NR566 Midterm
1. Community acquired pneumonia (CAP) common pathogens: S.
pneumoniae, Mycoplasma spp., H. influenzae, and Staphylococcus
aureus
2. First line treatment of CAP for previously healthy adults: Amoxicillin
(PCN), Doxycycline, and Macrolides (Azithromycin).
3. What to give if first drug didn't work for CAP: Levaquin (Fluroquinolones)
4. Treatment for M. Pneumoniae in pediatric patient (Specific/example
antibi- otic from drug class will be provided): Macrolides- Erythromycin
5. Treatment of CAP in pregnancy: Macrolides-erythromycin, PCN-
amoxicillin, cephalosporins
6. If someone has been treated with an antibiotic in the previous 90 days
of contracting CAP, a quinolone would be a prudent choice to prescribe
such as:: Floxacin
1/
,7. Treatment of chlamydial pneumonia in infant (options will include dose,
but if you know the correct drug, the dose will come with it on the exam so
no need to memorize dose):: Macrolide-Erythromycin 12.5mg/kg PO QUID
x 14 days
8. When to use broad-spectrum agents: Commonly used for empiric
therapy when the pathogen is unknown or infection with multiple
types of bacteria is sus- pected.
9. When to use narrow-spectrum agents: Used when infecting pathogen
is un- known.
10.What are empiric antibiotics: Starting treatment without cultures or
prior to receiving results.
11.When to prescribe empiric antibiotics: Critically ill, hospitalized
patients until culture results return, ambulatory patients, combination
therapy.
12.How to treat c-diff: 10 days of oral vancomycin or metronidazole
2/
, (flagyl).
13.Drug class known for ALL drugs in class to promote development of
C. Diff: 2nd and 3rd generation Cephalosporins
14.PCN cross-sensitivity reactions with which drug classes::
Cephalosporins or carbapenems
15.Prescribing PCN in pregnancy: Safe throughout pregnancy - safe to
use in breastfeeding, amoxicillin most safe
16.Cephalosporins patient education: Report increase in stool frequency
(con- cern for c-diff)
17.Prescribing cephalosporins in pregnancy: Safe throughout pregnancy
18.Tetracyclines patient education: Avoid prolonged exposure to
sunlight, wear protective clothing, apply sunscreen, report promptly
any diarrhea.
19.Prescribing tetracyclines in pregnancy: Contraindicated
20.Macrolides patient education: Avoid exposure to sunlight, wear
3/
1. Community acquired pneumonia (CAP) common pathogens: S.
pneumoniae, Mycoplasma spp., H. influenzae, and Staphylococcus
aureus
2. First line treatment of CAP for previously healthy adults: Amoxicillin
(PCN), Doxycycline, and Macrolides (Azithromycin).
3. What to give if first drug didn't work for CAP: Levaquin (Fluroquinolones)
4. Treatment for M. Pneumoniae in pediatric patient (Specific/example
antibi- otic from drug class will be provided): Macrolides- Erythromycin
5. Treatment of CAP in pregnancy: Macrolides-erythromycin, PCN-
amoxicillin, cephalosporins
6. If someone has been treated with an antibiotic in the previous 90 days
of contracting CAP, a quinolone would be a prudent choice to prescribe
such as:: Floxacin
1/
,7. Treatment of chlamydial pneumonia in infant (options will include dose,
but if you know the correct drug, the dose will come with it on the exam so
no need to memorize dose):: Macrolide-Erythromycin 12.5mg/kg PO QUID
x 14 days
8. When to use broad-spectrum agents: Commonly used for empiric
therapy when the pathogen is unknown or infection with multiple
types of bacteria is sus- pected.
9. When to use narrow-spectrum agents: Used when infecting pathogen
is un- known.
10.What are empiric antibiotics: Starting treatment without cultures or
prior to receiving results.
11.When to prescribe empiric antibiotics: Critically ill, hospitalized
patients until culture results return, ambulatory patients, combination
therapy.
12.How to treat c-diff: 10 days of oral vancomycin or metronidazole
2/
, (flagyl).
13.Drug class known for ALL drugs in class to promote development of
C. Diff: 2nd and 3rd generation Cephalosporins
14.PCN cross-sensitivity reactions with which drug classes::
Cephalosporins or carbapenems
15.Prescribing PCN in pregnancy: Safe throughout pregnancy - safe to
use in breastfeeding, amoxicillin most safe
16.Cephalosporins patient education: Report increase in stool frequency
(con- cern for c-diff)
17.Prescribing cephalosporins in pregnancy: Safe throughout pregnancy
18.Tetracyclines patient education: Avoid prolonged exposure to
sunlight, wear protective clothing, apply sunscreen, report promptly
any diarrhea.
19.Prescribing tetracyclines in pregnancy: Contraindicated
20.Macrolides patient education: Avoid exposure to sunlight, wear
3/
