5 Written questions
5 Matching questions
- GENTAMICIN Action -
- AMPICILLIN side effects are
- OXACILLIN Nursing Implications -
- LEVOFLOXACIN Nursing implications
- a Action - Inhibits protein synthesis in bacteria at level of 30S ribosome; Bactericidal action; Notable for activity against. › Pseudomonas aeruginosa.
› Klebsiella pneumoniae.
› Escherichia coli.
› 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
- b Seizures(high doses) pseudomembranous colitis, d/n/v/r, urticaria, blood dysrasias, anaphylaxis serum sickness, superinfection
- c PO; intermittent infusion
- d IM, IV, & intermittent Infusion; Observe for signs & symptoms of anaphylaxis
- e Inhibits protein synthesis in bacteria at level of 30S ribosome; Bactericidal action; Notable for activity against. ›
5 Multiple choice questions
- skin & skin structure infections, otitis media, sinusitis, respiratory infections, genitourinary infections, endocarditis prophylaxis, postexposure inhalational anthrax prophylaxis, mgmt of ulcer disease due to Helicobacter pylori
- Nursing implications - PO, admin with food; IM/IV, Direct IV, Intermittent infusion
- Appendicitis and peritonitis, Skin and skin structure infections, Gynecologic infections, Community-acquired and nosocomial pneumonia caused by piperacillin-resistant, beta-lactamase-producing bacteria.
- 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
- Bind to bacterial cell wall, resulting in cell death; Broad spectrum
5 True/False questions
CIPROFLOXACIN side effects are → 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
PIPERACILLIN side effects are → - d/n/v/r/ constipation, drug induced hepatitis, confusion dizziness, headache, insomnia, lethargy, interstitial nephritis, bleeding ,leucopenia, neutropenia, thrombocytopenia, pain, phlebitis at IV site; hypersensitivity reactions, serum sickness, fever(increase in cystic fibrosis patients), superinfection
CEFUROXIME 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
LEVOFLOXACIN contraindictions → Hypersensitivity (cross-sensitivity within class may exist).
• Pedi: Children <18 yr [except for inhalation anthrax (post-exposure)].
• OB: Pregnancy.
CIPROFLOXACIN Nursing implications - → Nursing implications - IM / IV; observe for s/s of anaphylaxis & monitor bowel function