Acute Care NP exam.....antibiotics Questions and Answers

Acute Care NP exam.....antibiotics Questions and Answers Beta-Lactams - main meds and side effects meds: Penicillin, sx: allergy, Cephalosporin, sx: allergies Monobactam, Carbapenam, sx: allergy, seizure (high doses) Glycopeptides two meds and side effects Vancomycin, sx: red man syndrome, nephrotoxic with aminoglycosides tecoplanin Macrolides - meds and side effects erythromycin, clarithromycin, azithromycin side effects: GI complaints, drug interactions Lincosamides clindamycin Aminoglycosides - meds and side effects gentamycin, tobramycin, amikacin side effects: nephro and ototoxic Quinolones - meds and side fx meds: norflaxicin, ciporflaxicin, levoflaxicin, gemiflaxicin, moxiflaxicin, ofloxicin side fx: GI and CNS, Seizure high doses Sulfonamides - meds and side fx trimethoprim+sulfamethaxole side fx: allergic reactions, Steven Johnson Tetracyclines: meds and side fx tetracycline, doxycycline, minocycline photosensitivity Nitroimidazole: meds and side fx Metronidazole side fx: reactions with etoh, CNS and neuropathy Linezolidos zyvox streptogramins synercid daptomycin cubicin Bite wound meds staph and strep tetanus, amox/clavulanate or ampicillin/sulbactam Pharyngitis Grp A strep, penicillin x 10 days otitis media amoxicillin, macrolides, cephalosporins community acquired pneumonia - typical acute onset, lobar infiltrates - ceftriaxone or quinolones CAP - atypical erythromycin or quinolones UTI quinolone for 5-7 days, pyelonephritis for 14 days urosepsis piperacillin plus gentomycin normal Meningitis causative orgs and meds strep pneumon, N. meningitis, H. influenzae Ceftriaxone 2g iv q 12 hours add vanco for pcn resistance Immunocompromised Meningitis cause and med Listeriamonocytogenes med : ceftriaxone 2g iv q 12 hours and ampicillin Brain abcess Ceftriaxone 2g iv q 12 hours and metronidazole Endocarditis nafcillin+ gentamycin for 4-6 weeks Bacterial Vaginosis signs and meds PH 4.5, clue cells, Metronidazole 500mg bid x 7 days Trichomoniasis Metronidazole 2g one dose or 500mg bid x 7days Vulvovaginal Candidiasis fluconazole Syphilis Penicillin or doxycycline if allergic Test with RPR or VDRL Rule of 9s arms each- 9 legs each-18 thorax - 36 head and neck - 9 pubes - 1 two most common pathogens in line sepsis staphylococcus aureus and staphylococcus epidermidis (gram positives) calculating kcal requirements kg x 30-35kcal per day. double for acute illness five roles for acpn clinician, researcher, collaborator, educator, consultant two types of malpractice insurance claims based (need tail insurance) Occurrence based "Incident to" stipulation cannot be used for any inpatient billing, no new patients and must be in a defined office suite Three ARNP practice models service based (works with a particular group of physicians) Practice based (sees patients on a specific floor of hospital) population based (ex. diabetic patients) Exercise recs moderate activity - 30 min 5 x week vigorous exercise - 20 min 2 times resistance exercise 2 x week H&P and ECG prior to starting after age of 40 Bacterial vaginosis clue cells, PH 4.5 Metronidazole (Flagyl) BID for 7 days (No alcohol) Candida Vaginitis Micanozole (Monistat) or Clotrimazole x 7 days Trichomonas Vaginitis "strawberry cervix" Metronidazole (Flagyl) 2g PO or 500mg BID x 7 days Chlamydia Azithromycin 1 g po or doxy 100mg BID x7 days Gen-probe to diagnose Neisseria Gonorrhoeae Thayer Martin chocolate agar can be used to diagnose Gen-probe Rocephin 250mg IM AND co-treat for chlamydia (Azithromycin or doxycycline