Infection - Antibiotics

Question 1

Which medication can be IV or IM?

Answer 1

Gentamicin

Question 2

Which Drug action is not:

Interfere with bacterial cell-wall synthesis

Answer 2

penicillin with b-lactamase (zosyn)

Question 3

What is photosensitivity?

Answer 3

sunburn easily

Question 4

What is the action of piperacillin?

Answer 4

PCN antibiotic that inhibits cell wall synthesis

Question 5

Which is not a side effect for Penicillin V?
- coagulation abnormalities with high doses
- cross reaction with cephalosporin allergy
- Nephrotoxicity in pts with renal disease
- do not give with grapefruit or citric acids

Answer 5

Nephrotoxicity in pts with renal disease

Reason: Side for Penicillin with B-Lactamase Inhibitor

Question 6

Which medication has this blackbox:

serious adverse reactions include: tendonitis, tendon rupture, peripheral nephropathy, CNS effects, flare muscle weakness in pts with myasthenia gravis

Answer 6

fluoroquinolones / levofloxacin

Question 7

Which medication has following black box?

Nephrotoxicity, neurotoxic, ototoxicity, fetal harm

Answer 7

Aminoglycosides / gentamicin

Question 8

Which medication has side effect:

Disulfiram

Answer 8

Cephalosporins

Question 9

What is the action of tazobactam?

Answer 9

B-Lactalase Inhibitor that inactivates bacterial beta lactamase

Question 10

Therapeutic For Penicillin v

Answer 10

Bactericidial

Question 11

What is gentamicin side effect?

Answer 11

Nephrotoxicity
Ototoxicity
Neurotoxicity

Question 12

What do each of Gentamicin BB mean?

Answer 12

high risk with impaired renal function and who get higher dosage of prolonged therapy

Question 13

What is Ototoxicity?

Answer 13

irreversible

Question 14

What is Neurotoxocity?

Answer 14

numbness, tingling, twitching, convulsions

Question 15

what is the monitor for Gentamicin?

Answer 15

check pregnancy, hx renal/auditory issues, assess toxicity

Question 16

monitor for b lactase inhibitor

Answer 16

allergies to PNC drugs, ceph. b lactase inhibitors, nephrotoxicity in pt with renal disease

Question 17

Do for B lactase Anticipate age related dosage

Answer 17

anticipate age related dosage adjustment in elderly with renal impairment

Question 18

Do for gentamicin

Answer 18

give plenty fluids, need for peak and trough blood lils to titrate dose

Question 19

B lactase teach

Answer 19

report s/s thrush, vaginal yeast infections, c. diff, fever that’s not improved below 100 in 3 days, value of eating yogurt/ other products with life culture or taking probiotics

Question 20

teach for gentamicin

Answer 20

report tendon pain, peripheral neuropathy, jaundice, rash, call provider if possible pregnancy, report tinnitus/ hearing changes and numbness/tingling