Galen Pharm Exam 4 With 100% Correct Answers 2023
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Correct Answer-
Gentamycin
Gentamycin clinical use - Correct Answer-Used in gram negative sepsis & many life-
threatening infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Correct Answer-GI upset, rash, visual disturbances, photosensitivity, dizziness, weakness
gentamycin adverse reactions - Correct Answer-Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Correct 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) - Correct Answer-
Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Correct Answer-Broad Spectrum PCNUsed to treat
gram + and gram -, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
Amoxicillin & Ampicillin side effects - Correct Answer-GI disturbance, headaches, rash, stomatitis, dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Correct Answer-Thrombocytopenia, leukopenia, angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Correct 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) - Correct Answer-
Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Correct Answer-Third generation cephalosporin Ceftriaxone & Cefpodoxime side effects - Correct Answer-GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Correct Answer-Bleeding, angioedema,
hepatoxicity, agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Correct 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) - Correct Answer-
Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Correct Answer-Broad spectrum, low dose therapy used to tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Correct Answer-GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions - Correct Answer-Discolors teeth permanently if given to children under 8 yrs.
Doxycycline(Vibramycin) nursing implications - Correct Answer-Milk products prevent absorption.↓ oral contraceptive effectiveness, avoid antacids, iron, Monitor liver enzymes, BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) - Correct Answer-Erythromycin, Azithromycin
Erythromycin & Azithromycin clinical use - Correct Answer-Used to treat Otitis Media, STD's, skin infections, and respiratory infections
Erythromycin & Azithromycin side effects - Correct Answer-Photosensitivity, headache, GI upset, Blurred vision, rash
Erythromycin & Azithromycin adverse reactions - Correct Answer-Hepatoxicity, superinfection, Steven Johnson
Erythromycin & Azithromycin nursing implications - Correct Answer-No meals 1 hour before or 2 hours afterTake on empty stomach w/ full glass water. No antacids 2 hours before or 2 hours afterMonitor labs ALT, AST, ALP, Bilirubin
Sulfonamides"Sulfa" prototype(Obtain Culture and Sensitivity) - Correct Answer-
Sulfisoxasole, Trimethoprim-sulfamethoxazole
Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical uses - Correct Answer-
Respiratory infections, UTI's, Otitis Media, MRSA, gastroenteritis, E. coli,
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - Correct Answer-
Gentamycin
Gentamycin clinical use - Correct Answer-Used in gram negative sepsis & many life-
threatening infections.Inactive against anaerobic bacteria.
Gentamycin side effects - Correct Answer-GI upset, rash, visual disturbances, photosensitivity, dizziness, weakness
gentamycin adverse reactions - Correct Answer-Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - Correct 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) - Correct Answer-
Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - Correct Answer-Broad Spectrum PCNUsed to treat
gram + and gram -, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
Amoxicillin & Ampicillin side effects - Correct Answer-GI disturbance, headaches, rash, stomatitis, dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - Correct Answer-Thrombocytopenia, leukopenia, angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - Correct 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) - Correct Answer-
Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - Correct Answer-Third generation cephalosporin Ceftriaxone & Cefpodoxime side effects - Correct Answer-GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - Correct Answer-Bleeding, angioedema,
hepatoxicity, agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - Correct 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) - Correct Answer-
Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - Correct Answer-Broad spectrum, low dose therapy used to tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - Correct Answer-GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions - Correct Answer-Discolors teeth permanently if given to children under 8 yrs.
Doxycycline(Vibramycin) nursing implications - Correct Answer-Milk products prevent absorption.↓ oral contraceptive effectiveness, avoid antacids, iron, Monitor liver enzymes, BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) - Correct Answer-Erythromycin, Azithromycin
Erythromycin & Azithromycin clinical use - Correct Answer-Used to treat Otitis Media, STD's, skin infections, and respiratory infections
Erythromycin & Azithromycin side effects - Correct Answer-Photosensitivity, headache, GI upset, Blurred vision, rash
Erythromycin & Azithromycin adverse reactions - Correct Answer-Hepatoxicity, superinfection, Steven Johnson
Erythromycin & Azithromycin nursing implications - Correct Answer-No meals 1 hour before or 2 hours afterTake on empty stomach w/ full glass water. No antacids 2 hours before or 2 hours afterMonitor labs ALT, AST, ALP, Bilirubin
Sulfonamides"Sulfa" prototype(Obtain Culture and Sensitivity) - Correct Answer-
Sulfisoxasole, Trimethoprim-sulfamethoxazole
Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical uses - Correct Answer-
Respiratory infections, UTI's, Otitis Media, MRSA, gastroenteritis, E. coli,
