Antimicrobial

Question 1

Common Blood tests

Answer 1

Renal- Cereatinine, BUN, GFR
Liver- AST, ALT, Bilirubin

Culture and sensitivity
CBC

Question 2

Patient Teaching General

Answer 2

High incidence of allergic reactions
Take full course of antibiotics-unless rash or other s/s develop
Call MD if s/s of allergy occurs or other s/s develop

Call MD if s/s o allergy occurs or GI disturbance
Follow food precautions
Probiotics and yogurt

Question 3

-Cillins

Amoxicillin, Ampicillin

Answer 3

Use for Strep

Drug interactions -methotrexate-probenecid increases blood levels of -Cillin

Question 4

Vancomycin-Vancocin

Tricyclics Glycopeptide antibiotic

Answer 4

Tx of staphylococcal (+) Clostridium Difficile
MRSA
Instruct pt to report any hypersensitivity tinnitus or vertigo
Test pt for Kidney function- Nephrotoxicity
May increase BUN

Red man Syndrome

Question 5

Side Effects

Answer 5

Allergies: Most common drug allergies are antibiotics
GI- can kill host gut bacteria
Renal
Lowers effectiveness of hormonal birth control
Photosensiitvities

Question 6

Amino-glycosides

Gentamicin

Answer 6

Gram Neg
Side effect 
Ototoxicity
Nephrotoxicity- Renal Labs
Neuromuscular blockade 

Avoid all other renal and Ototoxicity drugs.

Question 7

Cyclines

Tetracycline

Answer 7

Tx of : H Pylori 
GI irritation- esophageal irritation.
Liver and Renal toxic 
Discontinue for pregnant 
Photo sensitivity  
Take on and empty stomach

Question 8

Erythromycin

Answer 8

Alternative to penicillin
Gram + - staph strep,
LIVER - AST, ALT, Bilirubin- (.1- 1.2)
Renal- for those with existing renal impairment

Take with food -probiotic

Question 9

Vancomycin

Answer 9

used for serious infections: MRSA- severe Cdiff
Adverse effect: Nephrotixicity
Ototoxicity “ Red Man Syndrome”
VRE- Vancouver Resistant Enterococci