NR 566 Midterm Questions &
Answers (RATED A+)
Common Pathogens in CAP - ANSWER S pneumoniae, M pneumoniae, flu, RSV
Common pathogens in smokers/COPD with CAP - ANSWER Hemophilis Influenza
Common pathogen in cystic fibrosis with CAP - ANSWER Pseudomonas aeruginosa
What is first line treatment for CAP - ANSWER Doxycycline or Macrolides
Treatment for M. Pneumoniae in pediatric patients - ANSWER Macrolides or doxycycline if failed use
If failed antibiotic therapy in CAP what next? - ANSWER Consider why common reasons are resistant
organisms and medication adherence issues
Cough transmitted often seen in people who live in close proximity ie dorms, long term care facilities
- ANSWER C. Pneumoniae and M. Pneumoniae
Common respiratory pathogen with tobacco related lung disease - ANSWER H. Influenza
Transmitted by inhaling mist that comes from contaminated water, no person to person spread -
ANSWER Legionella sp.
The most common cause of fatal community acquired pneumonia - ANSWER S. Pneumoniae
Treatment for infant with chlamydial pneumonia - ANSWER Erythromycin
Treatment for CAP in pregnancy - ANSWER Betalactam and Macrolides
, when to use broad spectrum antibiotics - ANSWER When pathogen not known, waiting for c/s
When to use narrow spectrum antibiotics? - ANSWER Used when the culture and sensitivity is
resulted, and pathogen is known.
What are emperic antiobiotics - ANSWER Antibiotics started when there is suspected infection but
not yet confirmed prescribe only in severe sickness
How to treat Clostridium difficile? - ANSWER Vancomycin or flagyl
Drug class known to cause C diff in all drugs of class - ANSWER Cephalosporin
Penicillins have a cross sensitivity with what other drug class - ANSWER Cephalosporins
Prescribing penicillin in pregnant patients - ANSWER Safe but data is lacking
Tetracycline in pregnancy - ANSWER Interferes with bone and teeth development
Macrolides Patient Teaching - ANSWER Take all prescribed doses
Take on an empty stomach
Aminoglycosides patient teaching - ANSWER *Report tinnitus, HA, hearing loss, N/V, pruritis, and
vertigo (can cause congenital deafness)
*Often given with another antibiotic (2 is better than 1)
*Report hematuria or rash
*Labs: BUN, and creatinine
*Peak and trough
Cephalosporin patient teaching - ANSWER -safety precautions if CNS effects occur (dizzy)
-drink lots of fluids and maintain nutrition though nausea, vomiting and diarrhea may occur
-report difficulty breathing, severe headache, severe diarrhea, dizziness or weakness
Answers (RATED A+)
Common Pathogens in CAP - ANSWER S pneumoniae, M pneumoniae, flu, RSV
Common pathogens in smokers/COPD with CAP - ANSWER Hemophilis Influenza
Common pathogen in cystic fibrosis with CAP - ANSWER Pseudomonas aeruginosa
What is first line treatment for CAP - ANSWER Doxycycline or Macrolides
Treatment for M. Pneumoniae in pediatric patients - ANSWER Macrolides or doxycycline if failed use
If failed antibiotic therapy in CAP what next? - ANSWER Consider why common reasons are resistant
organisms and medication adherence issues
Cough transmitted often seen in people who live in close proximity ie dorms, long term care facilities
- ANSWER C. Pneumoniae and M. Pneumoniae
Common respiratory pathogen with tobacco related lung disease - ANSWER H. Influenza
Transmitted by inhaling mist that comes from contaminated water, no person to person spread -
ANSWER Legionella sp.
The most common cause of fatal community acquired pneumonia - ANSWER S. Pneumoniae
Treatment for infant with chlamydial pneumonia - ANSWER Erythromycin
Treatment for CAP in pregnancy - ANSWER Betalactam and Macrolides
, when to use broad spectrum antibiotics - ANSWER When pathogen not known, waiting for c/s
When to use narrow spectrum antibiotics? - ANSWER Used when the culture and sensitivity is
resulted, and pathogen is known.
What are emperic antiobiotics - ANSWER Antibiotics started when there is suspected infection but
not yet confirmed prescribe only in severe sickness
How to treat Clostridium difficile? - ANSWER Vancomycin or flagyl
Drug class known to cause C diff in all drugs of class - ANSWER Cephalosporin
Penicillins have a cross sensitivity with what other drug class - ANSWER Cephalosporins
Prescribing penicillin in pregnant patients - ANSWER Safe but data is lacking
Tetracycline in pregnancy - ANSWER Interferes with bone and teeth development
Macrolides Patient Teaching - ANSWER Take all prescribed doses
Take on an empty stomach
Aminoglycosides patient teaching - ANSWER *Report tinnitus, HA, hearing loss, N/V, pruritis, and
vertigo (can cause congenital deafness)
*Often given with another antibiotic (2 is better than 1)
*Report hematuria or rash
*Labs: BUN, and creatinine
*Peak and trough
Cephalosporin patient teaching - ANSWER -safety precautions if CNS effects occur (dizzy)
-drink lots of fluids and maintain nutrition though nausea, vomiting and diarrhea may occur
-report difficulty breathing, severe headache, severe diarrhea, dizziness or weakness
