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5 Written questions

5 Matching questions

  1. PIPERACILLIN side effects are
  2. CEFTRIAXONE Nursing implications-
  3. AMOXICILLIN Action -
  4. LEVOFLOXACIN
  5. PIPERACILLIN
  1. a Nursing implications- IV; IM; Intermittent infusion
  2. b Binds to bacterial cell wall, causing cell death; bactericidal action; spectrum is broader than penicillins
  3. c - 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
  4. d Action - 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)

    Use - Appendicitis and peritonitis, Skin and skin structure infections, Gynecologic infections, Community-acquired and nosocomial pneumonia caused by piperacillin-resistant, beta-lactamase-producing bacteria.
    Side Effect - 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

    Contraindictions - Hypersensitivity to penicillins, beta-lactams, cephalosporins, or tazobactam (cross-sensitivity may occur

    Nursing implications - intermittent infusion ; s/s of anaphylaxis

    Trade / Generic Name - Zosyn

    Classification - extended spectrum penicillins; anti infectives

    Dosage: Most infections 3.375gm q 6hrs
    4.5 gm q 6hrs
  5. e Action - 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.
    Gram-negative spectrum notable for activity against. › Escherichia coli.
    › Klebsiella pneumoniae.
    › Enterobacter cloacae.
    › Proteus mirabilis.
    › Pseudomonas aeruginosa.
    › Serratia marcescens.
    › Haemophilus influenzae.
    › Moraxella catarrhalis.
    Additional spectrum includes. › Chlamydophylia pneumoniae.
    › Legionella pneumoniae.
    › Mycoplasma pneumoniae.

    Use- PO, 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

    Side Effect -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

    Contraindictions - Hypersensitivity (cross-sensitivity within class may exist).
    • Pedi: Children <18 yr [except for inhalational anthrax (post-exposure)].
    • OB: Pregnancy.

    Nursing implications - PO; intermittent infusion

    Trade / Generic Name - Levaquin

    Classification - Fluoroquinolones; anti-infectives

    Dosage: Most infections PO 250-750 mg q 24hrs
    Inhalation Anthrax 500mg daily for 60 days

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. 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
  3. Treatment of the following infections due to susceptible organisms, Skin and skin structure infections (including burn wounds). Pneumonia, Urinary tract infections, Biliary tract infections, Genital infections, Bone and joint infections, Septicemia, Bacterial endocarditis prophylaxis for dental and upper respiratory procedures; Perioperative prophylaxis
  4. - Administer IV / IM = Penicillin G; PO = Penicillin V ; Observe for s/s anaphalxis
  5. Action- 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(Active against Streptococci. Pneumococci. › Enterococci. Haemophilus influenzae. Escherichia coli. Proteus mirabilis Neisseria meningitidis. N. Gonorrhoeae. Staphylococcus aureus Klebsiella pneumoniae. Shigella Salmonella. Moraxella catarrhalis

    Use- Skin and skin structure infection Otitis media, Sinusitis Respiratory tract infections, Genitourinary tract infections.

    Side Effect - d/v/n/r urticaria, seizures(high doses) pseudomembranous colitis, hepatic dysfunction, vaginal candidiasis, blood dycrasias, allergic reactions including anaphylaxis & serum sickness, superinfection

    Contraindictions - Hypersensitivity to penicillins or clavulanate, Suspension and chewable tablets contain aspartame and should be avoided in phenylketonurics; History of amoxicillin/clavulanate-associated cholestatic jaundice.

    Nursing implications - PO(Administer at the start of a meal to enhance absorption and to decrease GI side effects. Do not administer with high fat meals; clavulanate absorption is decreased.)

    Trade/ Genetric Name - Amoclan, Augmentin, Augmentin ES, Augmentin XR

    Classification - aminopenicillins beta lactamase inhibitors; anti-infectives

    Dosage: PO 250mg q 8hrs
    500mg q 12hrs

5 True/False questions

  1. CIPROFLOXACIN side effects areSeizures, 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

          

  2. CEFAZOLIN Action -Action - Binds to bacterial cell wall membrane, causing cell death; Bactericidal action against susceptible bacteria; Active against many gram-positive cocci including

          

  3. Pencillin G / V UsePneumocoocal pneumonia; streptoccocal pharyngitis, syphilis, Gonorrhea strains, enterococcal infection; Prevention of rheumatic fever

          

  4. PENICILLIN G or V side effects are- seizures, Nephritis, urticaria, allergic reaction ; Pain @ IM Site

          

  5. CEFUROXIME side effects are- 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

          

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