NSG124 EXAM 2 (ACTUAL 2024-2025)
QUESTIONS AND ANSWERS
Contraindications of Penicillin - --ANSWERS___known drug
allergy
Nrsing considerations to Penicillin - --ANSWERS___-
Penicillin is Bactericidal and beta-lactam antibiotics
- many are resistant and many pts are allergic
- Broad spec, extended spec, & penicillins combines w/ a
beta-lactamase inhibitor formation increase the therapeutic
action of penicillins and decrease resistance
- renal function must be closely monitored
- should NOT combine w/ aminoglycosides in the same IV
solution
- high IV dose of sodium penicillin G can produce sodium
overload
- caution in pts under sodium restrictions
-monitor electrolytes and cardiac status
, NSG124 EXAM 2 (ACTUAL 2024-2025)
QUESTIONS AND ANSWERS
-high IV dose of sodium penicillin G can produce
hyperkalemia; possibly resulting in dysrhythmias or cardiac
arrest
Tetracycline - --ANSWERS___do not give to children under
8yrs old, pregnant women or lactating women. Broad
spectrum antibiotic that suppresses bacterial growth by
inhibiting protein synthesis
admin 1hr bfore or 2hrs after ingesting of milk products; iron,
calcium, magnesium supplements or antacids
Macrolides - --ANSWERS___Called macrolides because they
are big
erythomycin is the oldest member of the family
broad spectrum antibiotics that inhibit bacterial protein
synthesis
Penicillin - Therapeutic goal - --ANSWERS___tx of
infections caused by sensitive bacteria
Penicillin - baseline data - --ANSWERS___skin test may be
performed to determine current allergic status
, NSG124 EXAM 2 (ACTUAL 2024-2025)
QUESTIONS AND ANSWERS
prescriber may order test to id the infecting organism and its
drug sensitivity
ID high risk pts - --ANSWERS___use w/ extreme caution in
pts with a hx of severe allergic reactions to Penicillin,
cephalosporin, or carbapenems
Penicillin - Routes - --ANSWERS___Can be administered
orally, IM, IV
during IM - aspirate to avoid injection into artery
Penicillin - Dose - --ANSWERS___Penicillin G - prescribed
in units (1 units equals 0.6mg)
Doses for all other penicillins are prescribed in mg and g
Cephalosporins - --ANSWERS___broad spectrum
bactericidal drugs with a high therapeutic index
can be useful alternatives for pts w/ mild penicillin allergy
eliminated by kidneys; excretion is by a combination of
glomerular filtration and active tubular secretion
QUESTIONS AND ANSWERS
Contraindications of Penicillin - --ANSWERS___known drug
allergy
Nrsing considerations to Penicillin - --ANSWERS___-
Penicillin is Bactericidal and beta-lactam antibiotics
- many are resistant and many pts are allergic
- Broad spec, extended spec, & penicillins combines w/ a
beta-lactamase inhibitor formation increase the therapeutic
action of penicillins and decrease resistance
- renal function must be closely monitored
- should NOT combine w/ aminoglycosides in the same IV
solution
- high IV dose of sodium penicillin G can produce sodium
overload
- caution in pts under sodium restrictions
-monitor electrolytes and cardiac status
, NSG124 EXAM 2 (ACTUAL 2024-2025)
QUESTIONS AND ANSWERS
-high IV dose of sodium penicillin G can produce
hyperkalemia; possibly resulting in dysrhythmias or cardiac
arrest
Tetracycline - --ANSWERS___do not give to children under
8yrs old, pregnant women or lactating women. Broad
spectrum antibiotic that suppresses bacterial growth by
inhibiting protein synthesis
admin 1hr bfore or 2hrs after ingesting of milk products; iron,
calcium, magnesium supplements or antacids
Macrolides - --ANSWERS___Called macrolides because they
are big
erythomycin is the oldest member of the family
broad spectrum antibiotics that inhibit bacterial protein
synthesis
Penicillin - Therapeutic goal - --ANSWERS___tx of
infections caused by sensitive bacteria
Penicillin - baseline data - --ANSWERS___skin test may be
performed to determine current allergic status
, NSG124 EXAM 2 (ACTUAL 2024-2025)
QUESTIONS AND ANSWERS
prescriber may order test to id the infecting organism and its
drug sensitivity
ID high risk pts - --ANSWERS___use w/ extreme caution in
pts with a hx of severe allergic reactions to Penicillin,
cephalosporin, or carbapenems
Penicillin - Routes - --ANSWERS___Can be administered
orally, IM, IV
during IM - aspirate to avoid injection into artery
Penicillin - Dose - --ANSWERS___Penicillin G - prescribed
in units (1 units equals 0.6mg)
Doses for all other penicillins are prescribed in mg and g
Cephalosporins - --ANSWERS___broad spectrum
bactericidal drugs with a high therapeutic index
can be useful alternatives for pts w/ mild penicillin allergy
eliminated by kidneys; excretion is by a combination of
glomerular filtration and active tubular secretion
