Antibiotic Premedication Exam 3

Question 1

For adults and children, what is the “STANDARD GENERAL PROPHYLAXIS for Amoxicillin?

Answer 1

Adults: 2 gm orally 1 hr before procedure

Children: 50 mg/kg orally 1 hr before procedure

Question 2

What is the protocol for those that are “UNABLE TO TAKE ORAL MEDICATIONS”?

Answer 2

Adults: 2 gm IM or IV within 30 min before procedure

Children: 50 mg/kg IM or IV within 30 min before procedure

Question 3

What are the alternatives for those that are ALLERGIC to PENICILLIN ?

Answer 3

1) clindamycin (Cleocin)
2) cephalexin (Keflex)
3) azithromycin (Zithromax)
4) clarithromycin (Biaxin

Question 4

What is the dosage for those taking clindamycin (Cleocin), that are ALLERGIC to PENICILLIN ?

Answer 4

Adults: 600 mg orally 1 hr before procedure

Children: 20 mg/kg orally 1 hr before procedure

Question 5

What is the dosage for those taking cephalexin (Keflex), that are ALLERGIC to PENICILLIN ?

Answer 5

Adults: 2 gm orally 1 hr before procedure Children: 50 mg/kg orally 1 hr before procedure

Question 6

What is the dosage for those taking azithromycin (Zithromax), clarithromycin (Biaxin), that are ALLERGIC to PENICILLIN ?

Answer 6

Adults: 500 mg orally 1 hr before procedure

Children: 15 mg/kg orally 1 hr before procedure

Question 7

What are the alternatives for those that are ALLERGIC TO PENICILLIN AND UNABLE TO TAKE ORAL MEDICATIONS?

Answer 7

1) clindamycin
2) cefazolin (Ancef, Kefzol, Zolicef)
3) ceftriaxone (Rocephin)

Question 8

What is the dosage for those taking clindamycin, ALLERGIC TO PENICILLIN AND UNABLE TO TAKE ORAL MEDICATIONS?

Answer 8

Adults: 600 mg IV within 30 min before procedure Children: 20 mg/kg IV within 30 min before procedure

Question 9

What is the dosage for those taking, cefazolin (Ancef, Kefzol, Zolicef) ALLERGIC TO PENICILLIN AND UNABLE TO TAKE ORAL MEDICATIONS?

Answer 9

Adults: 1 gm IM or IV within 30 min before procedure

Children: 50 mg/kg IM or IV within 30 min before procedure

Question 10

What is the dosage for those taking, ceftriaxone (Rocephin) ALLERGIC TO PENICILLIN AND UNABLE TO TAKE ORAL MEDICATIONS?

Answer 10

Adults: 1 gm IM or IV within 30 min before procedure

Children: 50 mg/kg IM or IV within 30 min before procedure