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5 Written questions

5 Matching questions

  1. LEVOFLOXACIN contraindictions
  2. CEFAZOLIN Action -
  3. CIPROFLOXACIN Contraindictions -
  4. PIPERACILLIN Action -
  5. CEFTRIAXONE Nursing implications-
  1. a 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)
  2. b 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
  3. c Hypersensitivity (cross-sensitivity within class may exist).
    • Pedi: Children <18 yr [except for inhalation anthrax (post-exposure)].
    • OB: Pregnancy.
  4. d Nursing implications- IV; IM; 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. 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.
  2. Action - bind to bacterial cell wall, leading to cell death; Inactivated by penicillinase enzyme; Gram positive aerobic cocci

    Use - Respiratory tract infections, sinusitis, skin & skin structure infections , bone & joint infections, urinary tract infection , endocardistis, bacterium, meningitis

    Side Effects - seizures, Nephritis, urticaria, allergic reaction ; Pain @ IM Site

    Contraindictions - Previous hypersensitivity to penicillin; Cross sensitivity with cephaloporins & beta lactam antibiotics

    Nursing Implications - IM, IV, & intermittent Infusion; Observe for signs & symptoms of anaphylaxis

    Trade / Generic Name - Bactocill

    Classification: Penicillinase resistant penicillins, Anti-infectives

    Dosage:Moderate Infection 250-500mg IM/IV q 4-6hrs
    Serve Infection 1-2gm IM/IV q 4-6hrs
  3. Seizures, dizziness, drowsiness, headache, insomnia, agitation, confusion, d/n/r , pseudomembranous colitis, abdominal pain, abnormal liver enzymes, vaginitis, photosensitivity, hyperglycemia, hypoglycemia, eosinophilia, phlebitits at IV site, tendinitis, tendon rupture, peripheral neuropathy, anaphylaxis
  4. skin & skin structure infections, soft-tissue infections, otitis media, sinusitis, respiratory infections, genitourinary infections, meningitis, septicemia. Endocarditis prophylaxi
  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. CIPROFLOXACIN useAction - Inhibits bacterial DNA synthesis by inhibiting DNA gyrase enzyme.; Death of susceptible bacteria; Active against gram-positive pathogens, including. › Staphylococcus aureus.
    › Staphylococcus epidermidis.
    › Staphylococcus saprophyticus.
    › Streptococcus pyogenes.
    › Streptococcus pneumoniae.
    › Enterococcus faecalis.
    › Bacillus anthracis (anthrax).
    • Gram-negative spectrum notable for activity against. › Escherichia coli.
    › Klebsiella pneumoniae.
    › Enterobacter cloacae.
    › Salmonella typhi.
    › Shigella spp.
    › Proteus mirabilis.
    › Proteus vulgaris.
    › Providencia stuartii.
    › Providencia rettgeri.
    › Morganella morganii.
    › Pseudomonas aeruginosa.
    › Serratia marcescens.
    › Haemophilus influenzae.
    › Neisseria gonorrhoeae.
    › Moraxella catarrhalis.
    › Campylobacter jejuni.

    Use- 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.

    Side Effect - Seizures, dizziness, drowsiness, headache, insomnia, agitation, confusion, d/n/r , pseudomembranous colitis, abdominal pain, abnormal liver enzymes, vaginitis, photosensitivity, hyperglycemia, hypoglycemia, eosinophilia, phlebitits at IV site, tendinitis, tendon rupture, peripheral neuropathy, anaphylaxis

    Contraindictions - 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.

    Nursing implications - PO on empty stomach ; intermittent infusion; observe for s/s of anayphylaxis, monitor bowel function

    Trade / Generic Name - Cipro, Cipro XR, Proquin XR

    Classification - Fluoroquinolones; anti-infectives

    Dosage: PO 500-750 mg q 12hrs
    IV 400 mg q 12 hrs

          

  2. CEFAZOLIN 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

          

  3. AMPICILLIN side effects ared/n/v/r, seizures (high Doses), increase liver enzymes, urticaria, blood dyscrasias, anaphylaxis, serum sickness, superinfection

          

  4. CIPROFLOXACIN Nursing implications -Nursing implications - IM / IV; observe for s/s of anaphylaxis & monitor bowel function

          

  5. LEVOFLOXACIN 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