NR 566 Midterm Study Guide Questions & Answers(RATED A+_)
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What are the common pathogens for community acquired pneumonia (CAP)? - ANSWER S. Pneumoniae
What is the first line treatment for community acquired pneumonia (CAP)? - ANSWER Amoxicillin (beta-lactam), Doxycycline (tetracycline) or azithromycin (macrolides)
What drugs do you give for commun...
what is the first line treatment for community acq
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NR 566 Midterm Study Guide
Questions & Answers(RATED
A+_)
What are the common pathogens for community acquired pneumonia (CAP)? - ANSWER S.
Pneumoniae
What is the first line treatment for community acquired pneumonia (CAP)? - ANSWER Amoxicillin
(beta-lactam), Doxycycline (tetracycline) or azithromycin (macrolides)
What drugs do you give for community acquired pneumonia is the first drugs did not work? -
ANSWER Respiratory Fluoroquinolones (Levofloxacin, Moxifloxacin)
If someone has been treated with an antibiotic in the previous 90 days of contracting CAP, a
quinolone would be a prudent choice to prescribe.
List drug examples with the antibiotic classes. - ANSWER Respiratory Fluoroquinolones: Levofloxacin
What is the treatment of chlamydial pneumonia in infants? Name drug and dose. - ANSWER
Erythromycin 30-50 mg/kg
When to use a broad spectrum agent? - ANSWER Use before cultures are resulted
When to use a narrow spectrum agent? - ANSWER Used when pathogen is known from a resulted
culture.
What are empiric antibiotics? - ANSWER Antibiotics started without cultures or prior to receiving
results of the cultures. Broad spectrum agents are used.
When do you prescribe empiric antibiotics? - ANSWER If patient has a severe infection, prescribe
initiate before test results are available. They can also be prescribed by clinical presentation alone.
, What is the treatment for M. Pneumoniae in pediatric patients? (specific example of antibiotic from
drug class) - ANSWER Macrolides: Azithromycin, Tetracyclines if older than 8: Doxycycline,
Respiratory Fluoroquinolones: Levofloxacin
What is the treatment of community acquired pneumonia in pregnancy? - ANSWER Amoxicillin,
Cephalosporins, Erythromycin
How do you treat Clostridium Difficile associated diarrhea? - ANSWER Immediately stop the
antibiotic that facilitated CDI. PO vancomycin is used. Metronidazole and Rifaximin can be used
where PO vancomycin is not available.
What drug class is known to have ALL drugs in that class to promote development of C. Diff? -
ANSWER Cephalosporins
What drug classes does penicillin have cross sensitivity reactions? - ANSWER If allergic to one PCN
should be considered allergic to all other PCNs. Cross sensitivity to cephalosporins and carbapenems.
Prescribing penicillin in pregnant patients - ANSWER No 2nd or 3rd trimester fetal risk. Use
Amoxicillin.
What patient education is needed for Cephalosporins? - ANSWER Notify provider immediately if
diarrhea occurs. Complete full course of antibiotics.
Prescribing Cephalosporins in pregnant patients - ANSWER All cephalosporins appear safe for use in
pregnancy.
What patient education is needed for Tetracyclines? - ANSWER Tetracyclines should not be
administered with calcium supplements, milk products, iron supplements, magnesium containing
laxatives and most antacids. Tetracyclines can increase sensitivity to UV light, avoid prolonged sun
exposure, wear protective clothing, apply sunscreen.
Prescribing Tetracyclines in pregnant patients - ANSWER Tetracyclines can suppress the growth of
long bones in premature infants. When taken after the 4th month of gestation can cause staining of
deciduous teeth. Should be avoided in pregnant women.
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