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5 Written questions

5 Matching questions

  1. GENTAMICIN Nursing implications -
  2. PENICILLIN G or V side effects are
  3. CEFUROXIME Nursing implications -
  4. AUGMENTIN (Amoxicillin/Clavulanate) Action-
  5. CEFUROXIME Action -
  1. a Binds to bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria. Similar to that of first-generation cephalosporins but has increased activity against several other gram-negative pathogens
  2. b Binds to bacterial cell wall, causing cell death; spectrum of amoxicillin is broader than penicillin. Clavulanate resists action of beta-lactamase, an enzyme produced by bacteria that is capable of inactivating some penicillins; Bactericidal action against susceptible bacteria
  3. c Nursing implications - PO, admin with food; IM/IV, Direct IV, Intermittent infusion
  4. d Seizures, epigastric distress, interstitial Nephritis , Urticaria
  5. e Nursing implications - Keep patient well Hydrated, IM; Intermittent infusion; topical
    Evaluate 8th cranial nerve function, I/O, assess for superinfection

5 Multiple choice questions

  1. intermittent infusion ; s/s of anaphylaxis
  2. Appendicitis and peritonitis, Skin and skin structure infections, Gynecologic infections, Community-acquired and nosocomial pneumonia caused by piperacillin-resistant, beta-lactamase-producing bacteria.
  3. Action- Binds to bacterial cell wall, causing cell death; spectrum of amoxicillin is broader than penicillin. Clavulanate resists action of beta-lactamase, an enzyme produced by bacteria that is capable of inactivating some penicillins; Bactericidal action against susceptible bacteria(Active against Streptococci. Pneumococci. › Enterococci. Haemophilus influenzae. Escherichia coli. Proteus mirabilis Neisseria meningitidis. N. Gonorrhoeae. Staphylococcus aureus Klebsiella pneumoniae. Shigella Salmonella. Moraxella catarrhalis

    Use- Skin and skin structure infection Otitis media, Sinusitis Respiratory tract infections, Genitourinary tract infections.

    Side Effect - d/v/n/r urticaria, seizures(high doses) pseudomembranous colitis, hepatic dysfunction, vaginal candidiasis, blood dycrasias, allergic reactions including anaphylaxis & serum sickness, superinfection

    Contraindictions - Hypersensitivity to penicillins or clavulanate, Suspension and chewable tablets contain aspartame and should be avoided in phenylketonurics; History of amoxicillin/clavulanate-associated cholestatic jaundice.

    Nursing implications - PO(Administer at the start of a meal to enhance absorption and to decrease GI side effects. Do not administer with high fat meals; clavulanate absorption is decreased.)

    Trade/ Genetric Name - Amoclan, Augmentin, Augmentin ES, Augmentin XR

    Classification - aminopenicillins beta lactamase inhibitors; anti-infectives

    Dosage: PO 250mg q 8hrs
    500mg q 12hrs
  4. Nursing implications - IM / IV; observe for s/s of anaphylaxis & monitor bowel function
  5. Binds to bacterial cell wall membrane, causing cell death. Spectrum is extended compared with other penicillins; Death of susceptible bacteria( active against piperacillin-resistant, beta-lactamase-producing)

5 True/False questions

  1. CEFAZOLIN side effects are- d/n/v/r; urticaria, diaper dermatitis, seizures (high doses) pseudomembranous colitis, bleeding eosinophilia, hemolytic anemia, leucopenia, Pain @ IM site, phlebitis @ IV site, allergic reactions including anaphylaxis, superinfection

          

  2. GENTAMICIN useAction - Inhibits protein synthesis in bacteria at level of 30S ribosome; Bactericidal action; Notable for activity against. › Pseudomonas aeruginosa.
    › Klebsiella pneumoniae.
    › Escherichia coli.
    › Proteus.
    › Serratia.
    › Acinetobacter.
    › Staphylococcus aureus.
    In treatment of enterococcal infections, synergy with a penicillin is required.

    Use- Treatment of serious gram-negative bacterial infections and infections caused by staphylococci when penicillins or other less toxic drugs are contraindicated.
    • In combination with other agents in the management of serious enterococcal infections.
    • Prevention of infective endocarditis.
    • Topical, Ophth: Treatment of localized infections due to susceptible organisms.

    Side Effect - ataxia, vertigo, ototoxicity(vestibulare & cochlear) nephrotoxiticy, muscle paralysis(high parenteral doses); hybersensitivyt reactions

    Contraindictions - Hypersensitivity to gentamicin or other aminoglycosides.
    • Most parenteral products contain bisulfites and should be avoided in patients with known intolerance.
    • Pedi: Products containing benzyl alcohol should be avoided in neonates.

    Nursing implications - Keep patient well Hydrated, IM; Intermittent infusion; topical
    Evaluate 8th cranial nerve function, I/O, assess for superinfection

    Trade / Generic Name - Garamycin, G-Mycin, Jenamicin

    Classification - Aminoglycosides; anti-infectives

    Dosage: IM/IV 1-2mg/kg q 8hrs up to 6mg/kg a day in 3 divided doses

          

  3. CEFAZOLIN Action -Binds to bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria. Similar to that of first-generation cephalosporins but has increased activity against several other gram-negative pathogens

          

  4. Oxacillin UseRespiratory tract infections, sinusitis, skin & skin structure infections , bone & joint infections, urinary tract infection , endocardistis, bacterium, meningitis

          

  5. CEFTRIAXONE Nursing implications-Nursing implications - PO, admin with food; IM/IV, Direct IV, Intermittent infusion

          

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