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NUR 334 pharm exam 2 Questions with answers

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NUR 334 pharm exam 2 Questions with answers

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NUR 334 pharm exam 2 Questions
|| || || || || ||




with answers || ||




what drug class does gentamicin belong to?
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Aminoglycosides




What is the indicated use of aminoglycosides?
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- Treat severe infections of the abdomen and urinary
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tract, hospital acquired pneumonia, bacteremia, and
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endocarditis
- serious gram-negative bacterial infections and
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infections caused by staphylococci when penicillins or
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other less toxic drugs are contraindicated
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Which antibiotics inhibit protein synthesis?
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tetracyclines, macrolides, aminoglycosides || ||




what are the pharmacokinetics of gentamicin?
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- absorption: well absorbed IM and IV
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,- distribution: widely distributed in extracellular fluid,
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cross placenta, small amount enters breast milk, poor
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penetration into CSF || ||




- metabolism and excretion: >90% renal
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- half life: 2-4 hr or longer in renal impairment
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What drugs fall into the aminoglycoside drug class?
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gentamicin, streptomycin, amikacin, neomycin,
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trobramicin




What are the most common side effects and adverse
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effects of aminoglycosides (symptoms associated)?
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- ototoxicity: ringing in the ears
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- anemia: fatigue, feeling cold, dizziness, pallor
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, - thrombocytopenia: excessive bruising, petechiae,
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excessive bleeding ||




- nephrotoxicity: oliguria, edema, hypertension
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What is oliguria? || ||




-Less than 500 cc of urine in 24 hours
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-low urine output || ||




What is the concern when a patient is experiencing
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oliguria?
- impaired renal function possibly due to nephrotoxicity
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of a med or illness
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- can alter the electrolyte balance and fluid balance of
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the body resulting in hypo/hypernatremia or
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hypo/hyperkalemia
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What is a broad spectrum antibiotic? || || || || ||




A drug effective against a wide variety of microbial
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species

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