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5 Written Questions

5 Matching Questions

  1. CIPROFLOXACIN Contraindictions -
  2. PENICILLIN G or V Action -
  3. LEVOFLOXACIN action
  4. LEVOFLOXACIN Nursing implications
  5. CEFAZOLIN Action -
  1. a Action - Inhibits bacterial DNA synthesis by inhibiting DNA gyrase enzyme.; Death of susceptible bacteria; Active against gram-positive pathogens
  2. b bind to bacterial cell wall, resulting in cell death; gram positive & negative
  3. c Hypersensitivity (cross-sensitivity within class may exist).
    • OB: Do not use unless potential benefit outweighs potential fetal risk.
    • Pedi: Use only for treatment of anthrax and complicated urinary tract infections in children 1-17 years due to possible arthropathy
  4. d PO; intermittent infusion
  5. e Action - Binds to bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria; Active against many gram-positive cocci including

5 Multiple Choice Questions

  1. 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.
  2. Seizures(high doses) pseudomembranous colitis, d/n/v/r, urticaria, blood dysrasias, anaphylaxis serum sickness, superinfection
  3. Inhibits bacterial DNA synthesis by inhibiting DNA gyrase enzyme.; Death of susceptible bacteria; Active against gram-positive pathogens, including.
  4. Previous hypersensitivity to penicillin
  5. Action - 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

5 True/False Questions

  1. GENTAMICIN side effects are- d/n/v/r; seizures(high doses), pseudomembranous colitis, cramps, Stevens-Johnson Syndrome, Pruritis, urticaria, leucopenia, neutropenia, thrombocytopenia, pain at IM site, phlebitis at IV site, anaphylaxis serum sickness, superinfection

          

  2. PENICILLIN G or VAction - bind to bacterial cell wall, resulting in cell death; gram positive & negative

    Use - Pneumocoocal pneumonia; streptoccocal pharyngitis, syphilis, Gonorrhea strains, enterococcal infection; Prevention of rheumatic fever

    Side Effect - Seizures, epigastric distress, interstitial Nephritis , Urticaria

    Contraindications - Previous hypersensitivity to penicillin

    Nursing Implications - Administer IV / IM = Penicillin G; PO = Penicillin V ; Observe for

    Trade Name/ Generic - Pfizerpen; Wycillin; Bicillin L-A, Permapen

    Classification: Penicillins, anti-infectives

          

  3. CEFTRIAXONE Contraindictions -Hypersensitivity to cephalosporins.
    • Serious hypersensitivity to penicillins.
    • Pedi: Neonates 28 days (use in hyperbilirubinemic neonates may lead to kernicterus).
    • Pedi: Neonates 28 days requiring calcium-containing IV solutions ( risk of precipitation formation).

          

  4. CIPROFLOXACIN usePO, IV: Treatment of the following bacterial infections. › Urinary tract infections, including cystitis, pyelonephritis, and prostatitis.
    › Respiratory tract infections, including acute sinusitis, acute exacerbations of chronic bronchitis, community-acquired pneumonia, and nosocomial pneumonia.
    › Uncomplicated and complicated skin and skin structure infections.
    • Post-exposure treatment of inhalational anthrax

          

  5. AMPICILLIN Contraindictions -Hypersensitivity to penicillins (cross-sensitivity exists to cephalosporins and other beta-lactams). Tablets for oral suspension (DisperMox) contain aspartame

          

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