Sarah Pharm Course: Antibiotics questions and answers well illustrated.

Sarah Pharm Course: Antibiotics questions and answers well illustrated. Penicillins and pregnancy? - correct answers.-Great during pregnancy Amoxicllin - correct answers.-PNEUMONIA (if used for Less 65yr old, no serious comorbids, and no abx in last 3 months ) -ACUTE OTITIS MEDIA (if no abx in last month) -GROUP A STREP Augmentin - correct answers.-Sinusitis -Animal, dog bites -Otitis media for those who have had abx in the last month PCN G IM - correct lis Dicloxacillin - correct answers.Mastitis If allergic to PCN can still have cephalosporin? - correct answers.Sometimes. NOT if PCN allergy is anaphylactic but other wise may try. Cephalosporins - correct answers.-post op wounds -otitis media if patient has had abx in the last month -back up if treatment failure to first line med for sinusitis - Good option for pregnant women Keflex (cephalosporin) - correct answers.Above the waist skin complaints Rocephin IM (Cephalosporin) - correct rhea Macrolides (mycin's) - correct answers.-First line for pneumonia -First line , azithromycin for chlamydia -Group A strep -some drugs in this class cause n/v but not all -Safe in pregnancy! Sulfonamides - Bactrim - correct answers.-Pregnancy category C , ify about it -Bactrim: Tx for uncomplicated UTI or below the waist skin complaints like purulent cellulitis lower leg ***Patient MUST be heavily educated to tell you if they develop a rash with bactrim...steven johnson syndrome!!!*** Starts with flu like symptoms then rash/blisters...entire top layer of skin dies and sheds ...can be fatal ...Must not miss. Can patient take bactrim if allergic to sulfa? - correct answers.NO. If allergic to sulfa they should not take a sulfonamide...aka bactrim Tetracycline's (cyclines) - correct answers.-Huge photosensitivity -Stains teeth-children must drink it through a straw! Treat: -pneumonia -rocky mountain spotted fever -lymes disease -purulent cellulitis **Avoid during pregnancy Is it appropriate to treat with amoxicillin (instead of doxy) in children less than 8 years old with rocky mounted spotted fever and lymes? - correct answers.For Lyme disease- yes. However, Rocky mountain spotted fever is too risky, therefore ALWAYS treated with doxycycline regardless of age. Fluroquinolones (floxacins) - correct answers.(cipro , levo) -Heavy duty, save these for when really needed Cipro most often used: first line for UTI's Treats: -UTI -pneumonia -travelers diarrhea -diverticulitis -chronic prostatitis -pregnancy category C so use only if the benefit outweighs risks and not another option available. ***Side effect of Achilles tendon rupture. Educate patient to monitor for heel pain