Summary
Summary AANP/ANCC Antibiotic Review
This document is an excellent review of antibiotics for the AANP/ANCC Family Nurse Practitioner Exam.
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
1 review
By: kristen_rothe • 1 year ago
Content preview
AntibioticsBactericidal: kill bacteria Bacteriostatic: limit bacterial growth and replication Tetracyclines : Cat D: doxycycline, minocycline, tetracycline Bacteriostatic
Cause permanent discoloration of teeth and skeletal defects if taken in last ½ of pregnancy, in infancy, or by kids younger than 9
Can treat acne starting at age 13-14 because all permanent teeth have erupted Photosensitivity (wear sunblock), esophageal ulceration (swallow w/ full glass of water), vertigo (minocycline- goes away after 1-2 after d/c) Give tetracycline for moderate inflammatory acne that doesn’t respond to prescription topicals after 2-3 months Take on empty stomach- 1 hr before or 2 hrs after a meal. Antacids and bile sequestrants and sucralfate can decrease absorption Can decrease effectiveness of birth control! Throw away expired meds- it degenerates For mild acne: start with OTC topicals (salicylic acid) and benzoyl peroxide If it doesn’t respond: prescription topicals (benzoyl peroxide, erythromycin/benzamycin), tretinoin (Retin-A), azelaic acid cream Macrolides : Cat B: erythromycin, azithromycin, clarithromycin (Cat C) Bacteriostatic
Gram + cocci- Staph aureus, Strep pyogenes, and atypical bacteria Erythromycin & clarithromycin= CYP34A inhibitors- potent
Azithromycin- fewer drug interactions Adverse effects: GI distress (nausea, vomiting, diarrhea), ototoxicity, cholestatic jaundice, QT prolongation Contraindication: Myasthenia gravis (respiratory failure)
Interactions: anticoagulants (can prolong INR), antacids (decrease effectiveness), calcium channel blockers, benzos, asthma meds (Salmeterol, Theophylline), Tegretol, phenytoin, ergotamine, statins, Digoxin Consider macrolide resistant S. pneumoniae if pt was on macrolide in the previous 3 months Cephalosporins : Cat B (beta-lactam family)
Bactericidal 1st generation: gram + cocci (group A step, Staph aureus): Keflex
NOT EFFECTIVE against MRSA Increased risk of cross sensitivity if allergy to PCN- especially if they have a true allergy (anaphylaxis, angioedema= IgE mediated reactions)
Indications: Pregnancy UTI, skin- cellulitis not caused by MRSA, impetigo Would give this for pregnant woman with UTI in her 3rd trimester- remember this because in the third trimester you Kick the baby out 2nd generation: “broad spectrum”: Cefuroxime, Cefprozil, Cefaclor (avoid- doesn’t cover common pathogens)
Gram + cocci (strep pneumoniae) and gram – (Haem. Influenzae, moraxella catarrhalis) ex. Rhinosinusitis or AOM Indications: rhinosinusitis, ARM, CAP, exacerbation of chronic bronchitis
3rd generation: less effective against gram + compared to 1 st generation: Ceftriaxone, Cefixime, Cefdinir Better protection against enterobacteria and gram – bacteria Rocephin: 1st line for gonorrhea Indications: PID, pyelonephritis, AOM in kids, rhinosinusitis, AOM, CAP MRSA skin infections (boils, abscesses): 1 st line= Bactrim DS, doxy, or minocycline and clindamycin. Treat for at least 5-10 days
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller averkuilen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now