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Pharmacology test 2 jeopardy questions lilk8tob

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Question
Answer
The most common adverse (allergic) reaction to penicillin   Urticaria (hives), pruritis (itching), angioedema (swollen lips)  
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Gram stain hue of bacteria most commonly destroyed by penicillins   Gram positive  
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Enzyme created by bacteria capable of destroying penicillins.   Betalactamase  
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Key drug- 3rd generation cephalosporin   Cefoxitin, ceftazidime  
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Types of organisms killed by 3rd generation cephalosporins   Best: G- poor: G+  
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Coadministration with these may decrease oral absorption of tetracyclines   milk, antacids, iron salts  
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This reason precludes use of tetracycline in pregnant/lactating women and ped. patients   binds to calcium, stains teeth of neonate or child  
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Sulfonamides are primarily used to treat this kind of infection   UTI (high concentration in kidneys)  
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Common allergic reaction with sulfonamides   Delayed cutaneous reactions  
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Sulfonamides produce varying interaction when taken with this drug class   oral anticoagulants  
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Key drug- macrolide and common side effect   Erythromycin, stomach irritation, GI upset  
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Primary excretion site of quinolones   kidneys  
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Unless contraindicated fluid intake (ml/d) encouraged for someone on quinolones:   3 L/day  
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Reason quinolones contraindicated in pregnant and ped. patients   shown to affect cartilage development in lab animals  
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2 drugs or drug classes that interact with quinolones   theophylline and oral anticoagulants  
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key drug- aminoglycocides   Gentamycin, amikacin  
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Two serious toxicities of aminoglycosides   Nephrotoxicity (renal failure) and ototoxicity (hearing loss)  
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Renal function blood tests that will be monitored before and during aminoglycoside therapy   BUN and serum creatinine levels  
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Symptoms of ototoxicity   Tinnitus, dizziness, feeling of fullness in ears, hearing loss  
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Terms for blood levels drawn 1 hr after drug administration and just prior to next dose   peak and trough  
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Two drugs in "other or misc." antibiotic class   Vancomycin, Clindamycin  
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Antibiotic of choice for the treatment of MRSA   Vancomycin  
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Correct rate of IV administration of vancmycin   Over at least 60 minutes  
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Symptoms and treatment of Redman's Syndrome   hypotension, flushing of neck and face; antihistamine will be ordered  
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Two similarities of toxicity between aminoglycocides and vancomycin   nephrotoxicity and ototoxicity  
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Created by: lilk8tob