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Ch. 9 Antibiotics (Karch Focus on Nursing Pharmacology) Questions and Correct Answers

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Ch. 9 Antibiotics (Karch Focus on Nursing Pharmacology) Questions and Correct Answers

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Ch. 9: Antibiotics (Karch Focus on
Nursing Pharmacology) Questions and
Correct Answers
aerobic - correct answers:bacteria that depend on oxygen for survival



anaerobic - correct answers:bacteria that survive without oxygen, which are often

seen when blood flow is cut off to an area of the body



antibiotic - correct answers:chemical that is able to inhibit the growth of specific

bacteria or cause the death of susceptible bacteria



gram-negative - correct answers:bacteria that accept a negative stain and are

frequently associated with infections of the genitourinary or GI tract



gram-positive - correct answers:bacteria that take a positive stain and are frequently associated with
infections of the respiratory tract and soft tissues



synergistic - correct answers:drugs that work together to increase drug effectiveness



Prototype of Aminoglycosides - correct answers:Gentamicin



Indications of Gentamicin:

(Prototype of Aminoglycosides) - correct answers:Treatment of serious infections caused by

susceptible bacteria.



Actions of Gentamicin:

(Prototype of Aminoglycosides) - correct answers:Inhibits protein synthesis in susceptible strains of
gram-negative bacteria, disrupting functional integrity of the cell membrane and causing cell death.

, Adverse Effects of Gentamicin:

(Prototype of Aminoglycosides) - correct answers:Sinusitis, dizziness, rash, fever, risk of !nephrotoxicity
and hearing loss (ototoxicity)!



Prototype of Carbapenems - correct answers:Ertapenem



Indications of Ertapenem:

(Prototype of Carbapenems) - correct answers:New class of bactericidal, broad-spectrum antibiotics



Treatment of community-acquired pneumonia, complicated genitourinary infections, complicated intra-
abdominal infections, skin and skin- structure infections, and acute pelvic infections caused by
susceptible bacteria



Actions of Ertapenem:

(Prototype of Carbapenems) - correct answers:Inhibits protein synthesis in susceptible strains of gram-
positive and gram-negative bacteria, disrupting functional integrity of the cell membrane and causing
cell death.



Adverse Effects of Ertapenem:

(Prototype of Carbapenems) - correct answers:Toxic effects on the GI tract can limit the use -
pseudomembranous colitis, Clostridium difficile diarrhea, nephrotoxicity and N/V leading to dehydration
and electrolyte imbalances are the most significant AEs



Headache, dizziness, nausea, vomiting, pseudomembranous colitis, rash, pain at injection site.



Prototype of Cephalosporins: - correct answers:Cefaclor



Indications of Cefaclor:

(Prototype of Cephalosporins) - correct answers:Preoperative prophylaxis to minimize risk of infection
(prophylaxis C-sections, and abdominal, vaginal biliary, and colorectal surgery)

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