NR599 MIDTERM STUDY GUIDE INFORMATICS
2023 VERSION CHAMBERLAIN COLLEGE OF
NURSING
Common CAP pathogens - ANSWER S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ANSWER Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ANSWER Respiratory
Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - ANSWER atypical pneumonia; commonly seen in
children
pediatric atypical pneumonia treatment - ANSWER Macrolides (Erythromycin), if
failed then Respiratory fluoroquinolone
CAP treatment during pregnancy - ANSWER Amoxicillin, cephalosporins, or
Erythromycin
Treatment of chlamydial pneumonia in infant - ANSWER Macrolide (Azithromycin):
500mg orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - ANSWER Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of
patient history, local susceptibility/geographic location
When to use narrow spectrum antibiotics? - ANSWER Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - ANSWER Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff -
ANSWER 2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ANSWER
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
, Safe penicillin during pregancy - ANSWER Amoxicillin
patient education for Cephalosporins - ANSWER Report to provider any loose
stools, complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - ANSWER All appear safe for use
patient education for Tetracyclines - ANSWER photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
Tetracyclines in pregnancy - ANSWER Can lead to fetal death; avoided for use
Patient education for macrolides - ANSWER Take with meals to avoid GI upset,
contraindicated w/ warfarin
Aminoglycoside patient teaching - ANSWER Patients should report tinnitus, high-
frequency hearing loss, persistent headache, nausea, dizziness or vertigo
sulfonamides patient teaching - ANSWER Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen
Sulfonamides during pregnancy - ANSWER not to be used during 1st trimester, can
cause kernicterus in infants
Gentamicin renal dose adjustments - ANSWER decreased dosage for renal
impaired
tinea capitis treatment - ANSWER oral griseofulvin
drug to treat aspergillosis (Fungal Pneumonia) - ANSWER Voriconazole
Which Anthelmintics carry risk for hypotension with patients on antihypertensives? -
ANSWER Ivermectin and Moxidectin
Which Anthelmintics can cause bone marrow suppression and liver impairment? -
ANSWER Mebendazole and Albendazole
Which Anthelmintic is generally safe to give w/out baseline data? - ANSWER
Which Anthelmintic is safe for use in pregnancy? - ANSWER Praziquantel,
Moxidectin
Risks associated with Didanosine - ANSWER pancreatitis, neuropathy, lactic
acidosis, hepatotoxicity, optic disorders
Risks associated with Saquinavir - ANSWER cardiac dysrhythmia, heart failure
2023 VERSION CHAMBERLAIN COLLEGE OF
NURSING
Common CAP pathogens - ANSWER S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ANSWER Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ANSWER Respiratory
Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - ANSWER atypical pneumonia; commonly seen in
children
pediatric atypical pneumonia treatment - ANSWER Macrolides (Erythromycin), if
failed then Respiratory fluoroquinolone
CAP treatment during pregnancy - ANSWER Amoxicillin, cephalosporins, or
Erythromycin
Treatment of chlamydial pneumonia in infant - ANSWER Macrolide (Azithromycin):
500mg orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - ANSWER Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of
patient history, local susceptibility/geographic location
When to use narrow spectrum antibiotics? - ANSWER Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - ANSWER Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff -
ANSWER 2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ANSWER
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
, Safe penicillin during pregancy - ANSWER Amoxicillin
patient education for Cephalosporins - ANSWER Report to provider any loose
stools, complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - ANSWER All appear safe for use
patient education for Tetracyclines - ANSWER photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
Tetracyclines in pregnancy - ANSWER Can lead to fetal death; avoided for use
Patient education for macrolides - ANSWER Take with meals to avoid GI upset,
contraindicated w/ warfarin
Aminoglycoside patient teaching - ANSWER Patients should report tinnitus, high-
frequency hearing loss, persistent headache, nausea, dizziness or vertigo
sulfonamides patient teaching - ANSWER Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen
Sulfonamides during pregnancy - ANSWER not to be used during 1st trimester, can
cause kernicterus in infants
Gentamicin renal dose adjustments - ANSWER decreased dosage for renal
impaired
tinea capitis treatment - ANSWER oral griseofulvin
drug to treat aspergillosis (Fungal Pneumonia) - ANSWER Voriconazole
Which Anthelmintics carry risk for hypotension with patients on antihypertensives? -
ANSWER Ivermectin and Moxidectin
Which Anthelmintics can cause bone marrow suppression and liver impairment? -
ANSWER Mebendazole and Albendazole
Which Anthelmintic is generally safe to give w/out baseline data? - ANSWER
Which Anthelmintic is safe for use in pregnancy? - ANSWER Praziquantel,
Moxidectin
Risks associated with Didanosine - ANSWER pancreatitis, neuropathy, lactic
acidosis, hepatotoxicity, optic disorders
Risks associated with Saquinavir - ANSWER cardiac dysrhythmia, heart failure
