Galen Pharm Exam – Practice Questions and Answers

Galen pharm exam 4 latest updated
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Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) -
answer-Gentamycin

Gentamycin clinical use - answer-Used in gram negative sepsis & many
life-threatening infections.Inactive against anaerobic bacteria.

Gentamycin side effects - answer-GI upset, rash, visual disturbances,
photosensitivity, dizziness, weakness

gentamycin adverse reactions - answer-Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection

gentamycin nursing implications - 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) -
answer-Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)

Amoxicillin & Ampicillin clinical use - answer-Broad Spectrum PCNUsed to treat
gram + and gram -, commonly used for respiratory infections, otitis media, H.
Pylori, E. coli

Amoxicillin & Ampicillin side effects - answer-GI disturbance, headaches, rash,
stomatitis, dizziness, anxiety, confusion

Amoxicillin & Ampicillin adverse reactions - answer-Thrombocytopenia,
leukopenia, angioedema, Hepatotoxicity

,Amoxicillin & Ampicillin nursing implications - 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) -
answer-Ceftriaxone, Cefpodoxime

Ceftriaxone & Cefpodoxime clinical use - answer-Third generation cephalosporin

Ceftriaxone & Cefpodoxime side effects - answer-GI upset, headaches,
dizziness, rash, dyspepsia

Ceftriaxone & Cefpodoxime adverse reactions - answer-Bleeding, angioedema,
hepatoxicity, agranulocytosis, renal failure

Ceftriaxone & Cefpodoxime nursing implications - 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) -
answer-Doxycycline(Vibramycin)

Doxycycline(Vibramycin) clinical use - answer-Broad spectrum, low dose therapy
used to tx ACNESTD's, respiratory infections, UTI's

Doxycycline(Vibramycin) side effects - answer-GI upset, photosensitivity

Doxycycline(Vibramycin) adverse reactions - answer-Discolors teeth permanently
if given to children under 8 yrs.

Doxycycline(Vibramycin) nursing implications - answer-Milk products prevent
absorption.↓ oral contraceptive effectiveness, avoid antacids, iron, Monitor liver
enzymes, BUN Creatinine

Macrolides prototypes (Obtain Culture and Sensitivity) - answer-Erythromycin,
Azithromycin

,Erythromycin & Azithromycin clinical use - answer-Used to treat Otitis Media,
STD's, skin infections, and respiratory infections

Erythromycin & Azithromycin side effects - answer-Photosensitivity, headache, GI
upset, Blurred vision, rash

Erythromycin & Azithromycin adverse reactions - answer-Hepatoxicity,
superinfection, Steven Johnson

Erythromycin & Azithromycin nursing implications - 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) -
answer-Sulfisoxasole, Trimethoprim-sulfamethoxazole

Sulfisoxasole & Trimethoprim-sulfamethoxazole clinical uses -
answer-Respiratory infections, UTI's, Otitis Media, MRSA, gastroenteritis, E. coli,

Sulfisoxasole & Trimethoprim-sulfamethoxazole side effects -
answer-Photosensitivity, anorexia, headaches, vertigo, weakness, insomnia

Sulfisoxasole & Trimethoprim-sulfamethoxazole adverse reactions -
answer-Angioedema, thrombocytopenia, hyperkalemia, hypoglycemia, Steven
Johnson syndrome, renal failure

Sulfisoxasole & Trimethoprim-sulfamethoxazole nursing implications -
answer-Monitor I & 0 and ↑ fluids 2000ml/day, monitor output 1200ml/day ↓ oral
contraceptive effectiveness, caution with Diabetes Mellitus, pregnant women,
hypothyroidism

Peptides prototype (Obtain a culture and sensitivity) - answer-Metronidazole

Metronidazole clinical uses - answer-H. Pylori, STD's, C-diff, lower respiratory
infections, skin infections

, Metronidazole side effects - answer-Headaches, insomnia, weakness, dry mouth,
GI distress,

Metronidazole adverse reactions - answer-Superinfection resulting in oral and
vaginal candidiasis, severe reaction is taken with alcohol, Steven Johnson,
leukopenia, seizures

Metronidazole nursing implications - answer-Monitor liver enzymes, take
immediate release tablet with food, take extended release tablet on empty
stomach, NO ALCOHOL, monitor liver enzymes, BUN, creatinine clearance,
CBC, HBG, Hematocrit

Glycopeptides prototype (Obtain Culture and Sensitivity) - answer-Vancomycin

Vancomycin clinical uses - answer-Tx. Of Methicillin-resistant Staphylococcus
aureus(MRSA)

Vancomycin side effects - answer-Chills, ataxia (loss of balance) dizziness, rash,
GI upset, thrombophlebitis at IV site.

Vancomycin adverse reactions - answer-OTOTOXICNEPHROTOXICSevere
hypotension, tachycardia

Vancomycin nursing implications - answer-Monitor Serum Levels."Red Man
Syndrome" associated w/ rapidI.V. administrationSteven Johnson (blistering rash)

Antiviral Agents(Anti- Herpes Agent) - answer-Acyclovir(Zovirax)

Acyclovir(Zovirax) clinical use - answer-Initial & recurrent genital herpes, Herpes
simplex, shingles. Shortens Herpes episodes

Acyclovir(Zovirax) side effects - answer-GI upset, headaches, tremors, agitation,
rash, lethargy

Acyclovir(Zovirax) adverse reactions - answer-Renal failure, paresthesia's,
neuropathy, blood dyscrasia