Final MN 650 Specialized Pharmacology for the AGACNP || Already Graded A+.
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MN 650 Specialized Pharmacology For The AGAC
Common infections in the Geriatrics correct answers MRSA- (uncommon from animals)
Assess body systems function level prior to prescribing ABX therapy correct answers (i.e. renal function).
Antifungals metabolize through the correct answers Liver
▪An antibiogram is: correct answers overal...
Final MN 650 Specialized Pharmacology for the AGACNP ||
Already Graded A+.
Common infections in the Geriatrics correct answers MRSA- (uncommon from animals)
Assess body systems function level prior to prescribing ABX therapy correct answers (i.e. renal
function).
Antifungals metabolize through the correct answers Liver
▪An antibiogram is: correct answers overall profile of antimicrobial susceptibility testing results
of a specific microorganism to a battery of antimicrobial drugs
Cultures and sensitivity tell you correct answers Tells you:
-Identifies bacteria/fungus present
-Sensitivity results based on data
Cultures and sensitivity DONT tell you: correct answers -Infection vs. colonization vs.
contamination
-You would not treat colonization or contamination
-Which ABX to use.
MIC (Minimum inhibitory concentration) correct answers min. concentration of an ABX needed
to inhibit proliferation & is important for definitive TX.
Cultures and sensitivity reports start with: correct answers Start w/ beta-lactam if possible,
especially in severe infections (best data supporting their use)
-Exception: atypical infections
▪You are reviewing a report on a urine culture of a 55 year old female with pyelonephritis. A
culture was done which has revealed growth of Ecoli Susceptibility testing show minimum
inhibitory concentration (MIC) score of 1 for Ciprofloxacin 2 for Levafloxacin 4 for Ceftriaxone
and 16 for Nitrofurantoin. Considering the MIC score the most appropriate antibiotic to prescribe
would be ciprofloxacin. correct answers Chose lower MIC score
Fluroquinolones (ex: ciprofloxacin) are most associated with causing: correct answers
pseudomembranous colitis.
S/S of pseudomembranous colitis correct answers recent ABX use followed by diarrhea with
possible blood
To prevent further development of ABX resistance, it is recommended that fluoroquinolones be
reserved for treatment of: correct answers CAP with comorbidities.
,If your patient is allergic to sulfonamides, they most likely will have a cross-sensitivity to:
correct answers loop diuretics, sulfonylureas, & thiazide diuretics.
If you patient cannot reliably take PO ABX, ___ or ___ would be an appropriate treatment
option. correct answers IM or IV
Prebiotics are recommended to be co-administered with: correct answers ABX
Rx half-life is longer in: correct answers older adults (watch for atypical reactions)
Monitor liver enzymes when on __ tx. correct answers long term antifungal tx
Patients taking isoniazid for TB may experience peripheral neuropathy. To prevent, prescribe:
correct answers pyridoxine (vit B6).
Because microbiological results do not become available for 24 to 72 hours, initial therapy for
infection is often _____ and guided by the clinical presentation. correct answers empiric
empiric is broad-spectrum & treats: ____
Once C&S is received, a more narrowed focused ABX can be prescribed. correct answers gram-
positive and gram-negative, diverse fungi, or parasites
How soon should newly diagnosed HIV patients should start antiviral treatment? correct answers
as soon as the positive diagnosis is given
Initiation of ARV can prevent complications of AIDS-related diseases, such as: correct answers
PCP pneumonia. (pneumocystis jiroveci pneumonia)
When a Herpes Simplex 2 Dx is suspected ___ is the Rx of choice. correct answers Acyclovir
You are evaluating a patient in the ER who is complaining of pain to his right leg that developed
yesterday. The pain has become increasingly worse in the last few hours to the point that the
patient's wife called EMS to the house to transport him to your ER. His wife tells you he has not
been acting right over the last few hours and seems "out of it.". You, the AGACNP suspect an
infection and order labs/cx/start abx. While initiating therapy the patient becomes hypotensive
and is given a fluid bolus. You preform an in-depth exam on this patient and notice crepitus on
the patient's right thigh. You admitted him to your ICU and write orders to initiate broad
spectrum antibiotics for this patient. The best antimicrobial combination to begin on this patient
is _______ correct answers Doribax (for nec fasc)
Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge.
Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture
results, the plan of care should be: correct answers IM ceftriaxone
, Although MRSA is uncommon in animal bites, ABX Tx is needing in cat bites due to their oral
flora. Initial cat bite treatment would be: correct answers A thorough cleansing and debridement,
Xray, and amoxicillin-clavulanic acid/7-day regimine.
Pharmacokinetics is: correct answers The branch of pharmacology concerned with the movement
of drugs within the body.
UTI in the geriatric population most commonly caused by: correct answers E. coli most common
cause (80-86%)
UTI in the geriatric population complicated by: correct answers male gender, immunodeficiency,
and comorbidities
Tx UTI in the geriatric population with: correct answers -Bactrim DS
-Macrobid
-Cipro if allergic to PCN and sulfonamides
For UTI in the geriatric population, rule out: correct answers R/O Sepsis, meningitis, stroke,
hypoglycemia...
UTI may lead to urosepsis. Caution with aminoglycosides (ex: gentamicinin) in ______ patients.
correct answers acute renal failure (aminoglycosides can cause AKI)
loop diuretics are associated with low __ & __ electrolyte levels correct answers low Na+/low
K+
Diuril (Thiazide diuretic) is a __ & __ blocker. correct answers Na+ & Cl-
If using diuretics, know ___ level to see how well diuretic may work. correct answers BUN
You are providing care for a 63-year-old male admitted for hyperkalemia. He has a history of
renal insufficiency and was recently placed on an ACE inhibitor for HTN by his PCP. He is
lethargic and ECG shows Sinus Bradycardia with a widened QRS of .18. Your initial treatment
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