Parents should be educated on how to administer the medication with a syringe. Better protection against enterobacteria and Graham negative bacteria. 655 West 12th Avenue Vancouver, BC V5Z4R4 Canada 1-604-707-2518. A client is prescribed propranolol for a diagnosis of essential tremors. Diagnose and Treat Infection Effectively 3. Nicole has been prescribed doxycycline for treatment of Lyme Disease. She is healthy and her only medication is an oral combined contraceptive. As a conscientious prescriber, which of the following is the most appropriate use of a fluoroquinolone? Fluoroquinolones. Thirty minutes after receiving an intramuscular (IM) injection of penicillin G [Pfizerpen], a patient reports itching and redness at the injection site. Phlebitis of the vein used for the antibiotic has developed. At how many drops per minute will the Lactated Ringers infuse? Sig . A patient who has tuberculosis is treated with isoniazid. Both come back positive. What patient education should the FNP provide to Patricia? Taking pharmacology quizzes is the best way to test your knowledge of drugs and medicines. From asynchronous material. Diabetes Pharmacology Nclex Questions Quizlet. You diagnose a urinary tract infection. Which of the following statements is innacurate A. A patient has acquired an infection while in the hospital. Below, we've put together a quick review guide of antibiotics pharmacology as it relates to cell wall synthesis inhibitors. True or false, True. (Select all that apply.). How should his medical chart be labeled and communicated to his parents? Augmentin - how is it different from amoxicillin? A nurse should teach a patient to observe for which side effects when taking ampicillin? Antibiotics. Class: Macrolide antibiotic. D. He may experience bradycardia as an adverse effect. The nurse monitors the patient for an adverse effect related to an interaction with which medication? epinephrine and diphenhydramine of 5% dextose in Lactated Ringers solution at 125mL/hr. The nurse identifies this type of infection as what? They were replaced by newer, less-toxic drugs in treating less serious infections because these drugs have potentially serious adverse effects. Antibiotics Quiz #1 Antibiotics Quiz #1 Quiz Instructions: Select the single best answer. The FNP should instruct the patient taking any tetracycline to avoid products containing calcium, magnesium, or aluminum because the tetracycline will bind to the metallic ion which will reduce the therapeutic effectiveness of the antibiotic. Hold the infant upright to prevent aspiration. The FNP educates the patient that it is important to avoid using which of the following over the counter medications during therapy? Only given when EXPOSED to pyloric stenosis. Pharmacology Chapter 9, Antibiotics 1. by Schaef-n-bake11, Dec. 2010. Polly is a 12-month-old child who is being treated with amoxicillin for acute otitis media. WHEN PATIENTS DEVELOPS INFECTIONS RESISTANCE TO COVENTIONAL DRUG THERAPY.THIS PHENOMENON IS CALLED: A. (Select all that apply. More than half of all antibiotics prescribed for ARIs are unnecessary These infections are most likely viral Prevent Infection 2. Back To Top. A. Pegvisomant B. Insulin C. a) Erythromycin, Chloramphenicol b) Vancomycin, Cephamycin c) Gentamicin, Tetracycline d) Options a and c e) Options b and c 12) Ototoxicity, vestibulo-toxic impairment, and nephrotoxicity are seen as major adverse effects of a) Aminoglycosides b) Macrolides We can now buy azithromycin online through online drug stores. tubing available delivers 10 drops per mL. Which finding should a nurse associate most clearly with an adverse effect of gentamicin? Which of the following medications is first-line therapy to treat her condition? Includes clavulanatic acid added to reduce likelihood of resistance. Study with Quizlet and memorize flashcards containing terms like Antibiotics that inhibit cell wall synthesis, Penicillin narrow spectrum examples, Penicillin broad spectrum examples and more. The I.V. Which additional information should the nurse recognize as most significant? A physical examination confirmed the increased weakness and numbness, with no specific mus- cle tenderness. Pharmacology Final Study Guide Chapter 01: Drug Regulation, Actions, and Responses Workman & LaCharity: . 