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Terms in this set (110)
what is the name clue for "_________cillin" or PCN
penicillins?
what is the prototype for ampicillin
penicillin?
what are some other amoxicillin, carbencillin, oxacillin, penicillin G or V
penicillins?
broad-spectrum bactericidal
what is the action of
penicillins?
inhibit cell wall synthesis
infection of respiratory, GI, GU, skin, or soft tissue
what are the uses of
penicillin? prophylaxis to prevent infective endocarditis before
dental procedure
most common is hypersensitivity (rash)
GI: abdominal pain, N/V/D, gastritis
GU: neuropathy
what are some adverse
effects of PCN? CNS: confusion, lethargy, dysphagia, seizure, coma
Electrolytes: some increase potassium & sodium
BBW - inadvertent administration of IM by IV route
= cardiopulmonary arrest & death
,what are some options if clindamycin, erythromycin, tetracycline,
the patient has an allergy azithromycin, macroglides
to PCN?
what are hypersensitivity
contraindications of
PCN? allergy/allergic reaction or PCN or cephalosporin
ampicillin
name broad spectrum
PCN
*ear infection, sinusitis
PCN G - IM or IV
name narrow spectrum
PCN
PCN V - oral
methicillin - not effective for MRSA
what is PCN resistant
*staph infection
name an extended carbenicillin
spectrum PCN
fatal anaphylaxis
*ask about PCN allergy and cross allergies
monitor 30 min after administration
what are some nursing
*check for IV site itching, dizziness, SOB
implications for PCNs?
administer IM into ventrogluteal muscle
monitor renal function
, complete entire course of antibiotic, even after
feeling better
take with full glass of water, empty stomach
do not take w orange juice or acidic fluids
what is the patient
education for PCN
take as recommended
*frequency, dose, course
report signs of allergic rxn
may decrease effect of oral contraceptives
what is the name clue for "cef____________" or "ceph________________"
cephalosporins?
what is the prototype of cefazolin (1st gen)
cephalosporin
broad spectrum bactericidal
what is the action of
cephalosporins
inhibits cell wall synthesis
1, 2, & 3 - less effective against gram +
what are the generations
4 - greater spectrum against both gram + & -
of cephalosporins
5 - used to treat resistant bacteria
1 - cefazolin
2 - cefaclor
what are some examples
of cephalosporins for 3 - ceftriaxone
each generation?
4 - cefepime
5 - ceftaroline