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Final Module 1
Study Guide
| Question | Answer |
|---|---|
| What Bacteria needs oxygen to survive? | Aerobic |
| Biggest challenge in developing new antibotics? | Killing the bacteria without harming the patient |
| Inhibits the growth of multiplication of bacteria? | Bacteriostatic |
| What is the most serious allergic reaction to penicillins? | Anaphylaxis |
| Which drug is associated with Red Man's syndrome? | vancomycin (Vancocin) |
| When this drug is dispensed, a DO NOT DRINK ALCOHOL sticker must be attached? | metronidazole (Flagyl) |
| How do penicillins work? | The prevent bacteria from forming their rigid cell wall. |
| What percentage of patients are allergic to penicillins are also allergic to cephalosporins? | 5-10% |
| Digoxin | Given in small amounts and IV push |
| Doctor orders more than 1 mL of insulin. What should you do. | Question it and refer back to pharmacists |
| 25cc | low rate |
| 75cc-150cc | middle of the road rate |
| 250 cc/hr | high rate |
| Heparin rates are | low |
| 4 things you know about Insulin | 100 units/mL, store in refrig, always use regular insulin, always give in NS 0.9% |
| IV choice for ampicillin | NS-last longer |
| Ampillican with SWI is only good for | 1 hour |
| What is the amount of time to re-use a single dose vial of SWI for injection | 28 days |
| Why should tetracyclines NEVER be dispensed past their expiration date? | They have the potential for causing a fatal renal syndrome |
| What are two major side effects of aminoglycosides? | nephrotoxicity and ototoxicity |
| Main aminoglycosides? | gentamincin and tobramincin |
| What auxiliary label on antibotic prescriptions might help to reduce antimicrobial resistance? | Take all this medication |
| What is a superinfection? | a new infection complicating therapy of an exisiting infections |
| The sulfonamides are commonly used to treat? | urinary tract infections (Bactrim, Septra) |
| Why might a dentist prescribe amoxicillin? | to provide prophylaxis for patients with endocarditis and to treat patients with tooth and gum infections who are are allergic to sulfa drugs |
| Which generation of cephalosporins is used for community-aquired infections and mild-to-moderate infections? | first-generation cephalosporins |
| Cefazolin (ancef), a first generation cephalosporin, is often used for? | surgical prophylaxis (may be used before, during or after surgery) |
| Which celphalosporin in oral suspension from has a sugar content of 2.86 gram per teaspoon? | Omicef (cefdinir) |
| How can antibotics worsen fungal infections? | Antibotics may kill the body's natural flora which tend to keep fungi in check |
| Which drug or drug class listed below is least likely to be used to treat side effects associated with amphotericin B? | penicillin |
| What is an example of a chronic viral infection? | HIV and Herpes |
| Why is it more difficult to develop antiviral drugs than it is to develop antibotics? | because viruses utilize the host (patient) cell processes, killing them is often toxic to the patient |
| PCA pumps (Patient Controlled Analgesics) administor what? | analgescis |
| What must be checked by a pharmist before you make it? | anything for a baby, chemo drugs, insulin, heparin, narcotics, TPN |
| Which of these drugsare in powder form and must be reconstituted with SWI before making an IV? | Unasyn (ampicillin and subbactam), Ancef (cefazolin), Fortaz (ceftazidime) |
| Which if electrolytes? | KPhos, CaC12, Calcium Gluconate,MgSO4, Sodium Acetate, KCl, NaCl |
| Stat drugs | Bumex IVPB, Cardizem IVPB, Insulin IVPB, Dobutamine IVPB, Dopamine IVPB, Valium IVPB |
| Macrolides | clarithromycin, erthromycin, azithromycin |
| Sulfamethoxazole and trimethoprim | Septra and Bactrim |
| The route goes into the cerebronspinal fluid and the solution must be perservative free | IT- inthrathecial |
| The HEPA filter in a LFH cannot filter out? | Viruses |
| Correct temperature range for pharmacy refrig? | 36-46 degrees/F |
| 1 L bag of SWI should be replaced every? | 24 hrs |
| What is the minimum amount of time you should wash your hands? | 30 seconds |
| Which medication stimulates white blood cell production? | Neupogen |
| Which medication stimulates red blood cell production? | Epogen |
| What is the max concentration (using a peripheral IV) for dextrose? | 10% |
| The pharmacist lends you the keys to the narcotics vault. After you sign the drug out how do you return the keys? | Back in pharmacist hand |
| What eletrolyte is restricted in congestive heart failure (CHF) and HTN (hyperension) | NaCL (sodium) |
| Why is sodium bicarbonagte added to erythromycin when it is in D5W? | increase stability time |