2) IV antibiotic therapy may be used to prevent infections in a high-risk surgery. Which action should the nurse take? Considered as "broad spectrum" antibiotics. A patient is receiving penicillin G [Bicillin C-R]. You diagnose bacterial vaginosis. Before administering trimethoprim, it is most important for the nurse to assess the patient for a history of what? Which medication(s) would he likely have a cross sensitivity to? Other Results for Prophecy Dysrhythmia Test Answers: RN Dysrhythmia and EKG Testing - Prophecy .Dysrhythmia (Advanced + Measurements) Also recommended for critical care areas - assesses the caregiver's complete knowledge in ability to perform accurate measurements on an ECG tracing , including heart rate interpretation, PR intervals, QRS. . Probiotics can help to restore the normal GI flora and decrease the incidence of diarrhea. ***Did you know only 20% of our video content is on YouTube? AntibioticsWise.ca. Acute respiratory tract infection (ARI) refers to common cold, rhinosinusitis, pharyngitis, acute bronchitis, and acute otitis media. What request made by the nurse while assessing the client demonstrates an understanding of the proper evaluation of this medication therapy? A: Diarrhea, skin reactions in pigs. Pharm Test 3 Studyguide; Respiratory and Psychiatric Drugs Pharm Test 2; NUR218 Exam 3 - Lecture notes and . The FNP advises the patient and parent that this is a viral Upper Respiratory Infection. True B. If allergic to penicillin what would you prescribe? Which drug is only 60% metabolized by the liver, and is partially excreted unchanged by the kidneys making it a good penicillin alternative in the presence of renal failure? Antibiotics Treat bacterial infections -Ideally before beginning antibiotic therapy the suspected area of infection should be cultured to identify the causative organism and potential antibiotic susceptibilities Empiric Therapy Treatment of an infection before specific culture informaiton has been reported or obtained Definitive Therapy what is the Brand names for Cephalosporins. ACQUIRED RESISTANCE B. PLASMIDS C. MUTATION Anaphylaxis is a severe reaction and all PCN products should be avoided in the future. Cell Wall Synthesis Inhibitors b. Bacterial protein synthesis by binding to the 50S ribosomal unit. Pharmacology Antibiotics. Comprehensive Nursing Pharmacology NCLEX Practice | Quiz #1: 50 Questions Macrobid is category B. Keflex is category B. Augmentin is category B. Educated guess. What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy? The patient takes antacids on a daily basis. You prescribe penicillin. A patient who is receiving vancomycin [Vancocin] IV for a methicillin-resistant Staphylococcus aureus (MRSA) infection asks a nurse, "Why can't I take this medicine in a pill?" This activity will highlight the mechanism of action, adverse event profile, and other key factors (e.g., off-label uses, dosing, pharmacodynamics, pharmacokinetics, monitoring, relevant interactions) pertinent for members of an interprofessional healthcare team in the treatment of patients. Questions and Answers 1. A. urinary tract infections 1. most uropathogens are resistant to sulfonamides alone 2. sulfamethoxazole combined with trimethoprim is effective B. nocardiosis 1. trimethoprim-sulfamethoxazole is drug of choice 2. sulfisoxazole and sulfadiazine are also effective C. toxoplasmosis - pyrimethamine plus sulfadiazine VI. Drug Classes Which antifungal agent is used as a one-time oral dose to treat vaginal yeast infections? MOA: Inhibits 50S ribosomal subunit inhibitor. There are also different prescribed drugs, and this quiz will test how well you know them and their effect. Her parents call the clinic and say she has developed diarrhea. He is taken to the ED, where he is found to have labored breathing, a low-grade fever, and elevated heart rate of 120 bpm. No treatment is required if there is no residual cardiac defect. Rare, but may cause pseudomembranous colitis due to suprainfection 3. ceftriaxone (Rocephin) Which antibiotic can pass the blood brain barrier and get into the spinal fluid? Levofloxacin is a quinolone and should not be administered to a patient of this age. Beta-lactam antibiotics are used in the management and treatment of bacterial infections. broad antimicrobial spectrum effective for: reduce blood levels of valproic acid- breakthrough seizures are possible, hypotension and flushing of face and trunk (red-person syndrome) w/rapid IV infusion, metformin may increase risk for lactic acidosis, thrombophlebitis or inflammation at IV site, Antibiotics that affect protein synthesis, reduced absorption of drug if taken w/milk products, calcium and iron supplements, laxative with magnesium, and antacids, inhibits protein synthesis (bacteriostatic) but bactericidal at high doses, treats infections in clients w/penicillin allergy, inhibits metabolism of antihistamines, theophylline, carbamazepine, warfarin, and digoxin, which can lead to toxicity, except for azithromycin, give oral preparations on empty stomach, bactericidal that destroy micro-organisms by disrupting protein synthesis, treats aerobic gram negative bacilli (E. coli, K. pneumoniae, Proteus mirabilis, and P. aeruginosa), Use cautiously in patients with kidney impairment, hearing loss, myasthenia gravis, penicillin inactivates drug when in same IV solution, Available in topical, ophthalmic, IM, IV, intrathecal forms, Sulfonamides and Trimethoprim pharmacological