Galen Pharm Exam 4 Test Questions and Answers Rated A
Aminoglycosides"Mycins" prototype (Obtain Culture and
Gentamycin
Sensitivity)
Used in gram negative sepsis & many life-threatening
Gentamycin clinical use
infections.Inactive against anaerobic bacteria.
GI upset, rash, visual disturbances, photosensitivity, dizzi-
Gentamycin side ettects
ness, weakness
Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOX-
gentamycin adverse reactions
IC.(Loop diuretics ‘ototoxicity), Superinfection
Monitor for ‘BUN and SERUM CREATININE for Nephrotox-
gentamycin nursing implications icity. Monitor I & O, Monitor: Bun, CreatinineShould be
given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensi- Amoxicillin, Ampicillin
tivity) (can be given with food. NO Acidic fruits and juices.)
Broad Spectrum PCNUsed to treat gram + and gram -,
Amoxicillin & Ampicillin clinical use commonly used for respiratory infections, otitis media, H.
Pylori, E. coli
GI disturbance, headaches, rash, stomatitis, dizziness,
Amoxicillin & Ampicillin side ettects
anxiety, confusion
Thrombocytopenia, leukopenia, angioedema, Hepatotox-
Amoxicillin & Ampicillin adverse reactions
icity
“ettectiveness of Oral contraceptives, assess for allergies to
Amoxicillin & Ampicillin nursing implications cephalosporins, asthma, Renal impairment Lab monitor:
ALT, AST, BUN, CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and
Ceftriaxone, Cefpodoxime
Sensitivity)
Ceftriaxone & Cefpodoxime clinical use Third generation cephalosporin
Ceftriaxone & Cefpodoxime side ettects GI upset, headaches, dizziness, rash, dyspepsia
1/5
, Galen Pharm Exam 4 Test Questions and Answers Rated A
Bleeding, angioedema, hepatoxicity, agranulocytosis, re-
Ceftriaxone & Cefpodoxime adverse reactions
nal failure
Cross-sensitivity w/ penicillin.Give WITH Food! Encourage
Ceftriaxone & Cefpodoxime nursing implications patients to eat yogurt, buttermilk or use probiotics to avoid
superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) Doxycycline(Vibramycin)
Broad spectrum, low dose therapy used to tx ACNESTD's,
Doxycycline(Vibramycin) clinical use
respiratory infections, UTI's
Doxycycline(Vibramycin) side ettects GI upset, photosensitivity
Discolors teeth permanently if given to children under 8
Doxycycline(Vibramycin) adverse reactions
yrs.
Milk products prevent absorption.“oral contraceptive ef-
Doxycycline(Vibramycin) nursing implications fectiveness, avoid antacids, iron, Monitor liver enzymes,
BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) Erythromycin, Azithromycin
Used to treat Otitis Media, STD's, skin infections, and res-
Erythromycin & Azithromycin clinical use
piratory infections
Erythromycin & Azithromycin side ettects Photosensitivity, headache, GI upset, Blurred vision, rash
Erythromycin & Azithromycin adverse reactions Hepatoxicity, superinfection, Steven Johnson
No meals 1 hour before or 2 hours afterTake on empty
Erythromycin & Azithromycin nursing implications stomach w/ full glass water. No antacids 2 hours before
or 2 hours afterMonitor labs ALT, AST, ALP, Bilirubin
Sulfonamides"Sulfa" prototype(Obtain Culture and Sen-
Sulfisoxasole, Trimethoprim-sulfamethoxazole
sitivity)
Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical Respiratory infections, UTI's, Otitis Media, MRSA, gas-
uses troenteritis, E. coli,
2/5
Aminoglycosides"Mycins" prototype (Obtain Culture and
Gentamycin
Sensitivity)
Used in gram negative sepsis & many life-threatening
Gentamycin clinical use
infections.Inactive against anaerobic bacteria.
GI upset, rash, visual disturbances, photosensitivity, dizzi-
Gentamycin side ettects
ness, weakness
Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOX-
gentamycin adverse reactions
IC.(Loop diuretics ‘ototoxicity), Superinfection
Monitor for ‘BUN and SERUM CREATININE for Nephrotox-
gentamycin nursing implications icity. Monitor I & O, Monitor: Bun, CreatinineShould be
given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensi- Amoxicillin, Ampicillin
tivity) (can be given with food. NO Acidic fruits and juices.)
Broad Spectrum PCNUsed to treat gram + and gram -,
Amoxicillin & Ampicillin clinical use commonly used for respiratory infections, otitis media, H.
Pylori, E. coli
GI disturbance, headaches, rash, stomatitis, dizziness,
Amoxicillin & Ampicillin side ettects
anxiety, confusion
Thrombocytopenia, leukopenia, angioedema, Hepatotox-
Amoxicillin & Ampicillin adverse reactions
icity
“ettectiveness of Oral contraceptives, assess for allergies to
Amoxicillin & Ampicillin nursing implications cephalosporins, asthma, Renal impairment Lab monitor:
ALT, AST, BUN, CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and
Ceftriaxone, Cefpodoxime
Sensitivity)
Ceftriaxone & Cefpodoxime clinical use Third generation cephalosporin
Ceftriaxone & Cefpodoxime side ettects GI upset, headaches, dizziness, rash, dyspepsia
1/5
, Galen Pharm Exam 4 Test Questions and Answers Rated A
Bleeding, angioedema, hepatoxicity, agranulocytosis, re-
Ceftriaxone & Cefpodoxime adverse reactions
nal failure
Cross-sensitivity w/ penicillin.Give WITH Food! Encourage
Ceftriaxone & Cefpodoxime nursing implications patients to eat yogurt, buttermilk or use probiotics to avoid
superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) Doxycycline(Vibramycin)
Broad spectrum, low dose therapy used to tx ACNESTD's,
Doxycycline(Vibramycin) clinical use
respiratory infections, UTI's
Doxycycline(Vibramycin) side ettects GI upset, photosensitivity
Discolors teeth permanently if given to children under 8
Doxycycline(Vibramycin) adverse reactions
yrs.
Milk products prevent absorption.“oral contraceptive ef-
Doxycycline(Vibramycin) nursing implications fectiveness, avoid antacids, iron, Monitor liver enzymes,
BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) Erythromycin, Azithromycin
Used to treat Otitis Media, STD's, skin infections, and res-
Erythromycin & Azithromycin clinical use
piratory infections
Erythromycin & Azithromycin side ettects Photosensitivity, headache, GI upset, Blurred vision, rash
Erythromycin & Azithromycin adverse reactions Hepatoxicity, superinfection, Steven Johnson
No meals 1 hour before or 2 hours afterTake on empty
Erythromycin & Azithromycin nursing implications stomach w/ full glass water. No antacids 2 hours before
or 2 hours afterMonitor labs ALT, AST, ALP, Bilirubin
Sulfonamides"Sulfa" prototype(Obtain Culture and Sen-
Sulfisoxasole, Trimethoprim-sulfamethoxazole
sitivity)
Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical Respiratory infections, UTI's, Otitis Media, MRSA, gas-
uses troenteritis, E. coli,
2/5
