NR 566 Midterm Questions &
Answers 100% Correct
What pathogen is highly associated with CAP in general population? - ANSWER streptococcus
pneumoniae
Other common pathogens with CAP - ANSWER atypical bacteria (mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - ANSWER Amoxicillin, doxycycline, macrolides
(DAM)
Treatment of CAP in pregnancy - ANSWER amoxicillin, cephalosporins, erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - ANSWER Macrolides (erythromycin,
clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - ANSWER Erythromycin base/ethylsuccinate
Broad spectrum antibiotics - when to use? - ANSWER empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - ANSWER When the pathogen is known
Preferred
What are empiric antibiotics? - ANSWER Broad Spectrum antibiotics that are given BEFORE the
results are in for certain circumstances.
, sulfonamides renal dosing - ANSWER Avoid in older adults for
For patients with creatinine clearance <30mL/min:
For patients concurrently prescribed warfarin, avoid trimethoprim/sulfamethoxazole, macrolides,
and ciprofloxacin
do not give if creatine is under 15
Drug class known for all drugs in class to promote development of C diff - ANSWER cephalosporins
(especially second or third generations)
Penicillin's have cross-sensitivity with which drug class? - ANSWER cephalosporins
Can you take penicillin's if pregnant? - ANSWER Yes
Can you prescribe cephalosporins if pregnant? - ANSWER yes
Patient education needed for cephalosporins - ANSWER Can promote C diff, instruct patients to
report increase in stool frequency
Can you prescribe tetracyclines in pregnant patients - ANSWER No - can cause tooth staining
Patient education for tetracyclines - ANSWER Photosensitivity. Advise patients to avoid prolonged
exposure to sunlight, to wear protective clothing, and to apply sunscreen to exposed skin/avoid
tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk products, iron
supplements, magnesium-containing laxatives, and most antacids.
Advise patients to notify the provider if diarrhea occurs, as this is an indication of potentially life-
threatening superinfection of the bowel.
Gentamicin (aminoglycoside) - ANSWER monitor Cr cl in elderly
renal adjustments
If renal dx dose reduces or dosing interval increased
Answers 100% Correct
What pathogen is highly associated with CAP in general population? - ANSWER streptococcus
pneumoniae
Other common pathogens with CAP - ANSWER atypical bacteria (mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - ANSWER Amoxicillin, doxycycline, macrolides
(DAM)
Treatment of CAP in pregnancy - ANSWER amoxicillin, cephalosporins, erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - ANSWER Macrolides (erythromycin,
clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - ANSWER Erythromycin base/ethylsuccinate
Broad spectrum antibiotics - when to use? - ANSWER empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - ANSWER When the pathogen is known
Preferred
What are empiric antibiotics? - ANSWER Broad Spectrum antibiotics that are given BEFORE the
results are in for certain circumstances.
, sulfonamides renal dosing - ANSWER Avoid in older adults for
For patients with creatinine clearance <30mL/min:
For patients concurrently prescribed warfarin, avoid trimethoprim/sulfamethoxazole, macrolides,
and ciprofloxacin
do not give if creatine is under 15
Drug class known for all drugs in class to promote development of C diff - ANSWER cephalosporins
(especially second or third generations)
Penicillin's have cross-sensitivity with which drug class? - ANSWER cephalosporins
Can you take penicillin's if pregnant? - ANSWER Yes
Can you prescribe cephalosporins if pregnant? - ANSWER yes
Patient education needed for cephalosporins - ANSWER Can promote C diff, instruct patients to
report increase in stool frequency
Can you prescribe tetracyclines in pregnant patients - ANSWER No - can cause tooth staining
Patient education for tetracyclines - ANSWER Photosensitivity. Advise patients to avoid prolonged
exposure to sunlight, to wear protective clothing, and to apply sunscreen to exposed skin/avoid
tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk products, iron
supplements, magnesium-containing laxatives, and most antacids.
Advise patients to notify the provider if diarrhea occurs, as this is an indication of potentially life-
threatening superinfection of the bowel.
Gentamicin (aminoglycoside) - ANSWER monitor Cr cl in elderly
renal adjustments
If renal dx dose reduces or dosing interval increased
