NR 566 Midterm study guide | Questions with Answers
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NR 566
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NR 566
NR 566 Midterm study guide | Questions with
Answers
Common CAP pathogens - ️️ -S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ️️ -Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ️️ -Respi...
NR 566 Midterm study guide | Questions with
Answers
Common CAP pathogens - ✔️✔️-S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ✔️✔️-Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ✔️✔️-Respiratory Fluoroquinolone if
not received abx in the past 3 months
Mycoplasma pneumoniae - ✔️✔️-atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment - ✔️✔️-Macrolides (Erythromycin), if failed then
Respiratory fluoroquinolone
CAP treatment during pregnancy - ✔️✔️-Amoxicillin, cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant - ✔️✔️-Macrolide (Azithromycin): 500mg
orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - ✔️✔️-Before cultures are resulted/
critically ill patient after first culture obtained, based on NP knowledge of patient history,
local susceptibility/geographic location
When to use narrow spectrum antibiotics? - ✔️✔️-Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - ✔️✔️-Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
, 2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff - ✔️✔️-2nd
and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ✔️✔️-Cephalosporins &
Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - ✔️✔️-Amoxicillin
patient education for Cephalosporins - ✔️✔️-Report to provider any loose stools,
complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - ✔️✔️-All appear safe for use
patient education for Tetracyclines - ✔️✔️-photosensitivity (wear sunscreen!), complete
full course, s/s of allergy
Tetracyclines in pregnancy - ✔️✔️-Can lead to fetal death; avoided for use
Patient education for macrolides - ✔️✔️-Take with meals to avoid GI upset,
contraindicated w/ warfarin
Aminoglycoside patient teaching - ✔️✔️-Patients should report tinnitus, high-frequency
hearing loss, persistent headache, nausea, dizziness or vertigo
sulfonamides patient teaching - ✔️✔️-Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
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