Nurs 643 - Final Exam - Disease/Abx treatment
questions with correct answers
Campylobacter Correct Answer-erythromycin 40mg/kg/day ;TID
dosing( 5-7 days)
Clostridium Correct Answer-metronidazole 30mg/kg/day; QID dosing
(7-10 days)
Salmonella Correct Answer-antibiotics children < 1 year of age or
immune-compromised-Trimethoprim-sulfamethoxazole (TMP-SMZ);
8mg/kg/day; BID dosing x7-10days
Shigella Correct Answer-TMP-SMZ
E-coli Correct Answer-TMP-SMZ if diarrhea mod-severe
Giardia Correct Answer-Furazolidone 5-8 mg/kg/day; QID; (7-10days)
Metronidazole 40mg/kg/day; TID; ( 7-10 days)
Enterobiasis (Pinworms) Correct Answer-Mebendazole (Vermox)
100mg tablet x1- repeat in 14 days
○ Only for >2yrs, DOC
Pyrantel (Antiminth)11mg/kg x1 dose-repeat in 14 days
○ SE: Stains stool & emesis red
,UTI: first line therapy Correct Answer-Amoxicillin: 40 mg/kg/day in 3
doses
UTI: PCN allergy Correct Answer-Bactrim ( Sulfa/TMX) 6-10
mg/kg/day based on trimethoprim (CI=G6PD)
Co-trimoxazole, which is a combination of
trimethoprim/sulfamethoxazole (TMP/SMX, Bactrim)
UTI: medication that cannot be given to pt <1 month Correct Answer-
Cephalexin (Keflex) 50-100 mg/kg/day in 4 doses
Nitrofurantoin (Macrodantin)
UTI: other medications Correct Answer-Cefdinir (Omnicef) 14
mg/kg/day
Cefixime (Suprax) 16 mg/kg/day in 2 doses day 1;then day 2
-8mg/kg/day/qd
Cefpodixime (Vantin) 10 mg/kg/day in 2 doses
Cefprozil (Cefzil) 30 mg/kg/day in 2 doses
Balanitis Correct Answer-Topical Bactroban
Acute Post-strep Glomerulonephritis (AGN) Correct Answer-Anti-
hypertensive
Loop diuretics
, Ca channel & Beta-blockers
ACE inhibitors
Antibiotics for active strep infection
Nephrotic Syndrome Correct Answer-Corticosteroids * = TOC
Intravenous Immunoglobulins (IVIG) * = TOC in hospital
Minor Wounds Correct Answer-PO abx NOT routinely indicated in
healthy patients → usually just topical - Bacitracin or mupirocin
not needed after 24 hours
Animal or Human bites Correct Answer-Augmentin
(Cefdinir + clinda = MRSA or history/type 1 allerg)
Cat Bites Correct Answer-cefdinir and clinda to cover pasteurella
I&D: MRSA coverage - hemodynamically stable, wound to
face/hand/perineum Correct Answer-Clindamycin 30 mg/kg/day divided
TID → most commonly usedDoxycycline 2 to 4 mg/kg per day orally in
1 or 2 doses
Trimethoprim-sulfamethozazole (TMP-SMX) 8 to 12 mg TMP/kg/day
divided BID
questions with correct answers
Campylobacter Correct Answer-erythromycin 40mg/kg/day ;TID
dosing( 5-7 days)
Clostridium Correct Answer-metronidazole 30mg/kg/day; QID dosing
(7-10 days)
Salmonella Correct Answer-antibiotics children < 1 year of age or
immune-compromised-Trimethoprim-sulfamethoxazole (TMP-SMZ);
8mg/kg/day; BID dosing x7-10days
Shigella Correct Answer-TMP-SMZ
E-coli Correct Answer-TMP-SMZ if diarrhea mod-severe
Giardia Correct Answer-Furazolidone 5-8 mg/kg/day; QID; (7-10days)
Metronidazole 40mg/kg/day; TID; ( 7-10 days)
Enterobiasis (Pinworms) Correct Answer-Mebendazole (Vermox)
100mg tablet x1- repeat in 14 days
○ Only for >2yrs, DOC
Pyrantel (Antiminth)11mg/kg x1 dose-repeat in 14 days
○ SE: Stains stool & emesis red
,UTI: first line therapy Correct Answer-Amoxicillin: 40 mg/kg/day in 3
doses
UTI: PCN allergy Correct Answer-Bactrim ( Sulfa/TMX) 6-10
mg/kg/day based on trimethoprim (CI=G6PD)
Co-trimoxazole, which is a combination of
trimethoprim/sulfamethoxazole (TMP/SMX, Bactrim)
UTI: medication that cannot be given to pt <1 month Correct Answer-
Cephalexin (Keflex) 50-100 mg/kg/day in 4 doses
Nitrofurantoin (Macrodantin)
UTI: other medications Correct Answer-Cefdinir (Omnicef) 14
mg/kg/day
Cefixime (Suprax) 16 mg/kg/day in 2 doses day 1;then day 2
-8mg/kg/day/qd
Cefpodixime (Vantin) 10 mg/kg/day in 2 doses
Cefprozil (Cefzil) 30 mg/kg/day in 2 doses
Balanitis Correct Answer-Topical Bactroban
Acute Post-strep Glomerulonephritis (AGN) Correct Answer-Anti-
hypertensive
Loop diuretics
, Ca channel & Beta-blockers
ACE inhibitors
Antibiotics for active strep infection
Nephrotic Syndrome Correct Answer-Corticosteroids * = TOC
Intravenous Immunoglobulins (IVIG) * = TOC in hospital
Minor Wounds Correct Answer-PO abx NOT routinely indicated in
healthy patients → usually just topical - Bacitracin or mupirocin
not needed after 24 hours
Animal or Human bites Correct Answer-Augmentin
(Cefdinir + clinda = MRSA or history/type 1 allerg)
Cat Bites Correct Answer-cefdinir and clinda to cover pasteurella
I&D: MRSA coverage - hemodynamically stable, wound to
face/hand/perineum Correct Answer-Clindamycin 30 mg/kg/day divided
TID → most commonly usedDoxycycline 2 to 4 mg/kg per day orally in
1 or 2 doses
Trimethoprim-sulfamethozazole (TMP-SMX) 8 to 12 mg TMP/kg/day
divided BID
