Exam (elaborations)
NR 566 ADV PHARM FOR FAMILY CHAMBERLAIN QUESTIONS AND ANSWERS
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NR 566 ADV PHARM FOR FAMILY CHAMBERLAIN QUESTIONS AND ANSWERS
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Name: Score:182 Multiple choice questions
Term 1 of 182
treatment for Otis media
Pseudomonas aeruginosa (gram -)
topical antifungals like AZOLE or allylamine
Penicillin (class) Amoxicillin or Augmentin
Amoxicillin plus Azithromycin for Cap
Term 2 of 182
oral candidiasis tx in immunocompromised
Fluoroquinolones and tetracyclines
Liver function, blood glucose, renal function and mental status
Voriconazole
Oral therapy with fluconazole or ketoconazole
Term 3 of 182
How is susceptibility determined?
Cognitive changes, cbc w diff, s/s of blood dyscarias
Narrow spectrum
AST/Petri dish growth
Macrolides cipro trimethoprim/sulfamethozole
,Term 4 of 182
Which antibiotics do not require a culture prior to start of therapy
Beta-lactam antibiotics and quinolones
Tetracyclines and macrolides
Tetracyclines and quinolones
Fluoroquinolones
Term 5 of 182
What are the causative agent of community acquired pneumonia
S. Pneumonia (gram +)
mycoplasma pneumoniae (atypical pneumonia)
Viruses
H. Influenzaem
staphlylococcus aureus
Can precipitate opioid w/d warn pt about liver injury and advise them to d/c if s/s
hepatitis develop
Skin cancer and lymphoma to reduce risk Protect treated areas from direct sunlight
Sunlamps and tanning beds
Bupropion, dextromethorphan, MAO inhibitors, SNRIs, SSRIs, St. John's wort and triptans
Term 6 of 182
treatment for stage 0
Bmi 30 or more with diabetes
BMI 25 or more w no complications
Bmi 18 or less with severe complications
Bmi 22 with heart disease
,Term 7 of 182
How is pathogen identified for antibiotic use?
Aminopenicillins (Ampicillin and Amoxicillin)
Culture
With Sensitivity and resistance report
BL: cardiac assessment
Ongoing cardiac assessment
Disruption of normal flora and development of anabiotic resistance
Term 8 of 182
BMI when morbidly obese
39 and greater
40 and greater
18.5-24.9
140 and greater
Term 9 of 182
What patients are contraindicated or at high risk of fluoroquinolone use
MG, renal impairment, over age of 60, pt taking glucocorticoids
Patients with mild allergies, those who have had a cold recently
Healthy individuals under 30, those with no chronic conditions
Individuals with a family history of diabetes, those who exercise regularly
, Term 10 of 182
Potential adverse effects of prostaglandin analogs
Bone marrow suppression impaired liver function and renal function
Patients with liver kidney anemia bleeding disorders and infections are at increased risk
Nasal drying of the mucosa and burning or itching sensation sore throat epistaxis
headache possible slowing of linear girls and children
Cephalexin (keflex)
Cefoxitin (mefoxin)
Cefoxtaxime (claforan)
Cefepime(Maxipime)
Ceftaroline (teflaro)
Heightened brown pigmentation of the iris and eyelid and blurred vision burning
stinging conjunctival edema, punctate keratopathy lantanoprost may cause macular
edema
Term 11 of 182
BMI when overweight
24-44.9
30-34.9
30-39.9
25-29.9
Term 12 of 182
Fluoroquinolones therapeutic goal
Disruption of normal flora and development of anabiotic resistance
Cardiac suppression and liver toxicity because if it's negative inotropic actions it should
not be used for superficial fungal infections in patients with heart failure history of heart
failure or other indications of ventricular dysfunction
Mg, renal impairment, over age of 60, pt taking glucocorticoids
Tx of fluroquinolone-sensitive infections
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