action, inhibit bacterial growth by preventing synthesis of a folic acid derivative, tetrahydrofolate, Sulfonamides and Trimethoprim therapeutic uses, Sulfonamides and Trimethoprim complications, hypersenitivity (stevens-johnson syndrome), Sulfonamides and Trimethoprim contraindications, Sulfonamides and Trimethoprim interactions, increased effects of warfarin, phenytoin, sulfonylurea oral hypoglycemics, Sulfonamides and Trimethoprim administration, bactericidal due to inhibition of an enzyme needed for DNA replication, broad-spectrum that treat wide variety of micro-organisms like some gram positive bacteria and gram negative bacteria (Klebsiella and E. coli), children under 18 years old unless treating for UTI of E. coli or inhalation of anthrax, Cationic compounds (aluminum-magnesium antacids, iron salts, sucralfate, dairy products) decrease the absorption of drug, Available in oral, ophthalmic drops and ointment, and IV forms, Julie S Snyder, Linda Lilley, Shelly Collins, Dutton's Orthopaedic: Examination, Evaluation and Intervention. 1. You change his prescription to amoxicillin/clavulanic acid (Augmentin). Zachary is a 4-month-old patient with otitis media. The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what? 22. Both IV ampicillin/sulbactam [Unasyn] and gentamicin are ordered for a patient. 1st destroyed by beta-lactamase, not all destroyed, and increasingly resistant to beta-lactamase. Quiz 1 Quiz 2 Quiz 3 Quiz 4 Quiz 5 30 Questions! The nurse should monitor for which symptoms, which could indicate a vitamin B6 deficiency caused by the medication? Amy is 10 years old and comes to your office with complaints of sore throat and swollen glands. The CDC's campaign to prevent the development of antimicrobial resistance in hospitals focuses on what four approaches? Patricia has been prescribed doxycycline for a chlamydia infection. Antimicrobial pharmacology and its effect on prescribing is quite complex. Which response should a nurse expect if the medication is achieving the desired effect? Cephalosporins NCLEX Pharmacology Questions Question 1 of 35 The physician has ordered an I.V. B. C. diff diarrhea. Use Antimicrobials Wisely 4. Before administering intravenous (IV) penicillin, the nurse should do what? What Are Antibiotics? -semisynthetic antibiotics -structurally and pharmacologically related to penicillins Uses of Cephalosporins - good gram (+) coverage, bad gram (-) coverage - prevent infections (ear infections, meningitis, pseudomonas, MRSA) Sets with similar terms Pharm test 3 - Antibiotics part 1 Mel_Mattson Drugs for Infectious Diseases Michalyn_Worthy Prevent Transmission A patient has acquired an infection while in the hospital. Pharmacology is pretty much the study of the action of drugs. (Select all that apply. Prescribing the antibiotic based on knowledge of the most likely organism. ), Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Sandra Moaney Wright, Terri D Wyman, clotrimazole (used most), econazole, ketocanazole, miconazole, terbinafine, and tioconazole are all examples of (blank). The CDC's campaign to prevent the development of antimicrobial resistance in hospitals focuses on what four approaches? Defenses are: 1. This is the gold standard of antibiotic use. a) The faculty member asks the student nurse to explain how an antibiotic is selected for use in a particular clinical situation. Pharmacology Final exam quizlet - NSG 6005. Page 121 in text. Show all questions 1 / 18 While beta-lactam antibiotics remain one of the most commonly prescribed types of antibiotics, they have side effects that can range from mild to life-threatening in nature. Antibiotic therapy can destroy the normal flora of the body, which normally would inhibit the overgrowth of fungi and yeast. D. Hepatotoxicity. A. Piperacillin. More than half of all antibiotics prescribed for ARIs are unnecessary C. These infections are most likely viral D. Wayne is a 4-year-old patient who has suspected bacterial pneumonia. Disulfiram reaction (DO NOT DRINK ALCOHOL), Bacteriostatic prevents additional growth of bacteria whereas bacteriocidal kills bacteria. Candida infections of mouth or vagina Treat Anaphylaxis with what medications? Four weeks later, A.P. Beta Lactamase inhibitors are used for lower respiratory infections. Doxycycline should not be taken at the same time as dairy product due to alterations in absorption. sydneycormeny15. Which response should the nurse make? Jamie is a heavy heroin user. nursing management sulfonamides carefully assess allergies to sulfa type drugs perform thorough skin assessment before, during, and after therapy take with 2000-3000 ml of fluid/24 hour assess red blood cell count, renal function before beginning therapy take oral doses with food report cramps, fever, sob, blood in urine, was complaining of an increased general weakness. 