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5 Written questions

5 Matching questions

  1. PIPERACILLIN Contraindictions -
  2. Pencillin G / V Use
  3. CIPROFLOXACIN Nursing implications -
  4. CEFAZOLIN Action -
  5. OXACILLIN Action -
  1. a Hypersensitivity to penicillins, beta-lactams, cephalosporins, or tazobactam (cross-sensitivity may occur
  2. b PO on empty stomach ; intermittent infusion; observe for s/s of anayphylaxis, monitor bowel function
  3. c Action - Binds to bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria; Active against many gram-positive cocci including
  4. d Pneumocoocal pneumonia; streptoccocal pharyngitis, syphilis, Gonorrhea strains, enterococcal infection; Prevention of rheumatic fever
  5. e bind to bacterial cell wall, leading to cell death; Inactivated by penicillinase enzyme; Gram positive aerobic cocci

5 Multiple choice questions

  1. PO ; Less GI distress than Ampilicin; s/s anaphylaxis, Monitor bowl function
  2. 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).
  3. Previous hypersensitivity to penicillin
  4. - 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. sezures (High doses), pseudomembranous colitis, d/, cholelithaiasis, gallbladder sludging, rashes, urticaria, bleeding, eosinophilia, hemolytic anemia, leucopenia, thrombocytosis, pain @ IM site, phlebitis at IV site, anaphylaxis, superinfection

5 True/False questions

  1. 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

          

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

          

  3. GENTAMICIN Action -Inhibits protein synthesis in bacteria at level of 30S ribosome; Bactericidal action; Notable for activity against. ›

          

  4. AMOXICILLIN Useskin & skin structure infections, otitis media, sinusitis, respiratory infections, genitourinary infections, endocarditis prophylaxis, postexposure inhalational anthrax prophylaxis, mgmt of ulcer disease due to Helicobacter pylori

          

  5. PENICILLIN G or V Nursing ImplicationsIM / IV use for moderately severe to severe infections; change to PO asap; s/s anaphylaxis & monitor bowl functions