Pharmacology Exam 2 NUR 334 Questions and Correct Answers
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Course
NUR 334
Institution
NUR 334
Broad spectrum gram + and gram -, has a wider variety of microbial bacteria it can kill
Narrow spectrum + or - but more specific in the types of bacteria
SE of penicillins GI, oral contraceptives not effective
What should you do if someone is allergic to penicillin and they have an order for it ...
Pharmacology Exam 2 NUR 334
Questions and Correct Answers
Broad spectrum ✅gram + and gram -, has a wider variety of microbial bacteria it can
kill
Narrow spectrum ✅+ or - but more specific in the types of bacteria
SE of penicillins ✅GI, oral contraceptives not effective
What should you do if someone is allergic to penicillin and they have an order for it
✅hold, verify the allergy and reaction, and tell the doctor they need to change it and
why
If allergic to penicillins most likely allergic to ✅cephalosporins
For mycins these labs should be evaluated ✅Creatinine, BUN, and peak and trough
Adverse effects of mycins ✅ototoxicity and nephrotoxicity
What do we do if we receive a high peak level? ✅hold the med and call provider
Blood cultures are taken to check ✅what bacteria it is prior to giving an antibiotic
Aminoglycosides and toxicity/adverse effects ✅ototoxicity (tinnitus) and nephrotoxicity
Ciprofloxacin and what to look out for ✅tendon rupture and stay away from antacids
and push fluids and report muscle pain.
Acyclovir is an ✅antiviral
Acyclovir is toxic in the ✅kidneys
Anything nephrotoxic should be administered ✅slowly
What antibacterial is most commonly used for UTI ✅Sulfa Drugs (Bactrim)
If you gave the patient the wrong med assess ✅vital signs and lung sounds
Cyclines can cause ✅sunburns, are teratogenic, and they turn the teeth yellow
(especially peds)
, Macrolides and what to watch out for ✅QT prolongation, cardiac dysrhythmias, take an
EKG.
SE of sulfas ✅photosensitivity, rash (steven johnsons), n/v/d
Sulfas should not be taken with ✅dairy/calcium and Glyburide (DM medication)
Macrolides are NOT ✅teratogenic
Antiviral drugs ✅inhibit replication of viral cells
Antifungals ✅nystatin, Zoles, amphotericin
Common contraindication of antifungals ✅hepatotoxic, monitor ast alt's, do not drink
alcohol
What indication would you give acyclovir ✅herpes zoster, shingles
If giving acyclovir IV watch out for ✅tissue necrosis
Acyclovir is ✅nephrotoxic
We start acyclovir when ✅the first sign of outbreak
Methotrexate is for ✅RA
Patient teaching for methotrexate ✅no alcohol (hepatotoxic)
If giving a med and the patient has risk for C DIFF and the patient has diarrhea
✅contact precautions (even without results) and take a stool sample.
Bacteriostatic ✅Prevents the bacterial growth.
Bactericidal ✅kills the bacteria
What type of class would you give for strep ✅cylin
Prior to giving abx check ✅allergies, labs, med rec
Broad spectrum ✅work against a variety of bacteria. Cover gram positive and gram
negative bacteria
Narrow spectrum Abx are ✅specific to a certain bacteria
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