UNIT 10 Penicillin Flashcards
Drug class of Amoxicillin
Pencillin
Can you use Ceftriaxone if a pt is allergic to amoxicillin
No
Action of Amoxicillin
Inhibit bacterial cell wall synthesis
Side effect amoxicillin
Tongue discoloration,
stomatitis, - sores and swelling in mouth
glossitis
GI distress
Adverse effect of Amoxicillin
Clostridium difficile-associated diarrhea
Hypersensitivity, anaphylaxis
Superinfection
Bleeding (interferes with clotting)
Steven Johnson Syndrome
Patient teaching Amoxicillin (Antibiotic)
Take the entire prescribed dose
Teach to the side effects to expect and adverse reactions
to report (yeast infection)
Teach to use buttermilk, yogurt, acidophilus milk, or
probiotics to maintain GI flora
Teach signs and symptoms of allergy
For children’s doses chew tablets, shake suspension,
refrigerated, use a measuring device
Decreases effect of oral birth control
A patient enters the emergency department with
a draining wound. Once the patient is admitted
and assessed, the priority nursing intervention
is to
A. administer the ordered antibiotics.
B. teach the patient about the ordered antibiotics.
C. culture the wound.
D. enforce droplet isolation precautions.
Answer: C
Rationale: The priority nursing intervention is to obtain a
culture and antibiotic sensitivity testing of infective
organism (C&S).
Which statement will the nurse include when
teaching a patient about cephalosporin
therapy?
A. “Avoid ingesting buttermilk or yogurt when taking
this medication.”
B. “Stop taking the medication when you feel better.”
C. “Immediately stop taking the medication if you
develop nausea.”
D. “Inform your health care provider if you develop
mouth ulcers.
D. “Inform your health care provider if you develop
mouth ulcers.
Rationale: The patient should be instructed to report signs of
superinfection, such as mouth ulcers or discharge from the anal or
genital area. Ingestion of buttermilk or yogurt may prevent
superinfection of the intestinal flora; the entire course of the medication
should be taken; and the medication should be taken with food if
nausea develops
