5 Written questions
5 Matching questions
- AUGMENTIN (Amoxicillin/Clavulanate) Action-
- OXACILLIN Contraindictions -
- CIPROFLOXACIN use
- CEFAZOLIN side effects are
- AUGMENTIN (Amoxicillin/Clavulanate) side effects are
- 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.
- 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
- c - d/v/n/r urticaria, seizures(high doses) pseudomembranous colitis, hepatic dysfunction, vaginal candidiasis, blood dycrasias, allergic reactions including anaphylaxis & serum sickness, superinfection
- d Previous hypersensitivity to penicillin; Cross sensitivity with cephaloporins & beta lactam antibiotics
- 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
- Nursing implications- IV; IM; 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.
- 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).
- -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
- 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
PENICILLIN G or V Nursing Implications → Previous hypersensitivity to penicillin
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 including. Haemophilus influenzae (including B -lactamase-producing strains) Haemophilus parainfluenzae
› Escherichia coli.
› Klebsiella pneumoniae.
› Neisseria .
› 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
CEFTRIAXONE → Treatment 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.
› Otitis media.
PIPERACILLIN Nursing implications - → PO ; Less GI distress than Ampilicin; s/s anaphylaxis, Monitor bowl function
AMPICILLIN Use → Respiratory tract infections, sinusitis, skin & skin structure infections , bone & joint infections, urinary tract infection , endocardistis, bacterium, meningitis