Antibiotics Flashcards

1
Q

PCN in candy terms is?

A

M&M Plain

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2
Q

2 Antibiotics in PCN class are?

A
  1. PCN-G

2. Ampicillin

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3
Q

PCN is effective against & Indicated for?

A

Gram + Cocci bacteria’s
Tx:
Pneumonia
Meningitis

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4
Q

Is PCN tolerated well?

A

Though bc of its age there are common allergies it is for the most part very well tolerated

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5
Q

Is PCN bactericidal or bacteriostatic?

A

PCN is bactericidal.

Weakens cell-wall, water comes through, which kills the organism.

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6
Q

Some adverse effects of PCN are?

A
  1. Anaphylaxis
  2. Cardiac arrest
  3. Rash
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7
Q

RN Implication & Teaching for PCN Include

A

Most important question:1. R U Allergic to PCN? What was your reaction?

  1. Monitor ECG
  2. Take on empty stomach
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8
Q

PCN Contraindication

A

Renal failure

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9
Q

Cephalosporins in candy terms

A

M&M Peanut

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10
Q

1 Antibiotic in cephalosporin class is?

A

claforan

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11
Q

Ceph/claforan effective against & Indicated for?

A
Gram - Bacteria
Lower respiratory infection
CNS Infection
Bone Infection
Blood infection
Joint infection
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12
Q

Is cephalosporin bactericidal or bacteriostatic?

A

Bactericidal

Work the same as PCN

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13
Q

How many meds are in Cephalosporan class?

A

Many. they are classified by generation:
Gen 1 & 2 are weaker
Gen 3 & 4 can cross blood brain barrier into the CSF.

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14
Q

Some adverse effects of claforan are?

A
  1. GI effects such as N/V/D

2. Pain @ injection site

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15
Q

PCN and Cephalosporins have similar properties?

A

Possible cross-sensitivity

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16
Q

RN Implication & Teaching for Cephalosporines

A

Ask most important question: R U allergic to PCN? What was your reaction?
1. Take c food
2. Avoid alcohol
Monitor renal & hepatic labs

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17
Q

Tetracyclines in candy terms:

A

Mike & Ike Zours

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18
Q

2 tetracyclin antibiotics are:

A

Tetracyclin

achromycin

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19
Q

Tetracyclin is effective against & Indicated for?

Remember it is not a well liked candy…

A
Gram + & - Like Mycoplasma
Broad-spectrum
1. H. Pylori-Peptic ulcers
2. Rocky Mt Spotted fever
3. Typhus
4. STD
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20
Q

Is tetracyclin bactericidal or static?

A

Bacteriostatic

It inhibits bacterial protein synthesis

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21
Q

Adverse effects of tetracyclin are?

A
  1. Photosensitivity
  2. Superinfection
  3. Epigastric Burning
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22
Q

RN Implication & Teaching & Contraindication for tetracyclin

A
  1. Avoid Ca+ & other minerals
  2. Discolors teeth
  3. Do not give to children under 8
  4. Monitor renal & hepatic function
23
Q

Name an antibiotic in the macrolide class:

A

Erythromycin

24
Q

Is erythromycin bactericidal or bacteriostatic?

A

Bacteriostatic.

Inhibits protein synthesis

25
Erythromycin is most effective & Indicated in?
Gram + & - Pertussis & C-Diph STD- Gonorrhoeae
26
Some adverse effects of erythromycin
1. Ototoxicity 2. Hepatoxicity 3. Superinfections
27
RN Implication & Teaching for erythromycin
Avoid alcohol use Avoid anticonvulsants Monitor hepatic lab levels
27
Fluoroquinolones in terms of candy
Whoppers
28
1 antibiotic in Fluoroquinolone class
Ciproflaxacin
29
Is cipro bactericidal or bacteriostatic?
Bacteriostatic broad-spectrum
30
Fluorocquinolones most effective against & Indicated for:
Gram - 1. Respiratory 2. GI 3. GU 4. Ophthalmic Infections
31
Adverse effects related to Fluoroquinolones
1. Whopper melts in sun=Photosensitivity/photophobia | 2. Carrying around a big gun=Achilles tendon rupture
32
Aminoglycoside in terms of candy
Hot Tamales
33
RN Implication & teaching for fluroquinolones
1. Malted center=avoid Ca+ 2. Monitor WBC 3. Monitor kidney and liver function
34
1 med in aminoglycoside class
Gentamicin
35
Is gentamicin bactericidal or static?
Bactericidal narrow/broad-spectrum
36
Aminoglycosides are most effective & Indicated for?
Gram - bacteria 1. E. coli 2. Klebsiella 3. Respiratory 4. Nervous
37
Adverse effects for aminoglycosides
1. HOT=Ototoxicity 2. HOT=Nephrotoxicity 3. Neuromuscular blockade
38
RN Implication & Teaching for aminoglycosides
1. Monitor renal & hepatic function 2. Do not take c multivitamin 3. Do not use on children
39
Sulfonomides in terms of candy
Lemon drops
40
1 Sulfonomide med
Bactrim
41
Are sulfonomides bactericidal or static?
Bacteriostatic
42
Sulfonomides are most effective against & Indicated for
Gram + & - | 1. Lemon drops R yellow= UTI
43
Are sulfonomides Broad-spectrum or Narrow-spectrum?
Broad-spectrum
44
Adverse effects associated c sulfonomides
1. Sour=Decrease renal function 2. Yellow/sun=Photosensitivity 3. STEVENS-JOHNSON SYNDROM
45
RN Implication & Teaching for sulfonomides
1. Monitor WBC | 2. Drink lots of fluids
46
TB Medication in terms of candy
Jolly Ranchers Cinnamon Fire
47
4 TB medications
1. Isoniazid 2. Rifampin 3. Ehtambutol 4. Stemptomycin
48
Contraindications for TB meds
1. AIDS 2. Hx of alcohol abuse 3. Liver disease 4. Kidney Disease
49
Adverse effects associated c TB meds
1. Liver damage 2. Nerve damage 3. Visual damage
50
RN Implication & Teaching for TB
1. Avoid foods c tyramine 2. Lasts 6-12 months 3. Urine turns red/orange 4. Monitor liver function
51
Vancomycin effective against
MRSA A big gun
52
Adverse effects of Vancomycin
1. Ototoxicity 2. Nephrotoxicity 3. Red-man syndrome