ATI Testing (Pharm3)
Medications to Treat Infection / Full
Study Guide Questions & Certified
Answers
QUESTION ANSWER
What does anti-microbial agents
Bacterial, viral, fungal infections
treat?
What are narrow-spectrum
Gram +ve cocci/bacilli & Gram -ve aerobes
antibiotics effective against?
What are broad-spectrum
Gram +ve cocci & Gram -ve bacilli
antibiotics effective against?
What is the prototype of Penicillin
PENICILLIN G
med?
AMOXICILLIN (Broad spectrum), NAFCILLIN,
What are other penicillin METHICILLIN(anti-staphylococal),CARBENICILLIN,
classifications? TICARCILLIN-CLAVUNATE), PIPERACILLIN-
TAZOBACTAM(anti-pseudomonas)
What are nursing interventions for
Check prior allergies, allergy bracelet,observe for 30
allergies/anaphylaxis due to
min after parenteral penicillin.
Penicillin?
What are nursing interventions for
Monitor kidney function/Intake & Output
renal impairment due to Penicillin?
What are nursing interventions for Monitor for Cardiac status & electrolytes
, hyperkalemia/dysrhythmias with
HIGH doses of Penicillin G?
What are the contraindications of
Severe allergies history, cephalosporin, imipenem
penicillin?
Penicillin are to be used cautiously Kidney dysfunction(acutely ill, older adults, young
in what type of pts? children)
Pts allergic to one penicillin should be considered
What should we know about
cross allergic to other penicillins and at risk for a cross
Penicillin cross allergy?
allergy to cephalosporin
AMINOGLYCOSIDES ("micins) (DO NOT MIX
What does penicllin inactivate?
PENICLLIN IN SAME IV SOLUTION)
Decrease OC efficacy. Instruct pt to report signs of
How does ampicillin affect oral
breakthrough bleeding. Increase OC dose or use
contraceptives?
alternate form of birth control
How should penicillin be taken? Full glass of water 1 hr B4 meal/2hrs after
What penicillins can be taken c Penicillin V, Amoxicillin, Amoxicillin-Clavunate,
meals? Bacampicillin
What signs of allergic response
Rash, skin itching or hives
should be reported?
How do we evaluate the
Reduction in fever, pain, inflammation
effectiveness of penicillins?
How many generations of 1st (Cephalexin/Keflex), 2nd(Cefaclor),
Cephalosporins are there? 3rd(Ceftriaxone/Rocephin), 4th (Cefepime)
What are other classes of
1st(Cephapirin), 2nd(Cefotetan), 3rd(Cefotaxime)
cephalosporins?
More effective against Gram-ve organism/anaerobes,
What are the key importance of
less likely be destroyed by beta-lactamase, more able
each generation of cephalosporin?
to reach BBB
What are important therapeutic BROAD SPECTRUM BACTERIAL-CIDAL. TREATS
uses of cephalosporins? UTI, POST-OP INFECTIONS, PELVIC INFECTION,
Medications to Treat Infection / Full
Study Guide Questions & Certified
Answers
QUESTION ANSWER
What does anti-microbial agents
Bacterial, viral, fungal infections
treat?
What are narrow-spectrum
Gram +ve cocci/bacilli & Gram -ve aerobes
antibiotics effective against?
What are broad-spectrum
Gram +ve cocci & Gram -ve bacilli
antibiotics effective against?
What is the prototype of Penicillin
PENICILLIN G
med?
AMOXICILLIN (Broad spectrum), NAFCILLIN,
What are other penicillin METHICILLIN(anti-staphylococal),CARBENICILLIN,
classifications? TICARCILLIN-CLAVUNATE), PIPERACILLIN-
TAZOBACTAM(anti-pseudomonas)
What are nursing interventions for
Check prior allergies, allergy bracelet,observe for 30
allergies/anaphylaxis due to
min after parenteral penicillin.
Penicillin?
What are nursing interventions for
Monitor kidney function/Intake & Output
renal impairment due to Penicillin?
What are nursing interventions for Monitor for Cardiac status & electrolytes
, hyperkalemia/dysrhythmias with
HIGH doses of Penicillin G?
What are the contraindications of
Severe allergies history, cephalosporin, imipenem
penicillin?
Penicillin are to be used cautiously Kidney dysfunction(acutely ill, older adults, young
in what type of pts? children)
Pts allergic to one penicillin should be considered
What should we know about
cross allergic to other penicillins and at risk for a cross
Penicillin cross allergy?
allergy to cephalosporin
AMINOGLYCOSIDES ("micins) (DO NOT MIX
What does penicllin inactivate?
PENICLLIN IN SAME IV SOLUTION)
Decrease OC efficacy. Instruct pt to report signs of
How does ampicillin affect oral
breakthrough bleeding. Increase OC dose or use
contraceptives?
alternate form of birth control
How should penicillin be taken? Full glass of water 1 hr B4 meal/2hrs after
What penicillins can be taken c Penicillin V, Amoxicillin, Amoxicillin-Clavunate,
meals? Bacampicillin
What signs of allergic response
Rash, skin itching or hives
should be reported?
How do we evaluate the
Reduction in fever, pain, inflammation
effectiveness of penicillins?
How many generations of 1st (Cephalexin/Keflex), 2nd(Cefaclor),
Cephalosporins are there? 3rd(Ceftriaxone/Rocephin), 4th (Cefepime)
What are other classes of
1st(Cephapirin), 2nd(Cefotetan), 3rd(Cefotaxime)
cephalosporins?
More effective against Gram-ve organism/anaerobes,
What are the key importance of
less likely be destroyed by beta-lactamase, more able
each generation of cephalosporin?
to reach BBB
What are important therapeutic BROAD SPECTRUM BACTERIAL-CIDAL. TREATS
uses of cephalosporins? UTI, POST-OP INFECTIONS, PELVIC INFECTION,
