Patient Counselling

Question 1

Penicillin safety parameters

Answer 1

Blood tests eg. complete blood count, liver and kidney function

Question 2

Amoxi/clav counselling

Answer 2

Take with or without food. Common ADR includes n/v/d.

Question 3

Cloxacillin counselling

Answer 3

Take on an empty stomach, at least 1hr before or 2hr after a meal. Avoid alcohol.

Question 4

Cephalosporins safety parameters

Answer 4

routine kidney function tests

Question 5

Cephalexin counselling

Answer 5

Take with or without food. If you experience GI discomfort, take with food.

Question 6

Cephalosporins ADR

Answer 6

GIT, thrombophlebitis, hypersensitivity

Question 7

Carbapenems ADR

Answer 7

Neurotoxicity, GIT, rashes, cross hypersens w pen

Question 8

Carbapenems safety parameters

Answer 8

Blood tests eg. complete blood count, liver and kidney function

Question 9

Tetracyclines counselling

Answer 9

Take on empty stomach. Drink plenty of water to reduce esophageal irritation and ulceration. Should not be taken immediately before going to bed. Phototoxicity, effects on calcified tissues.

Question 10

Aminoglycosides safety parameters

Answer 10

Renal function tests eg. scr, urine output, electrolytes, urea + therapeutic drug monitoring, peak and trough, ensure no accumulation

Question 11

Aminoglycosides ADR

Answer 11

NO, hypersensitivity

Question 12

Ciprofloxacin ADR

Answer 12

Tendon inflammation, photosensitivity, hyper/hypoglycaemia, QTc prolongation

Question 13

Ciprofloxacin precautions/ci

Answer 13

Do not use in pregnancy, children, or people with altered cardiac conduction. Caution use for pt at risk of seizures.

Question 14

Ciprofloxacin counselling

Answer 14

GI discomfort (take with food). Avoid adm with Ca, Fe. CNS (dizziness, headache). Photosensitivity. Tendon inflammation, discontinue at first signs of pain esp for elderly.

Question 15

Cotrimoxazole ci/precaution

Answer 15

Avoid CrCl<15ml/min. Avoid in first and third trimester of pregnancy.
Mylosuppression, SJS, hypersensitivity, hyperkalaemia, hepatotoxicity, n/v, g6pd

Question 16

Cotrimoxazole ADR

Answer 16

n/v (take after food). Adequate hydration to prevent crystalluria. Discontinue at first signs of rash.

Question 17

Nitrofurantoin

Answer 17

avoid use at pregnancy term. CrCl<30ml/min no, pyelonephritis no. ADR: n/h, vaginal mycoses.
Take with food, increase absorption, reduce GI upset. Dark coloured urine.

Question 18

Fosfomycin

Answer 18

not for pyelonephritis, CrCl<30ml. ADR: d/h/vaginitis. Take with or without food.

Question 19

Vancomycin ADR and safety parameters

Answer 19

Flushing, hypotension, itch
Red Neck syndrome: prolong duration of infusion to 1-2hours
Throbophlebitis with fevrs and chills 10%

Question 20

Metronidazole

Answer 20

Unpleasant, metallic taste, yeast infection of the mouth, GI (n/v/abdominal cramps). Avoid alcohol. Avoid use in first trimester.

Question 21

Clindamycin

Answer 21

Take with or without food, try to take it at the same time each day. Avoid alcohol. Take with a glass of water to reduce esophageal irritation, do not lie down. Skin rashes, CDAD

Question 22

Linezolid safety parameters

Answer 22

monitor blood counts (bone amrrow supp, thrombocytopenia if >10days)

Question 23

Linezolid counselling

Answer 23

Avoid tyramine eg soy products and aged cheese and histamine rich food, GI (n/d/h/rash)