Galen pharm exam 4
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Answer-Gentamycin
Gentamycin clinical use - Answer-Used in gram negative sepsis & many life-threatening
infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Answer-GI upset, rash, visual disturbances, photosensitivity, dizziness,
weakness
gentamycin adverse reactions - Answer-Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOXIC.(Loop
diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Answer-Monitor for ↑BUN and SERUM CREATININE for
Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - Answer-Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Answer-Broad Spectrum PCNUsed to treat gram + and gram -,
commonly used for respiratory infections, otitis media, H. Pylori, E. coli
, Amoxicillin & Ampicillin side effects - Answer-GI disturbance, headaches, rash, stomatitis, dizziness,
anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Answer-Thrombocytopenia, leukopenia, angioedema,
Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Answer-↓ effectiveness of Oral contraceptives, assess for
allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST, BUN, CreatinineMonitor
for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - Answer-Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Answer-Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects - Answer-GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Answer-Bleeding, angioedema, hepatoxicity,
agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Answer-Cross-sensitivity w/ penicillin.Give WITH
Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid superinfectionMonitor
labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - Answer-Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Answer-Broad spectrum, low dose therapy used to tx ACNESTD's,
respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Answer-GI upset, photosensitivity
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Answer-Gentamycin
Gentamycin clinical use - Answer-Used in gram negative sepsis & many life-threatening
infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Answer-GI upset, rash, visual disturbances, photosensitivity, dizziness,
weakness
gentamycin adverse reactions - Answer-Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOXIC.(Loop
diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Answer-Monitor for ↑BUN and SERUM CREATININE for
Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - Answer-Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Answer-Broad Spectrum PCNUsed to treat gram + and gram -,
commonly used for respiratory infections, otitis media, H. Pylori, E. coli
, Amoxicillin & Ampicillin side effects - Answer-GI disturbance, headaches, rash, stomatitis, dizziness,
anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Answer-Thrombocytopenia, leukopenia, angioedema,
Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Answer-↓ effectiveness of Oral contraceptives, assess for
allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST, BUN, CreatinineMonitor
for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - Answer-Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Answer-Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects - Answer-GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Answer-Bleeding, angioedema, hepatoxicity,
agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Answer-Cross-sensitivity w/ penicillin.Give WITH
Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid superinfectionMonitor
labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - Answer-Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Answer-Broad spectrum, low dose therapy used to tx ACNESTD's,
respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Answer-GI upset, photosensitivity
