Pharm Exam 4: Questions With Proper Answers - Galen
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) Right
Ans - Gentamycin
Gentamycin clinical use Right Ans - Used in gram negative sepsis & many
life-threatening infections.Inactive against anaerobic bacteria.
Gentamycin side effects Right Ans - GI upset, rash, visual disturbances,
photosensitivity, dizziness, weakness
gentamycin adverse reactions Right Ans - Nausea/ DiarrheaVery
OTOTOXIC and NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications Right Ans - Monitor for ↑BUN and SERUM
CREATININE for Nephrotoxicity. Monitor I & O, Monitor: Bun,
CreatinineShould be given for NO LONGER than 10 days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) Right Ans -
Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use Right Ans - Broad Spectrum PCNUsed
to treat gram + and gram -, commonly used for respiratory infections, otitis
media, H. Pylori, E. coli
Amoxicillin & Ampicillin side effects Right Ans - GI disturbance, headaches,
rash, stomatitis, dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions Right Ans - Thrombocytopenia,
leukopenia, angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications Right Ans - ↓ effectiveness of
Oral contraceptives, assess for allergies to cephalosporins, asthma, Renal
impairment Lab monitor: ALT, AST, BUN, CreatinineMonitor for bleeding
, Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) Right
Ans - Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use Right Ans - Third generation
cephalosporin
Ceftriaxone & Cefpodoxime side effects Right Ans - GI upset, headaches,
dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions Right Ans - Bleeding,
angioedema, hepatoxicity, agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications Right Ans - Cross-
sensitivity w/ penicillin.Give WITH Food! Encourage patients to eat yogurt,
buttermilk or use probiotics to avoid superinfectionMonitor labs: ALT, AST,
LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) Right Ans -
Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use Right Ans - Broad spectrum, low dose
therapy used to tx ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects Right Ans - GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions Right Ans - Discolors teeth
permanently if given to children under 8 yrs.
Doxycycline(Vibramycin) nursing implications Right Ans - Milk products
prevent absorption.↓ oral contraceptive effectiveness, avoid antacids, iron,
Monitor liver enzymes, BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) Right Ans -
Erythromycin, Azithromycin
Erythromycin & Azithromycin clinical use Right Ans - Used to treat Otitis
Media, STD's, skin infections, and respiratory infections