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NR 566 MIDTERM TEST Q&A
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NR 566 MIDTERM TEST Q&A
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NR 566 MIDTERM TEST Q&ACommon Pathogens in CAP - Answer-S pneumoniae, M pneumoniae, flu, RSV
Common pathogens in smokers/COPD with CAP - Answer-Hemophilis Influenza
Common pathogen in cystic fibrosis with CAP - Answer-Pseudomonas aeruginosa
What is first line treatment for CAP - Answer-Doxycycline or Macrolides
Treatment for M. Pneumoniae in pediatric patients - Answer-Macrolides or doxycycline if
failed use
If failed antibiotic therapy in CAP what next? - Answer-Consider why common reasons
are resistant organisms and medication adherence issues
Cough transmitted often seen in people who live in close proximity ie dorms, long term
care facilities - Answer-C. Pneumoniae and M. Pneumoniae
Common respiratory pathogen with tobacco related lung disease - Answer-H. Influenza
Transmitted by inhaling mist that comes from contaminated water, no person to person
spread - Answer-Legionella sp.
The most common cause of fatal community acquired pneumonia - Answer-S.
Pneumoniae
Treatment for infant with chlamydial pneumonia - Answer-Erythromycin
Treatment for CAP in pregnancy - Answer-Betalactam and Macrolides
when to use broad spectrum antibiotics - Answer-When pathogen not known, waiting for
c/s
When to use narrow spectrum antibiotics? - Answer-Used when the culture and
sensitivity is resulted, and pathogen is known.
What are emperic antiobiotics - Answer-Antibiotics started when there is suspected
infection but not yet confirmed prescribe only in severe sickness
How to treat Clostridium difficile? - Answer-Vancomycin or flagyl
Drug class known to cause C diff in all drugs of class - Answer-Cephalosporin
Penicillins have a cross sensitivity with what other drug class - Answer-Cephalosporins
, Prescribing penicillin in pregnant patients - Answer-Safe but data is lacking
Cephalosporin patient teaching - Answer--safety precautions if CNS effects occur
(dizzy)
-drink lots of fluids and maintain nutrition though nausea, vomiting and diarrhea may
occur
-report difficulty breathing, severe headache, severe diarrhea, dizziness or weakness
-avoid alcohol during and 72 hours after taking drug
Cephalosporin prescribing in pregnancy - Answer-Do not prescribe telvacin has black
box warning
Tetracycline patient teaching - Answer-Take on an empty stomach, antacids, milk and
iron supplements should not be consumed until at least 2hrs after each dose. May
cause tooth discoloration, wear sunscreen and protective clothing
Tetracycline in pregnancy - Answer-Interferes with bone and teeth development
Macrolides Patient Teaching - Answer-Take all prescribed doses
Take on an empty stomach
Aminoglycosides patient teaching - Answer-*Report tinnitus, HA, hearing loss, N/V,
pruritis, and vertigo (can cause congenital deafness)
*Often given with another antibiotic (2 is better than 1)
*Report hematuria or rash
*Labs: BUN, and creatinine
*Peak and trough
Sulfamides patient teaching - Answer-Do not give to pregnant 1st trimester and term,
infants or nursing mom causes kernictus
Drink 6-8 glass h2o to prevent crystaluria
Avoid sunlight prolong exposures
Watch for rash (hypersensitivity syndrome)
Gentamicin renal adjustments - Answer-Should be reduced or the dosing interval should
be increased to prevent toxicity.
how to treat tinea capitis - Answer-oral griseofulvin
Types of opprotunistic infection in compromised host - Answer-Candidiasis aspergillosis
cryptococcosis mucormycosis
How to treat aspergillosis? - Answer-Voriconazole
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