Infections 1 Flashcards
Which have a thin peptidoglycan layer
Gram positive or Negative
Gram negative
Targeting all type of infection
Broad Spectrum or Narrow Spectrum
Broad Spectrum
Targeting a specific bacteria
Broad Spectrum or Narrow Spectrum
Narrow Spectrum
kill bacteria
Bactericidal or Bacteriostatic
Bactericidal
inhibit growth of susceptible bacteria
Bactericidal or Bacteriostatic
Bacteriostatic
Which come first?
Send Culture to Lab or Obtain Culture
Obtain Culture
tells you bacteria type
Sensitivity or Gram Stain
Gram Stain
which antibiotic will work
Sensitivity or Gram Stain
Sensitivity
Amikacin. *S<=2 what does the = mean
Maximum or minimum Inhibitory Concentration
Minimum
Steps in order Give Broad Spectrum Antibiotics Give Narrow Spectrum Antibiotics Draw STAT blood cultures Review Culture Results (Sensitivity)
Draw STAT blood cultures
Give Broad Spectrum Antibiotics
Review Culture Results (Sensitivity)
Give Narrow Spectrum Antibiotics
Individual Criteria for drug Selection?
Host Factors Geography Site of Infection Prophylaxis None All
ALL
Host Factors?
Age Immune Status Renal Dysfunction/Hepatic Dysfunction Allergies Pregnancy/Lactation History of antibiotic usage None All
All
In the community which antibotic is given ?
S. Pneumonie, Ps. aeruginosa, M. Pneumonie, S. Aureus
S. Pneumonie
M. Pneumonie
In a hospital with a patient on a venilator associated pneumonie which antibiotic is given?
S. Pneumonie, Ps. aeruginosa, M. Pneumonie, S. Aureus
Ps. aeruginosa
S. Aureus
Geography
Local Community Resistance Patterns
Recent Travel
Recent hospitalization
None or All
All
Site of Infection?
CNS/CSF Penetration (Blood Brain Barrier) Abscess Endocarditis Lungs Urine, Surgery Prosthetics, Heart Valves None All
All
For sugery and Prosthetic Heart Valve/Endocarditis do you recieve antibiotecs prior or after?
prior
are major culprits of causing allergic reactions!
Antibiotics or Penicillin Allergies
Antibiotics
are the most commonly reported cause of allergic reactions
Antibiotics or Penicillin Allergies
Penicillin Allergies
Type 1- IgE Mediated Allergic Reaction-
ANAPHYLAXIS or Cell MEDIATED
ANAPHYLAXIS
Can ANAPHYLAXIS be life threatening
Yes
in order for ANAPHYLAXIS/ALLERGIC ASTHMA TREATMENT? (ABC)
Establish Airway to maintain ventilation
Stop medication immediately
Administer Oxygen
Treat with Epinephrine (IM or IV) every 5 to 10 minutes if needed
Stop medication immediately
Establish Airway to maintain ventilation
Administer Oxygen
Treat with Epinephrine (IM or IV) every 5 to 10 minutes if needed
(Blue or Orange) to the Sky, (Blue or Orange) to the Thigh Hold for (2 0r 3) seconds You can use another dose (5-10 or 5-15) minutes after (max is (2 or 3) doses)
Blue Orange 3 5-15 2
can be swolleness of lips, face, oropharyngeal cavity and neck, intestinal system and other areas of the body,
SJS/TEN or ANGIOEDEMA
ANGIOEDEMA
Allegeries prevention:
Patient should wear a medical bracelet
Get complete medical history including ALLERGIES
Check allergies before giving medications
None
All
All
Flu-like symptoms (FEVER), Rash -> BlisteringLip peeling, mouth sores?
SJS/TEN or ANGIOEDEMA
is these type 4
SJS/TEN
Yes
ANTIBIOTIC INFUSION
Can you infuse with other fluids/drugs (Y/N)
Always use a NonDiluted or DILUTED solution
Avoid small or large veins
N
Diluted
Small
Which is?
preventative- probiotics
treatment: antibiotics
Clostridium difficile infection or Candida albicans infection
Clostridium difficile infection
which is Oral/vaginal- treat with antifunals?
Clostridium difficile infection or Candida albicans infection
Candida albicans infection
With ORAL CONTRACEPTIVES you at more risk of getting pregnant because healthy flora are kill by antibiotics (T/F)
T
Since antibiotics kill healthy flora WARFARIN does not put you more at risk for blood cloats (T/F)
F becasue it does
WARFARIN inhibits Vit. C or K
K
