparations include a 200 mg capsule, 400 and 800 mg tablets, and a liquid suspension (200 mg per 5 ml).

Is acyclovir the same as sitavig?

Feb 01, 2022 · Acyclovir is best used as soon as possible after the symptoms of herpes infection or shingles (for example, pain, burning, blisters) begin to appear. If you are taking acyclovir for the treatment of chickenpox, it is best to start taking acyclovir as soon as possible after the first sign of the chickenpox rash, usually within one day.

What client is most vulnerable to infection with cytomegalovirus?

However, doctors consider the possibility of CMV infection in the following people:Otherwise healthy people who have fever and fatigue.People who have a weakened immune system. ... Newborns who seem sick.

Which adverse effects should the nurse monitor for in a client receiving acyclovir?

Patients should be monitored for adverse effects such as malaise, inflammation or phlebitis at the infusion site, nausea, vomiting, rash (including Steven-Johnson syndrome), transaminitis, nausea, vomiting, diarrhea, headache, abdominal pain, aggression/confusion, agitation, alopecia, anaphylaxis, anemia, angioedema, ...Jun 28, 2021

What do antivirals treat?

Antiviral drugs can ease symptoms and shorten how long you are sick with viral infections like the flu and Ebola. They can rid your body of these viruses. Viral infections like HIV, hepatitis and herpes are chronic. Antivirals can't get rid of the virus, which stays in your body.May 11, 2021

What are the common adverse effects of antivirals that the nurse needs to assess for?

Adverse EffectsCNS: dizziness, blurred vision, headache.GI: dry mouth, constipation or diarrhea, nausea, abdominal pain, dyspepsia.Flu-like syndrome may occur but this may also be because of the underlying disease.Feb 12, 2021

When is acyclovir administered?

Acyclovir is best used as soon as possible after the symptoms of herpes infection or shingles (for example, pain, burning, blisters) begin to appear.Feb 1, 2022

What adverse effect is intravenous acyclovir known to cause?

redness or swelling at the injection site. nausea. vomiting.Nov 15, 2016

What are the indications for acyclovir?

ZOVIRAX® (acyclovir) is indicated for the following conditions: The treatment of initial episodes of herpes genitalis. The suppression of unusually frequent recurrences of herpes genitalis (6 or more episodes per year). The acute treatment of herpes zoster (shingles) and varicella (chickenpox).Nov 10, 2014

What is antiviral treatment for Covid?

Chloroquine and hydroxychloroquine are antimalarial drugs that were studied to treat COVID-19. Interferons are a group of antiviral cytokines that are being evaluated to treat COVID-19. Ivermectin is an antiparasitic drug that is being evaluated to treat COVID-19.Mar 2, 2022

When are antiviral treatments most effective?

The benefits of antiviral treatment are likely to be greatest if treatment is started as soon as possible after illness onset, and evidence for benefit is strongest in studies in which treatment was started within 48 hours of illness onset.

For what viruses might the nurse administer acyclovir an antiviral?

Indications: Acyclovir (Zovirax) and its derivatives are frequently used for the treatment of herpes and varicella virus infections, including genital herpes, chickenpox, shingles, Epstein-Barr virus infections, and cytomegalovirus infections.

What are the most common adverse effects associated with drug therapy?

Some common examples mild adverse effects related to drugs include:Constipation.Skin rash or dermatitis.Diarrhea.Dizziness.Drowsiness.Dry mouth.Headache.Insomnia.More items...

Which of the following antiviral agents is effective as treatment for h1n1?

Antiviral agents used for treatment and prevention of swine flu are oseltamivir (Tamiflu) and zanamivir (Relenza). Swine flu is resistant to amantadine (Symmetrel) and rimantadine (Flumadine).

How long does acyclovir last?

The usual dose is 5 to 10 mg of acyclovir per kg (2.3 to 4.5 mg per pound) of body weight, injected slowly into a vein over at least a one-hour period, and repeated every eight hours for five to ten days. Children up to 12 years of age—Dose is based on body weight and must be determined by the doctor.

How long does a child have to take a syringe?

Children up to 2 years of age—Use and dose must be determined by the doctor. Adults and children 12 years of age and older—800 mg five times a day for seven to ten days. Children up to 12 years of age—Use and dose must be determined by the doctor.

What to do if you miss a dose of a sulfate sulfate?

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Can you drink water with acyclovir?

However, do not use this medicine more often or for a longer time than your doctor ordered. If you are taking acyclovir capsules, tablets, or oral suspension, you should drink plenty of water to avoid becoming dehydrated.

How to take acyclovir?

Take acyclovir exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Start taking acyclovir as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).

What are the side effects of acyclovir?

Common acyclovir side effects may include: mild skin pain; rash, itching; nausea, vomiting, diarrhea; headache; or.

