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ch17anti-infective
pharm
Question | Answer |
---|---|
what class of drug is amikin in? | Aminoglycosides |
What class of drug is gentamycin in? | Aminoglycosides |
What class of drug is nebcin in? | Aminoglycosides |
What class of drug is Keflex in and what generation? | Cephalosporins, fisrt generation |
What class of drug is kefzol, ancef in and what generation? | Cephalosporins, first generation |
What class of drug is cefaclor in and what generation? | Cephalosporins, second generation |
What class of drug is cefuroxime and what generation? | Cephalosporins, second generation |
What class of drug is cefdinir and what generation? | Cephalosporins, third generation |
What class of drug is ceftiaxone in and what generation? | Cephalosporins, third generation |
what class of drug is cefepime and what generation? | cephalosporins, fourth generation |
what class of drug is erythromycin in? | Macrolides |
what class of drug is clarithromycin in? | Macrolides |
what class of drug is azithromycin in? | Macrolides |
what class of drug is penicillin G in? | Penicillins |
what class of drug is penicillin Vk in? | penicillins |
What class of drug is ampicillin in? | penicillins |
what class of drug is extended-spectrum in? | penicillins |
what class of drug is amoxicillin-claculanate in? | penicillins |
what class of drug is piperacillin-tazobactam in? | penicillins |
what class of drug is carbenicillin | penicillins |
amikacin, gentamycin, and tobramycin are in what class? | aminoglycosides |
what are the cephalosporins first generation drugs? | kelfex, and kefzol/ancef |
What are the cephalosporins second generation drugs? | cefaclor and cefurozime |
what are the cephalosporins third generation drugs? | cefdinir and ceftriaxone |
what are the cephalosporins fourth generation drugs? | cefepime |
erythromycin, clarithromycin and azithromycin are what class of drugs? | Macrolides |
penicillin G, penicillin VK, amoxicillin, ampicillin, extended-spectrum, amoxicillin-clavulanate, piperacillin-tazobactam, an carbenicillin are what class of drug? | penicillins |
What is the first step of treatment to infections? | identification of the causative oranism and the specific medication to which it is sensitive. |
The results of C&S test will not be acailable for how many hours and what will the physician order in the meantime? | 24-48, broad-spectrum |
What is one example of organism resistant to most antibiotics? | Methicillin resistant staphyulococcus aureus MRSA |
A pt. comes in diganosed with MRSA what is the mostly liking medication the physician order? | Vancomysin IV |
What are serious side effects of Vancomysin IV? | ototoxicity and nephrotoxicity |
Some strains of enterococci have become resistant to most of the antibiotic including? | Vancomycin |
What are some infections in which treatment is limited and mortality rates are high and what are they caused by? | UTIs, bacteremia, endocarditis cause by Vancomycin-resistant enterococci VRE |
Section of anti infective drugs are based on what factors? | status of hepatic and or renal functions, age of pt., pregnancy or lactation, likelihood of organisms developing resistance, and known allergy to the anti-infective drug. |
what are some adcerse reactions to anti infectives? | Allergic hypersensitivity, direct toxicity, and indirect toxicity |
what is a overresponse of the body to a specific substance? | hypersensitivity |
A mild reaction with only rash, urticaria (hives) or mild fever is usually treated with? | corticosteroids or antihistamines |
A pt. who has a mild reaction to anti infectives the physician will more then likely lower the dosage of the medication or discontinue the medication? | Discontinued |
Sever allergic reactions may be manifested as? | anaphylaxis |
A pt. comes in complaining of chest constriction, dyspnea, signs of shock, and collapse this pt. is showing signs of what and how will it be treated? If not treated what may result? | anaphylaxis, epinephrine, corticosteroids, and CPR. Death!!! |
What is an important thing to do for the first sign of toxicity? | discontinuance of medication |
What results in tissue damage such as ototoxicit, nephrotoxicity hepatotoxicity, bld dyscrasias, phlebitis or phototoxicity | Direct toxicity |
Indirect toxicity is also known as? | superinfection |
What is manifested as a new infection with different resistant bacteria or fungi as a resulf of killing the normal flora in the intestines or mucous membranes esp with broad-spectrum antibiotics. | Indirect toxicity |
a pt. comes in complaining of diarrhea, vaginitis, stomatitis, and glossitits this pt. mostly likly has what? and what is the treatment? | Superinfection. antifungal medications, butter milk yogurt in the diet or administering lactinex. |
What is used to prevent superinfections esp severe colitis? | probiotics available OTC in capsule form |
Two pts come in one with escherichia coli a gram-negative bacteria infection the other with staphylococcus aureus a gram-positive bacteria what is the mostly likely medication the physician will order? | Gentamycin in combination with other antibiotics |
how are aminoglycosides usually administered? | parenterally (IM or IV) |
What are some serious side effects from aminoglycosides? | Nephrotoxicity, ototoxicity, Neuromuscular blocking, headache, tremor, lethargy, numbness, seizures, blurred vision, rash or urticaria |
One is one important nursing duty when caring for a pt. taking aminoglycosides? | Monitoring intake and urinary output. |
There should be prompt reporting of what if any side effects when taking aminoglycosides? | Kidney or hearing problems |
semisynthetic antibiotic derivatives produed by a fungus | Cephalosporins |
Some pts allergic to penicillin are also allergic to | Cephalosporins |
In general cephalospoorins are what and active against many what? | Broad spectrum, gram positive and negative bateria |
Cephalosporins are classified as? | first second and third or fourth generation |
Cephalexin is usually effective against gram-positive organisms such as those causing some ___ ? | Pneumonias or UTIs |
Cefaclor is usuallly effective against many gram-positive and negative organisms such as ___? | many strains causing bacterial influenza |
Ceftriaxone are usually effective against more gram-negative bacteria than the others and sometimes used for __? | STDs such as chancroid or gonorrhea. |
What is essential to determine which cephalosporin is appropriate? | C&S |
What are the side effects of cephalosporins? | Hypersensitivity, bld dyscrasias, renal toxicity, mild hepatic dysfunction, n/v/d, Phlebitis with IV an pain at site of IM injections, respiratory distress and seizures. |
A pt. taking a cephalosporin drug would want to include what in their diet? | buttermilk or yougurt to restore normal intestinal flora |
pts. taking cephalosporins should watch for signs of __ ? | abnormal bleeding checking stools an urine for bld. |