ABX that attack the cell wall

Question 1

ABX that interfere with cell wall synthesis

Answer 1

PNCN
Cephalosporins
Monobactams
Carbapenems
Vancomycin

Question 2

penicillin: amoxicillin (Amoxil)
amoxicillin + clavulanic acid (Augmentin)
Side affects

Answer 2

N, V, D
suprainfection (C. Diff, candida albicans)
allergy (rash, hives)
anaphylaxis

Question 3

penicillin: amoxicillin (Amoxil)
amoxicillin + clavulanic acid (Augmentin)
interventions

Answer 3

monitor for GI symptoms
report bloody stools or watery diarrhea
monitor for allergic rxn
report candida infections of mouth or vagina

Question 4

cephalosporin: cephalexin (Keflex)

side effects

Answer 4

N, V, D
risk of hemorrhage
thrombophlebitis
disulfiram like rxn when taken with ETOH (flushing, tachycardia, N, thirst, chest pain, vertigo, hypotension)

Question 5

cephalosporin: cephalexin (Keflex)

interventions

Answer 5

monitor for GI symptoms
prepare to treat for allergic rxn
monitor PT and INR
monitor for thrombopheblitis
monitor renal function
inform PT about disulfiram like rxn

Question 6

monobactam: aztreonam (Azactam)

side effects

Answer 6

thrombophlebitis

suprainfection

Question 7

monobactam: aztreonam (Azactam)

interventions

Answer 7

monitor IV site
monitor for candida
frequent hydration for mouth pain

Question 8

carbapenem: imipenem and cilastatin (Primaxin)
meropenem (Merrem )
side effects

Answer 8

N, V, if ivp is done too rapidly
thrombophlebitis
suprainfection

Question 9

carbapenem: imipenem and cilastatin (Primaxin)
meropenem (Merrem )
interventions

Answer 9

follow recommended rate for infusion
monitor for N during infusion
monitor IV site
monitor for infection

Question 10

vancomycin side effects

Answer 10

hypotension
flushing of face and trunk
hearing loss due to ototxicity
kidney dmg
thrombophlebitis

Question 11

vancomycin interventions

Answer 11

monitor vitals
monitor for hearing loss
monitor lab work
monitor iv site