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68W LIMITED PRIMARY CARE QUESTIONS AND ANSWERS 2024

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68W LIMITED PRIMARY CARE QUESTIONS AND ANSWERS 2024

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  • October 6, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 68W LIMITED PRIMARY CARE
  • 68W LIMITED PRIMARY CARE
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68W LIMITED PRIMARY CARE

Administering an intramuscular injection - ANSWERS-- select and expose injection
site



- clean the injection site with an alcohol prep pad



- form a fold of skin at the injection site by gently pinching the skin



- hold syringe in the dominant hand between the thumb and index finger and
position the needle bevel up at a 90 degree angle to the skin surface



- plunge the needle firmly and quickly into the muscle



- release hold on the skin with the non-dominant hand



- aspirate by pulling back slightly on the plunger of the syringe



- inject the medication using a slow and continuous movement



- DO NOT RECAP THE NEEDLE

,- monitor the patient for at least 20 minutes for adverse reactions



Pharmacology - ANSWERS-



Antibiotics - ANSWERS-antibiotics are chemical compounds that inhibits or kills
the growth of microorganisms such as bacteria, fungi, and protozoa



Indications - treat or prevent bacterial infections



Contraindications - allergy against a specific type of antibiotic such as penicillin



Note: finish the medication even if you feel better and do not use someone else's
prescription



Categories of Antibiotics - ANSWERS-Broad spectrum antibiotic - effective against
a wide range of microorganism



Narrow spectrum antibiotic - effective against only a few microorganisms



note: Both may be used to prevent or treat infections prior to surgery



Topical Antibiotics - antibiotics are applied to the skin

,Oral antibiotics - patient will be required to take medication over a period of time,
usually 7 to 10 days



Intravenous (IV) antibiotics - used for severe illness and injury when the patient
cannot tolerate oral antibiotics



Advantages of Topical Antibiotics - ANSWERS-- less invasive

- easy to use

- can apply to mucous membranes of conjunctiva and nasopharynx

- absorption through mucous membranes is very rapid



examples include neosporin and bacitracin



Advantages and disadvantages of oral antibiotics - ANSWERS-Advantages:

- oldest method of drug administration

- safest

- most convenient

- most economical

- east to give



Disadvantages:

- vomiting as a result of irritation to the GI mucosa

, - requires a cooperative patient

- slow absorption rate



examples include levofloxacin and septra



Advantages and disadvantages of IV antibiotics - ANSWERS-Advantages:

- absorption is more rapid and predictable which makes it good for emergencies

- great for patients who are unconscious or uncooperative



Disadvantages:

- harder to administer

- patient's fear of needles

- some antibiotics can cause necrosis

- allergic reactions occur quickly and more severely



Examples include ancef and ertapenem



Antifungals - ANSWERS-an antifungal medication is a fungicide used to prevent
and/or treat fungal infections known as mycoses



the infection can affect either the superficial, cutaneous, or subcutaneous areas
of skin

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