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Galen pharm exam 4 questions & answers.
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Galen pharm exam 4 questions &answers.
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) ANS -Gentamycin
Gentamycin clinical use ANS -Used in gram negative sepsis & many life-threatening infections.Inactive
against anaerobic bacteria.
Gentamycin side effects ANS -GI upset, rash, visual disturbances, photosensitivity, dizziness, weakness
gentamycin adverse reactions ANS -Nausea/ DiarrheaVery OTOTOXIC and NEPHROTOXIC.(Loop diuretics
↑ototoxicity), Superinfection
gentamycin nursing implications 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) ANS -Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use ANS -Broad Spectrum PCNUsed to treat gram + and gram -,
commonly used for respiratory infections, otitis media, H. Pylori, E. coli
Amoxicillin & Ampicillin side effects ANS -GI disturbance, headaches, rash, stomatitis, dizziness, anxiety,
confusion
Amoxicillin & Ampicillin adverse reactions ANS -Thrombocytopenia, leukopenia, angioedema,
Hepatotoxicity
Amoxicillin & Ampicillin nursing implications 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) ANS -Ceftriaxone, Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use ANS -Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects ANS -GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions ANS -Bleeding, angioedema, hepatoxicity,
agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications 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) ANS -Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use ANS -Broad spectrum, low dose therapy used to tx ACNESTD's,
respiratory infections, UTI's
Doxycycline(Vibramycin) side effects ANS -GI upset, photosensitivity
Doxycycline(Vibramycin) adverse reactions ANS -Discolors teeth permanently if given to children under 8
yrs.
Doxycycline(Vibramycin) nursing implications ANS -Milk products prevent absorption.↓ oral
contraceptive effectiveness, avoid antacids, iron, Monitor liver enzymes, BUN Creatinine
Macrolides prototypes (Obtain Culture and Sensitivity) ANS -Erythromycin, Azithromycin
Erythromycin & Azithromycin clinical use ANS -Used to treat Otitis Media, STD's, skin infections, and
respiratory infections
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