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5 Written questions

5 Matching questions

  1. AUGMENTIN (Amoxicillin/Clavulanate) Action-
  2. OXACILLIN Contraindictions -
  3. CIPROFLOXACIN use
  4. CEFAZOLIN side effects are
  5. AUGMENTIN (Amoxicillin/Clavulanate) side effects are
  1. a PO, IV: Treatment of the following bacterial infections. › Urinary tract and gynecologic infections, including cystitis, gonorrhea, and prostatitis.
    › Respiratory tract infections including acute sinusitis, acute exacerbations of chronic bronchitis, and pneumonia.
    › Skin and skin structure infections .
    › Bone and joint infections .
    › Infectious diarrhea .
    › Complicated intra-abdominal infections (with metronidazole).
    › Typhoid fever.
    • Post-exposure prophylaxis of inhalational anthrax.
    • Cutaneous anthrax.
  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 - d/v/n/r urticaria, seizures(high doses) pseudomembranous colitis, hepatic dysfunction, vaginal candidiasis, blood dycrasias, allergic reactions including anaphylaxis & serum sickness, superinfection
  4. d Previous hypersensitivity to penicillin; Cross sensitivity with cephaloporins & beta lactam antibiotics
  5. e - 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

5 Multiple choice questions

  1. Nursing implications- IV; IM; Intermittent infusion
  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. Use - Treatment of. Respiratory tract infections, Skin and skin structure infections, Bone and joint infections (IV), Urinary tract infections, Gynecological infections, Septicemia (IV), Otitis media (PO), Meningitis (IV), Lyme disease (PO); Perioperative prophylaxis (IV).
  4. -d/n/v/r; seizures, dizziness, drowsiness, headache, insomnia, agitation, confusion, QTc prolongation, arrhythmias, hepatotoxicity, pseudomembranous colitis, abdomininal pain, vaginitis, photosensitivity, hyper/hypeglcemia, phlenbitis @IV site, peripheral neuropathy, arthralgia, tendinitis, tendon rupture, anaphylaxis
  5. Action - Binds to the bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria; Similar to that of second-generation cephalosporins, but activity against staphylococci is less, while activity against gram-negative pathogens is greater, even for organisms resistant to first- and second-generation agents. Notable is increased action against.

5 True/False questions

  1. PENICILLIN G or V Nursing ImplicationsPrevious hypersensitivity to penicillin

          

  2. CEFUROXIMEAction - 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 including. Haemophilus influenzae (including B -lactamase-producing strains) Haemophilus parainfluenzae
    › Escherichia coli.
    › Klebsiella pneumoniae.
    › Neisseria .
    › Proteus.
    › Moraxella catarrhalis.
    › Borrelia burgdorferi.

    Use - Treatment of. Respiratory tract infections, Skin and skin structure infections, Bone and joint infections (IV), Urinary tract infections, Gynecological infections, Septicemia (IV), Otitis media (PO), Meningitis (IV), Lyme disease (PO); Perioperative prophylaxis (IV).

    Side Effect - 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

    Contraindictions - Hypersensitivity to cephalosporins. Serious hypersensitivity to penicillins

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

    Trade / Generic Name - Ceftin, zinacef

    Classification - 2nd generation cephalosporins; anti- infectives

    Dosage: PO 250mg q 12hrs- Pharyngitis/tonsillitis, UTI
    250mg-500mg q12- Bronchitis
    IM 750mg q 8hrs UTI
    1.5 q 6hrs- Life threatening infections

          

  3. CEFTRIAXONETreatment of. Skin and skin structure infections.
    › Bone and joint infections.
    › Complicated and uncomplicated urinary tract infections.
    › Uncomplicated gynecological infections including gonorrhea.
    › Lower respiratory tract infections.
    › Intra-abdominal infections.
    › Septicemia.
    › Meningitis.
    › Otitis media.
    Perioperative prophylaxis

          

  4. PIPERACILLIN Nursing implications -PO ; Less GI distress than Ampilicin; s/s anaphylaxis, Monitor bowl function

          

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