1) Administration of vasopressors to maintain blood pressure and cardiac output after open heart surgery. Which outcome should be included? A nurse should recognize that which laboratory result is used as a major factor in deciding when antiretroviral therapy is indicated for a patient infected with HIV? What statements are true regarding ototoxicity and aminoglycosides? A nurse should recognize that a patient who is infected with HIV is at the highest risk to develop opportunistic infections during which clinical phase of HIV? The nurse identifies which medication as the drug of choice for most infections caused by herpes simplex viruses and varicella-zoster virus? Physical barriers - intact skin, cilia of respiratory tract 2. These drugs, when mixed with alcohol produce effects similar to that of Antabuse: What are some side effects associated with Cephalosporins? "A harmless side effect will be a red-orange discoloration of body fluids.". The nurse identifies what as the most common toxic effect of vancomycin therapy? Superinfections (AAPC), Nephrotoxicity, Thromboplebitis . False. Which condition results from over secretion of growth hormone? False. You prescribe amoxicillin. Macrolides, quinolones, antifungals, and antimalarial drugs all prolong the QT interval. GI symptoms: diarrhea, nausea, vomiting 2. Rhabdomyolysis due to the erythromycin/simvas- tatin interaction. The clavulanate acid causes more GI upset. Acqiured by person who has not been hospitalized or had a medical procedure (dialysis, surgery, catheter) wihtin past yr, Contracted in hospital or institutional setting, Health Care-Associated Infection: Prevention, Treatment of an infection before specific culture informaiton has been reported or obtained, Antibiotic therapy tailored to treat organism identified with cultures, Treatment with antibiotics to prevent infection, as in intra-abdominal surgery or after trauma, Decrease in specific signs and symptoms of infection are noted (fever, elevated WBC, etc. Antibiotics 1. A 13-year-old child comes to clinic with a four-day history of cough, low-grade fever, and rhinorrhea. James is 55 years old and has an allergy to sulfonamide antibiotics. 1. What is the appropriate concentration, dose, and frequency for this patient? Ceftriazone (rocephin): IV and IM --> has long half-life, once a day dose, elimination is primarily hepatic; easily pass meninges and diffuse into CSF to treat CNS infections, Bone, joint, skin, and soft tissue infections, - broadest antibacterial action of any antibiotic, Strep, 2nd choice for sinus infection, syphillis and lyme disease, gonorrhea, chlamydia, and mycoplasma, bacteriostatic, but at high does can be bactericidal, GI effects, hepatotoxicity flatulence, jaundice, and anorexia (Longer QT --> higher risk for cardiac arrest/ death (bradykinin), -Highly protein-bound and will cause sever interactions with other protein binding drugs, Approved: mycobacterium arium - intracellular complex infection (opportunistic infection associated with HIV/AIDS), Approved: recently with omeprazole to treat ulcer disease associated with helicobacter pylori infection, GI effects, nausea, vomitting, diarrhea, hepatotoxicity, jaundice, flatulence, anorexia, Gram (+), gram (-), protozoa, mycoplasma, rickettsia, chlamydia, syphillis, lyme disease, and acne, Bacteriostatic; inhibit protein synthesis, bind to Ca, Mg, Al ions and iron salts reduce oral absorption, -high affinity for calcium, tooth discoloration in children and fetus; or nursing mothers, -Avoid milk products, iron, antacids, and other dairy because chelation and drug binding that occurs, kills most gram (-), some gram (+), pseudomonas, E.coli, proteus, Klebsiella, serratia, combines with other antibiotics for synergistic effects, bactericidal: prevents protein synthesis, produced from Streptomycin, poor oral absorption, very potent with antibiotics, nephrotoxicity (renal damage), ototoxicity (auditory impairment), parathesia, superinfections, vertigo, skin rash, mostly gram (-), some gram (+), anthrax, yellow fever, salmonella, complicated UTI, respiratory, bone, joint, GI, and skin infections, bactericidal: alter DNA of bacteria, good oral absorption but reduced with anacids, Insomina, prolonged QT, ruptured tendon, tendonitis, pruritus, conculsions, urticaria, thrush, increased liver function, Anaerobic organisms, intraabdominal and gynercologic infections, protozoal infections, several drug interactions, treat C. Diff, 1st MRSA and other gram (+) infections; orally treats C. Diff and staphylococcus entercolitis, ototoxicity and nephrotoxiticity, hypotension, -monitor blood levels to ensure therapeutic levels and prevent toxicity, Hypotention, serotonine syndrome if taken with SSRI's (selective serotonin repute inhibitors --> cause serotonin build up and toxicity), Julie S Snyder, Linda Lilley, Shelly Collins.
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