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5 Written questions

5 Matching questions

  2. AUGMENTIN (Amoxicillin/Clavulanate) Contraindictions -
  3. CEFAZOLIN use
  4. CIPROFLOXACIN Contraindictions -
  5. CEFUROXIME Nursing implications -
  1. a 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
  2. b Hypersensitivity to penicillins or clavulanate, Suspension and chewable tablets contain aspartame and should be avoided in phenylketonurics; History of amoxicillin/clavulanate-associated cholestatic jaundice.
  3. c Nursing implications - PO, admin with food; IM/IV, Direct IV, Intermittent infusion
  4. d 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
  5. e 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

5 Multiple choice questions

  1. Hypersensitivity to cephalosporins.
    • Serious hypersensitivity to penicillins.
    • Pedi: Neonates 28 days (use in hyperbilirubinemic neonates may lead to kernicterus).
    • Pedi: Neonates 28 days requiring calcium-containing IV solutions ( risk of precipitation formation).
  2. Bind to bacterial cell wall, resulting in cell death; Broad spectrum
  3. - 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
  4. Pneumocoocal pneumonia; streptoccocal pharyngitis, syphilis, Gonorrhea strains, enterococcal infection; Prevention of rheumatic fever
  5. Previous hypersensitivity to penicillin

5 True/False questions

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


  2. AMPICILLIN Useskin & skin structure infections, soft-tissue infections, otitis media, sinusitis, respiratory infections, genitourinary infections, meningitis, septicemia. Endocarditis prophylaxi


  3. GENTAMICIN 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.


  4. CEFTRIAXONE useTreatment 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.
    › Septicemia.
    › Meningitis.
    › Otitis media.
    Perioperative prophylaxis


  5. CEFTRIAXONE 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


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