How to know if you have a kidney infection?

Call your doctor at once if you have: 1 easy bruising or bleeding, purple or red pinpoint spots under your skin; 2 changes in behavior; 3 confusion, hallucinations; or 4 signs of a kidney problem - little or no urinating; painful or difficult urination; swelling in your feet or ankles; feeling tired or short of breath.

What is the difference between Sitavig and Acyclovir?

Acyclovir is used to treat infections caused by herpes viruses, such as genital herpes, cold sores, shingles, and chickenpox. Sitavig (acyclovir tablet, delayed release) is only for use in treating cold sores on the lips. Sitavig will not treat genital herpes.

Can you take acyclovir if you are allergic to milk?

You should not take this medicine if you are allergic to acyclovir or valacyclovir ( Valtrex ). You should not take acyclovir buccal tablets (Sitavig) if you are allergic to milk proteins.

How long does it take to take Sitavig?

Start taking Sitavig within 1 hour after you first notice sold core symptoms, before the cold sore appears. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Do not crush, chew, suck on, or swallow a buccal tablet.

Can herpes be passed to a baby?

Tell your doctor if you are pregnant or breastfeeding. Herpes can be passed to your baby during childbirth if you have a genital lesion when your baby is born. If you have genital herpes, it is very important to prevent herpes lesions during pregnancy. Take your medicine as directed to best control your infection.

How long does valacyclovir last?

800 mg orally every 4 hours 5 times a day for 7 to 10 days#N#Immunocompromised host:#N#10 mg/kg IV every 8 hours for 7 days#N#Concomitant HIV infection:#N#-Localized Dermatomal: 800 mg orally 5 times a day for 7 to 10 days (alternative therapy; oral valacyclovir or famciclovir are preferred therapy)#N#-Extensive Cutaneous Lesion or Visceral Involvement: 10 to 15 mg/kg IV every 8 hours until clinical improvement (i.e. no new vesicle formation or improvement of signs and symptoms of visceral disease), then switch to oral therapy#N#Duration of therapy: 7 to 14-day course (oral plus IV)#N#Comments:#N#-Treatment should be initiated as soon as possible after a diagnosis of herpes zoster; parenteral dosing is based on ideal body weight (IBW).#N#-Oral acyclovir therapy should be considered an alternative therapy to treat acute localized dermatomal herpes zoster in HIV-infected adults according to the Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents; IV acyclovir is preferred therapy with extensive cutaneous lesion or visceral involvement.#N#Use: For the acute treatment of herpes zoster (shingles).

What is the best treatment for herpes simplex?

-Acyclovir is the drug of choice for local and disseminated herpes simplex in HIV-infected and exposed infants and children; children with severe immunosuppression and moderate to severe lesions should be treated initially with IV therapy and may require longer therapy.

How long does it take to get rid of herpes?

Treatment of First Episode of Genital Herpes: Less than 12 years: 40 to 80 mg/kg/day orally in divided doses 3 to 4 times a day for 5 to 10 days. Maximum dose: 1000 mg/day. 12 years or older: 200 mg orally every 4 hours 5 times a day OR 400 mg orally 3 times a day. Duration of therapy: 7 to 10 days.

How long does it take to take a 20 mg med?

-Mild disease with no or moderate immune suppression (CDC immunologic category 1 and 2): 20 mg/kg orally 4 times a day for 7 to 10 days and until no new lesions for 48 hours. Maximum dose: 800 mg.

How long does it take for genital herpes to heal?

Concomitant HIV infection:#N#-Treatment of First Episode of Genital Herpes:#N#400 mg orally 3 times a day for 5 to 10 days (guideline recommendation)#N#Duration of therapy: 5 to 10 days#N#-Severe Disease:#N#5 mg/kg IV every 8 hours after lesions begin to regress, may change to oral therapy; continue treatment until lesions have completely healed (guideline recommendation)#N#Episodic (Intermittent) Therapy: Effective treatment requires therapy initiation within 1 day of lesion onset or during the prodrome preceding an episode/recurrence#N#400 mg orally 3 times a day for 5 to 14 days#N#Comments:#N#-Immunocompromised patients can have prolonged or severe episodes of genital, perianal, or oral herpes.#N#-Clinical manifestations of genital herpes may worsen during immune reconstitution early after initiation of antiretroviral therapy.#N#-Suppressive or episodic therapy with oral antiviral agents is effective in decreasing the clinical manifestations of HSV in persons with HIV infection.#N#-Guidelines for the Prevention and Treatment of Opportunistic Infections Among HIV- Infected Adults and Adolescents may be consulted for additional guidance.#N#Use: For the treatment of initial and recurrent mucosal and cutaneous herpes simplex (HSV-1 and HSV-2) in immunocompromised patients.

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