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
Q

Erythromycin is most effective & Indicated in?

A

Gram + & -
Pertussis & C-Diph
STD- Gonorrhoeae

26
Q

Some adverse effects of erythromycin

A
  1. Ototoxicity
  2. Hepatoxicity
  3. Superinfections
27
Q

RN Implication & Teaching for erythromycin

A

Avoid alcohol use
Avoid anticonvulsants
Monitor hepatic lab levels

27
Q

Fluoroquinolones in terms of candy

A

Whoppers

28
Q

1 antibiotic in Fluoroquinolone class

A

Ciproflaxacin

29
Q

Is cipro bactericidal or bacteriostatic?

A

Bacteriostatic broad-spectrum

30
Q

Fluorocquinolones most effective against & Indicated for:

A

Gram -

  1. Respiratory
  2. GI
  3. GU
  4. Ophthalmic Infections
31
Q

Adverse effects related to Fluoroquinolones

A
  1. Whopper melts in sun=Photosensitivity/photophobia

2. Carrying around a big gun=Achilles tendon rupture

32
Q

Aminoglycoside in terms of candy

A

Hot Tamales

33
Q

RN Implication & teaching for fluroquinolones

A
  1. Malted center=avoid Ca+
  2. Monitor WBC
  3. Monitor kidney and liver function
34
Q

1 med in aminoglycoside class

A

Gentamicin

35
Q

Is gentamicin bactericidal or static?

A

Bactericidal narrow/broad-spectrum

36
Q

Aminoglycosides are most effective & Indicated for?

A

Gram - bacteria

  1. E. coli
  2. Klebsiella
  3. Respiratory
  4. Nervous
37
Q

Adverse effects for aminoglycosides

A
  1. HOT=Ototoxicity
  2. HOT=Nephrotoxicity
  3. Neuromuscular blockade
38
Q

RN Implication & Teaching for aminoglycosides

A
  1. Monitor renal & hepatic function
  2. Do not take c multivitamin
  3. Do not use on children
39
Q

Sulfonomides in terms of candy

A

Lemon drops

40
Q

1 Sulfonomide med

A

Bactrim

41
Q

Are sulfonomides bactericidal or static?

A

Bacteriostatic

42
Q

Sulfonomides are most effective against & Indicated for

A

Gram + & -

1. Lemon drops R yellow= UTI

43
Q

Are sulfonomides Broad-spectrum or Narrow-spectrum?

A

Broad-spectrum

44
Q

Adverse effects associated c sulfonomides

A
  1. Sour=Decrease renal function
  2. Yellow/sun=Photosensitivity
  3. STEVENS-JOHNSON SYNDROM
45
Q

RN Implication & Teaching for sulfonomides

A
  1. Monitor WBC

2. Drink lots of fluids

46
Q

TB Medication in terms of candy

A

Jolly Ranchers Cinnamon Fire

47
Q

4 TB medications

A
  1. Isoniazid
  2. Rifampin
  3. Ehtambutol
  4. Stemptomycin
48
Q

Contraindications for TB meds

A
  1. AIDS
  2. Hx of alcohol abuse
  3. Liver disease
  4. Kidney Disease
49
Q

Adverse effects associated c TB meds

A
  1. Liver damage
  2. Nerve damage
  3. Visual damage
50
Q

RN Implication & Teaching for TB

A
  1. Avoid foods c tyramine
  2. Lasts 6-12 months
  3. Urine turns red/orange
  4. Monitor liver function
51
Q

Vancomycin effective against

A

MRSA A big gun

52
Q

Adverse effects of Vancomycin

A
  1. Ototoxicity
  2. Nephrotoxicity
  3. Red-man syndrome