Infection 3

Question 1

Vancomycin treats (MSSA or MRSA) 
does it treat (Orally or IV)

Answer 1

MRSA

IV

Question 2

Vancomycin treats (Clostridium difficile or MSSA)
Does it treat it (Orally or IV)

Answer 2

Clostridium difficile

Orally

Question 3

Is hand washing good for killing the spores of C Diff

Y/N

Answer 3

Yes

Question 4

Vancomycin Adverse Side Effects

monitor SCr/BUN, vancomycin levels (troughs)

Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome

Answer 4

Nephrotoxicity

Question 5

Vancomycin Adverse Side Effects

Rare and potentially reversible
Vestibular damage- dizziness/balance
Cochlea- hearing, tinnitus (ringing in ears), fullness in ears

Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome

Answer 5

Ototoxicity

Question 6

Vancomycin Adverse Side Effects

Formerly (and still called) “Red Man Syndrome
Rash, Itching, Flushing

Ototoxicity, Nephrotoxicity, Histamine release/flushing syndrome

Answer 6

Histamine release/flushing syndrome

Question 7

What the normal range for trough

10-15mcg/mL, 10-20mcg/mL, or 5-20mcg/mL

Answer 7

10-20mcg/mL

Question 8

Nursing considerations for Ototoxicity Vancomycin?

A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn

Answer 8

B.

Question 9

Nursing considerations for Nephrotoxicity?

A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn

Answer 9

C.

Question 10

Nursing considerations for Red Man Syndrome/ Histamine Flush?

A. Make sure this sufficiently diluted. Usually caused by too RAPID of infusion
B. Assess for hearing loss, monitor drug levels, encourage patients to report hearing or vestibular changes.
C. Check trough levels, range- appropriately drawn

Answer 10

A.

Question 11

Macrolides = ACE

Y/N

Answer 11

Yes

Question 12

ACE= Azithromycin, Clarithromycin , & Erythromycin

Y/N

Answer 12

Yes

Question 13

Are Macrolides good for Useful for Penicillin Allergies?

Y/N

Answer 13

Yes

Question 14

Which is used for pneumonia and covid pateints?

Azithromycin, Clarithromycin , & Erythromycin

Answer 14

Azithromycin

Question 15

Does Involves Azithromycin, Erythromycin

QT prolongation!, heart palpitations? (Y/N)

Answer 15

Yes

Question 16

OTOTOXICITY = sound or hearing?

Answer 16

Hearing

Question 17

OTOTOXICITY = Azithromycin or Erythromycin

Answer 17

Erythromycin

Question 18

Do we worry about QT prolonging drugs interations?

Y/N

Answer 18

Yes

Question 19

Which antibiotic treats Acne, Lyme Disease, Chlamydia, & Anthrax?

Macrolides or Tetracyclines

Answer 19

Tetracyclines

Question 20

Which antibiotic irritate the GI tract
Should you drink a full glass of water on an empty before bed? (Y/N)

Macrolides or Tetracyclines

Answer 20

Tetracyclines

Yes

Question 21

Which antibiotic causes sunburns?

Macrolides or Tetracyclines or Sulfonamides or Fluoroquinolones

Answer 21

Tetracyclines
Sulfonamides
Fluoroquinolones

Question 22

Tetracyclines and Fluoroquinolones bind to (Calcium or Potasium)

Answer 22

Calcium

Question 23

Tetracyclines can be given to children younger than 8, nursing mothers, and pregnant mother. (T/F)

Answer 23

False

Question 24

Which antibiotic deals with Pseudomonas aeruginosa?

Macrolides or Tetracyclines or Aminoglycosides

Answer 24

Aminoglycosides

Question 25

Vancomycin Or Aminoglycosides Trough Peak Trough and Peak

Answer 25

Van none Aminoglycosides

Question 26

Which Antibiotic causes kidney issues due to crystallization/ Vancomycin Or Aminoglycosides or Sulfonamides

Answer 26

Sulfonamides

Question 27

Which Antibiotic treats UTIs- E.coli and HIV patients Vancomycin Or Aminoglycosides or Sulfonamides

Answer 27

Sulfonamides

Question 28

Which antibiotic cause Stevens-Johnson Syndrome/TEN (rare)- Rashes? Vancomycin Or Aminoglycosides or Sulfonamides

Answer 28

Sulfonamides

Question 29

Which Antibiotic cause Blood dyscrasias- PANCYTOPENIA- dec WBC, RBC, plts? Vancomycin Or Aminoglycosides or Sulfonamides

Answer 29

Sulfonamides

Question 30

Which antibiotic causes Kernicterus in newborns (excessive bilirubin)? Vancomycin Or Aminoglycosides or Sulfonamides

Answer 30

Sulfonamides

Question 31

Which antibiotic causes SULFA ALLERGY? Vancomycin Or Aminoglycosides or Sulfonamides

Answer 31

Sulfonamides

Question 32

Avoid Pregnancy (last 2 months)Breastfeeding, Infants? Vancomycin Or Aminoglycosides or Sulfonamides

Answer 32

Sulfonamides

Question 33

``` Which Antibiotic deals with Tendon rupture/tendonitis Exacerbates Myasthenia Gravis Peripheral Neuropathy, potentially irreversible CNS mental health disturbance ``` Vancomycin Or Aminoglycosides or Sulfonamides or Fluoroquinolones

Answer 33

Fluoroquinolones

Question 34

This is a dye that help treat symptom for UTI Fluoroquinolones or Phenazopyridine

Answer 34

Phenazopyridine

Question 35

Is Phenazopyridine an antibiotic? (Y/N)

Answer 35

No

Question 36

Does Phenazopyridine turn in to Orange/Red or Purple ?

Answer 36

Orange/Red

Question 37

levofloxacin and ciprofloxacin = Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide

Answer 37

Fluoroquinolones

Question 38

Sulfamethoxazole-Trimethoprim = Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide

Answer 38

Sulfonamides

Question 39

Gentamicin, Tobramycin, Neomycin = Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide

Answer 39

Aminoglycosides

Question 40

Azithromycin, Erythromycin = Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide

Answer 40

Macrolides

Question 41

Vancomycin = Sulfonamides, Fluoroquinolones, Macrolides, Aminoglycosides, Glycopeptide

Answer 41

Glycopeptide