Infection and Immunity Meds

Question 1

Cephalosporins Pregnancy category

Answer 1

B

Question 2

What medicine has 5 generations

Answer 2

cephalosporins

Question 3

Cephalosporins Side Effects

Answer 3

N/V/D, superinfection, dizziness

Question 4

Cephalosporin Uses

Answer 4

e. coli and proteus mirabilis

Question 5

If a patient is allergic to penicillin they are probably allergic to…

Answer 5

cephalosporins

Question 6

What should you never give cephalosporins with

Answer 6

tetracycline

Question 7

Cephalosporins nursing considerations

Answer 7

check renal and kidney fx, caution with kidney disease and monitor bleeding if taken with an anticoag

Question 8

Tetracyclines Pregnancy Catergory

Answer 8

D!!!

Question 9

Tetracyclines MOA

Answer 9

bacteriostatic

Question 10

Tetracycline Uses

Answer 10

Lyme disease, acne, STD

Question 11

Tetracycline Side Effects

Answer 11

photosensitivity, N/V/D

Question 12

Tetracyclines Nursing Consideration

Answer 12

not for kids under 8, take with a meal, no dairy or antacids`

Question 13

Fluoroquinolone Pregnancy Catergory

Answer 13

C

Question 14

Fluoroquinolone MOA

Answer 14

stops synthesis of bacterial DNA

Question 15

Fluoroquinolone Uses

Answer 15

S. Epidermis, UTI, Anthrax, respiratory infection

Question 16

Fluoroquinolone Side Effects

Answer 16

Photosensitivity, Fatigue, Urine Crystals, Peripheral Neuropathy, Tendonitis, Tendon rupture

Question 17

What happens when flurorquinolones are taken with NSAIDS

Answer 17

high risk for CNS stimulation

Question 18

What happens when admiadarone is taken with flurorquinolones

Answer 18

Prolonged QT intervals

Question 19

Fluoroquinolone Nursing Considerations

Answer 19

check renal fx, no antacids or dairy

Question 20

Sulfonamides Pregnancy Category

Answer 20

D!

Question 21

Sulfonamides MOA

Answer 21

stops bacteria from synthesizing folic acid, bacteriostatic

Question 22

Sulfonamides Uses

Answer 22

UTI, ear infection, pneumonia, prophylaxis AIDS

Question 23

Sulfonamide SE

Answer 23

decreased blood count, photosensitivity, urine crystals, N/V/D

Question 24

Sulfonamide Contraindications

Answer 24

CHF, Renal Failure

Question 25

Sulfonamide Nursing Considerations

Answer 25

drink 3000 ml of water daily, no antacids, check kidney and renal fx

Question 26

Metronidazole Pregnancy Category

Answer 26

D!

Question 27

Metronidazole Uses

Answer 27

GI infections, prophylaxis for surgery (H. Pylori, IBD)

Question 28

Metronidazole Side effects

Answer 28

GI Distress, dark urine, dry mouth, depression, metallic taste, paresthesia, seizures

Question 29

Metronidazole Nursing consideration

Answer 29

NO AOLCHOL

Question 30

Carbapenems MOA

Answer 30

inhibits cell membrane synthesis, bactericidal

Question 31

Carbapenems Uses

Answer 31

strep, staph, proteus mirabilis

Question 32

Carbapenems Contraindications

Answer 32

seizures meningitis advanced kidney disease

Question 33

Carbapenems SE

Answer 33

CNS effects, N/V/D

Question 34

Glycopeptides Uses

Answer 34

Staph, MRSA, Gram +

Question 35

Glycopeptides Nursing Considerations

Answer 35

give slowly IV, check kidney FX

Question 36

Glycopeptides SE

Answer 36

redman syndrome, nephrotoxicity, ototoxicity

Question 37

Vancomycin

Answer 37

glycopeptide, can cause C.diff if given IV, but treatment for c.diff is oral vancomycin

Question 38

Penicillin MOA

Answer 38

stops synthesis of bacterial cell wall; bactericidal and bacteriostatic

Question 39

Penicillin SE

Answer 39

rash

Question 40

what is commonly used as a combo drug with penicillin

Answer 40

clavulanate- which stops breakdown of antibiotic

Question 41

Penicillin Nursing Considerations

Answer 41

dont give within 1 hour of aminoglycerides, decreases birth control, check renal and kidney fx

Question 42

Lincosamides MOA

Answer 42

affects protein synthesis within bacterial nucleus

Question 43

Lincosamides Uses

Answer 43

strep, C. diff, gonorrhea

Question 44

Lincosamides SE

Answer 44

bone marrow suppression (decreased blood count)

Question 45

Macrolides MOA

Answer 45

alters protein synthesis within cell; bacteriostatic and bactericidal

Question 46

Macrolides Uses

Answer 46

strep, c. diff and gonorrhea

Question 47

What can be given in place of penicillin

Answer 47

macrolides

Question 48

Macrolides SE

Answer 48

superinfection, allergy, confusion, liver issue

Question 49

Macrolides Nursing Considerations

Answer 49

check liver fx, no grapefruit or dairy, decreases birth control effectiveness

Question 50

Aminoglycerides MOA

Answer 50

bactericidal

Question 51

Aminoglycerides Side effects

Answer 51

OTOTOXICITY, NEPHROTOXICITY, cramps, tremors, photosensitivity, liver issues, vertigo, tinnitus

Question 52

Aminoglycerides Nursing Considerations

Answer 52

give hour apart from penicillins, pregnancy category D, OTOTOXICITY IF GIVEN W DIURETICS

Question 53

What aminoglyceride should we check peak and through of?

Answer 53

gentramicin

Question 54

What bacteria causes TB

Answer 54

mycobacterium tuberculosis

Question 55

Antitubercular Drugs SE

Answer 55

Orange urine, neuropathy, low blood count, ototoxicity, nephrotoxicity

Question 56

Prophylaxis TB treatment for people who were exposed

Answer 56

Isoniazid (INH)

Question 57

Antitubercular Drugs Nursing considerations

Answer 57

take on empty stomach, decreases Birth control, check kidney and liver fx

Question 58

Antitubercular 1st line drugs

Answer 58

isoniazid and ritampin

Question 59

Antifungal Side effects

Answer 59

chills, hypotension, flushing, nephrotoxicity, electrolyte imbalance

Question 60

Antifungal nursing considerations

Answer 60

check kidney and liver fx; inhibits metabolism of other drugs

Question 61

Antivirals side effects

Answer 61

neuro problems, INCREASED BLEEDING TIME, DECREASED BLOOD COUNT, malaise, GI disturbances

Question 62

Antiviral Nursing considerations

Answer 62

check liver and kidney fx

Question 63

Vaccine SE

Answer 63

anaphylaxis, soreness, fever

Question 64

Vaccine Nursing Considerations

Answer 64

dont give to immunocompromised, check for egg allergy