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NURS 615 Exam 2 Pharmacology Maryville University

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NURS 615 Exam 2 Pharmacology Maryville University ; What are Signs and symptoms of seratonin syndrome? correct answers Headache, agitation, mental confusion, hallucinations, coma What are autonomic effects that you can get from seratonin syndrome? correct answers Shivering, sweating, hyperthermia, vasoconstriction, tachycardia, nausea, diarrhea What factors place a patient at risk for developing antimicrobial resistant organisms? correct answers Inappropriate use of antibiotics Children less than 2 years of age Adults older than 65 yrs of age Patients who do not finish their antibiotic regimen . What are appropriate antibiotics to prescribe to pregnant women and children? correct answers PCN or Cephalosporins (Amoxicillin, or Augmentin) Which antibiotics inhibit cell wall synthesis? correct answers Beta-lactam antibiotics Vancomycin What should fluoroquinolones be reserved to treat? correct answers Community acquired pneumonia in patients with comorbidities and Hospital acquired pneumonia

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NURS 615 Exam 2 Pharmacology
Maryville University
What are Signs and symptoms of seratonin syndrome? correct answers
Headache, agitation, mental confusion, hallucinations, coma




What are autonomic effects that you can get from seratonin syndrome? correct
answers

Shivering, sweating, hyperthermia, vasoconstriction, tachycardia, nausea,
diarrhea




What factors place a patient at risk for developing antimicrobial resistant
organisms? correct answers
Inappropriate use of antibiotics

Children less than 2 years of age
Adults older than 65 yrs of age
Patients who do not finish their antibiotic regimen




.
What are appropriate antibiotics to prescribe to pregnant women and children?
correct answers
PCN or Cephalosporins
(Amoxicillin, or Augmentin)




Which antibiotics inhibit cell wall synthesis? correct answers

Beta-lactam antibiotics
Vancomycin

,What should fluoroquinolones be reserved to treat? correct answers
Community acquired pneumonia in patients with comorbidities and Hospital
acquired pneumonia




What is the black box warning for fluoroquinolones? correct answers

It may cause tendon ruptures. Specifically of the achilles tendon.




What medication can be affected with the use of fluoroquinolones? correct
answers
Warfarin because fluoroquinolones displace the flora of the gut and displaces
warfarin from albumin and interferes with metabolism by the P450 system.




Why are tetracyclines not recommended in pregnancy and in children less than
8 yrs of age? correct answers
They can cause staining of teeth, and cause problems with bone growth.




What population can tetracyclines like minocycline be used on? correct answers
And patients who use it might develop what? correct answers

Adolescents. It may cause psuedotumor cerebri, drug-induced lupus and
hepatitis, skin photosensitivity, tinnitus, fatty liver




Tetracycline should be avoided with what foods and medications? correct
answers
Calcium ions

milk, yogurt, or other dairy products

,Methotrexate




What drug interactions should be avoided when taking levaquin? correct answers
It is a fluoroquinolone, so do not take with coumadin or corticol steroid use.




Gentamycin is known to cause what? correct answers
Ototoxicity and hearing loss




Which medications interact with Linezolid? correct answers
Linezolid is a MAOI, so it should not be used with other MAOIs, pethidine, or
demerol because of the risk of seratonin syndrome.




What are the food restrictions while taking linezolid? correct answers
Tyramine rich foods such as pork, aged cheese, alcohol, smoked or pickled foods.




What is the treatment for Lymes Disease? correct answers
Doxycycline 100mg PO BID x 21 days




What vitamin can prevent peripheral neuropathy from isoniazid? correct
answers

Vitamin B 6 (Pyridoxine)




What should you monitor before prescribing valacyclovir? correct answers

, Renal function. Patients should drink lots of water while on this medication.




Which medication would be appropriate for Influenza A? correct answers
Oseltamivir, if started within the first 48 hours




Name 3 things ta Rifampin is prescribed for? correct answers
TB, leprosy, legionellaWhy is clavulanate added to Amoxicillin?

Clavulanate is a Beta-lactam inhibitor. This increases the spectrum of action and
is effective at preventing amoxicillin-resistant bacteria that produce Beta-
lactamase




What type of antibiotics should be avoided in children and pregnant women?
correct answers
Tetracycline, fluoroquinolones




What is a normal side effect of amoxicillin? correct answers
Diarrhea and it is recommended to continue to take the medicine, drink lots of
water, and take probiotics daily, eat yogurt




The American Heart Association recommedations for prophylaxis antibiotic use
prior to dental care are...

1. Prosthetic cardiac valve or prosthetic material used in valve repair
2. Previous Endocarditis
3. The following congenital diseases
I. Unrepaired cyanotic congenital heart disease including palliative shunts and
conduits

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