Chapter 24 - Drugs Used To Treat Infectious Disease Flashcards
Factors that place a patient at risk for developing an antimicrobial resistance organism include
Inappropriate use of anti-microbials
Infants and young children are at higher risk of developing antibiotic resistant infections due to
The fact the children this age are more likely to be in daycare and exposed to pathogens from other children
Provider should use an antibiogram when prescribing. An antibiogram is
A chart of the local resistance patterns to anabiotic’s developed by laboratories
There is often cross sensitivity and cross resistance between penicillins and cephalosporins because
Both drug classes contain a beta lactam ring that is vulnerable to Betalactamase producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He says the last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic to prescribe would be:
Azithromycin
Sarah is a 25-year-old female who is eight weeks pregnant and has a urinary tract infection. What would be the appropriate anabiotic to prescribe for her
Amoxicillin
Pong-tai Is a 12 month old child who is being treated with amoxicillin for the cute otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:
Advise the parents did some diarrhea is normal with amoxicillin and recommended probiotics daily
Lauren is a 13-year-old child who comes to the clinic with a four day history of cough, low-grade fever, and rhinorrhea. When she blows her nose or cough’s, the mucus is greenish yellow. The appropriate anabiotic to prescribe would be
None
Joanna had a small ventricle septal defect repaired when she was three years old and has no residual cardiac problems. She is now 28 and is requesting prophylactic anabiotic‘s for an upcoming dental visit. The appropriate anabiotic to prescribe according to current American College of cardiology and American heart Association guidelines is
None. No anabiotic is required for dental procedures
To prevent further development of anti-bacterial resistance it is recommended that floral quinolones be reserved for treatment of
Community acquired pneumonia in patients with Comorbidities
Fluoroquinolones. Have a black box warning regarding-—even months after treatment
Tendon rupture
Janet was recently treated with Clindamycin for an infection. She calls the advice nurse because she is having frequent diarrhea and she thinks it may have blood in it. What would be the appropriate care for her
Assess her for pseudo membranous colitis
King has chronic hepatitis that has led to mildly impaired liver function. He has an infection that would be best treated by a macrolide. Which would be the choice for a patient with liver dysfunction
Erythromycin
Jamie has glucose 6 phosphate dehydrogenase deficiency and requires an anabiotic. Which class of anabiotic’s should be avoided in this patient
Sulfonamides
Tetracyclines such as minocycline are safe to use in
Adolescents
Tetracyclines should not be prescribed to children younger than eight years old due to
Adverse affects on bone growth
Nicole is a 16-year-old female who is taking minocycline for acne. She comes to the clinic complaining of a headache. What would be the plan of care
Evaluate her for pseudotremor cerebri
Patricia has been prescribed doxycycline for Chlamydia infection. She is healthy and her only medication is an oral combined contraceptive. Patricias education would include
Use a back up method of birth control until her next menses
To prevent the development of peripheral neuropathy in patients taking isoniazid for tuberculosis the patient is also prescribed
Vitamin B6 pyridoxine
Sadie is an 82-year-old patient who has herpes zoster – shingles and would benefit from an antiviral such as valacyclovir year. Prior to prescribing Valacyclovir she will need an assessment of
Renal function
When prescribing acyclovir Patient should be educated regarding the
Need to drink lots of fluids during treatment
Nicholas has been diagnosed with type a influenza. Appropriate prescribing of oseltamivir Tamiflu will include
Starting the medication within the first 48 hours of influenza symptoms.
Monitoring for patients who are On long-term care with antifungal therapy with ketoconazole includes
AST, a LT, alkaline phosphatase, and Bilirubin
When prescribing metronidazole a.k.a. Flagyl, to treat bacterial vaginosis, patient education would include
Consuming alcohol in any form may cause a severe reaction
Every antibiotic class has resistant organisms that influence prescribing decisions.
True or false
True
