NR 565 WEEK 5 QUESTIONS WITH CORRECT
ANSWERS RATED A+
Glaucoma - CORRECT ANSWER -Treatment:
Dosing:
Patient education:
Penicillin's - CORRECT ANSWER -*inhibits bacterial cell wall synthesis
*Excreted unchanged in urine
*Most likely to cause an allergic reaction
*Pregnancy Cat B
*Diarrhea and n/v common with higher doses
*reduces oral contraceptive effectiveness
*Clinical use: favorable in use with children. treats URI infections (phyryngitis, otitis media,
sinusitis). Not first line choice in UTI's unless pregnant and combined with clauvinate acid.
Syphillys is the only STD for treatment.
Used in bites (animal and human) *augmentin
*treats lyme disease
*used in gingival infections for prevention of bacterial endocarditis
*Group B strep
Cephalasporins - CORRECT ANSWER -*Beta Lactam (like penicillin's)
*cross sensitivities with cillins
*5 generations based on age
*1st gen effective against gram pos not gram neg
*3rd gen more effective with gram neg
, *resistance through beta-lactamase production
*GI tract absorption
*ceftriaxone contraindicated in neonates with hyperbilirubinemia
*excreted via kidneys
*watch for hypersensitivity and cross-sensitivity
*watch for rash (multiform)
*avoid loop diuretics
*2nd line tx for otitis media, sinusitis, pharyngitis, UTI
*due to varying effectiveness based on generation susceptibility testing recommended.
*c-diff concerns exist
Flouriquinolones - CORRECT ANSWER -*narrow spectrum antibiotics to treat UTI's
*bactericidal through dna damage
*extensive gram neg coverage
*oral absorption is same as IV
*various metabolism rates but renally excreted
*black box warning for tendon rupture (older patients)
*avoid with pt's with MG
*Prolong Qtc
*watch for renal imairment
*preg cat C
*not recommended in children
*phototoxicity
*Clinical use in chronic bronchitis, CAP, UTI, infectious diarrhea, sinusitis
*caution with warfarin as this class prolongs active drug
*take after meals
ANSWERS RATED A+
Glaucoma - CORRECT ANSWER -Treatment:
Dosing:
Patient education:
Penicillin's - CORRECT ANSWER -*inhibits bacterial cell wall synthesis
*Excreted unchanged in urine
*Most likely to cause an allergic reaction
*Pregnancy Cat B
*Diarrhea and n/v common with higher doses
*reduces oral contraceptive effectiveness
*Clinical use: favorable in use with children. treats URI infections (phyryngitis, otitis media,
sinusitis). Not first line choice in UTI's unless pregnant and combined with clauvinate acid.
Syphillys is the only STD for treatment.
Used in bites (animal and human) *augmentin
*treats lyme disease
*used in gingival infections for prevention of bacterial endocarditis
*Group B strep
Cephalasporins - CORRECT ANSWER -*Beta Lactam (like penicillin's)
*cross sensitivities with cillins
*5 generations based on age
*1st gen effective against gram pos not gram neg
*3rd gen more effective with gram neg
, *resistance through beta-lactamase production
*GI tract absorption
*ceftriaxone contraindicated in neonates with hyperbilirubinemia
*excreted via kidneys
*watch for hypersensitivity and cross-sensitivity
*watch for rash (multiform)
*avoid loop diuretics
*2nd line tx for otitis media, sinusitis, pharyngitis, UTI
*due to varying effectiveness based on generation susceptibility testing recommended.
*c-diff concerns exist
Flouriquinolones - CORRECT ANSWER -*narrow spectrum antibiotics to treat UTI's
*bactericidal through dna damage
*extensive gram neg coverage
*oral absorption is same as IV
*various metabolism rates but renally excreted
*black box warning for tendon rupture (older patients)
*avoid with pt's with MG
*Prolong Qtc
*watch for renal imairment
*preg cat C
*not recommended in children
*phototoxicity
*Clinical use in chronic bronchitis, CAP, UTI, infectious diarrhea, sinusitis
*caution with warfarin as this class prolongs active drug
*take after meals
