part 6 Flashcards
1
Q
What is most important to remember about penicillin?
A
allergic reactions
2
Q
What was the first penicillin available?
A
penicillin G (benzylpenicillin)
3
Q
What spectrum is penicillin G (benzylpenicillin)?
A
narrow spectrum
4
Q
What is the principal concern with penicillin G (benzylpenicillin)?
A
allergic reactions
5
Q
What is penicillin G (benzylpenicillin) eliminated by?
A
kidneys (so be sure kidney function is good
6
Q
1% of pt’s who are allergic to penicillin are also allergic to?
A
cephalosporins
7
Q
What will happen if penicillin G (benzylpenicillin) gets into the artery?
A
pt will die
8
Q
What do you do if a pt says their IV hurts?
A
assess the site/ pt
9
Q
What are the broad spectrum penicillins (aminopenicillins)?
A
- Ampicillin: Unasyn - ampicillin combined with Sulbactam - inhibitor of beta-lactamase
- Amoxicillin: Augmentin (amoxicillin/clavulanate), Zosyn (pipercillin/tazobactam)
10
Q
Why don’t we always treat with a broad spectrum antibiotics?
A
- kills the natural flora
- causes resistance
- best to only treat the specific organism
