Exam (elaborations)
NUR 641 E FINAL EXAM STUDY GUIDE GRAND CANYON UNIVERSITY QUESTIONS AND ANSWERS 2024
- Course
- Institution
NUR 641 E FINAL EXAM STUDY GUIDE GRAND CANYON UNIVERSITY QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
NUR 641 E FINAL EXAM STUDY GUIDE GRANDCANYON UNIVERSITY
Cause and result of cross resistance seen with penicillin and cephalosporins -
ANSWERS-1. medications contain beta lactam ring that the enzyme beta
lactamase from an organism can attack and destroy
2. render antibiotic ineffective not the organism
Antibiograms - ANSWERS-charts of local antimicrobial resistance patterns
developed by local laboratories
Clostridum Difficile (C-Diff) - ANSWERS-1. organism producing a toxin that causes
antibiotic associated pseudomembranous colitis (AAPMC)
2. diarrhea occurs often with clindamycin use
Glucose-6-phosphate dehydrogenase deficiency (G6PD) patients - ANSWERS-
increased side effects when given along with sulfonamides
avoid use of sulfa drugs
Isoniazid (INH) - ANSWERS-1. used to treat TB
2.given with vitamin b6 to reduce peripheral neuropathy side effect
Tetracycline - ANSWERS-1. stunt growth in children and should not be used
,2. doxcycline and minocycline are safe for teenagers
3. short term use in pregnant women require second contraceptive like condom
until she gets her period again
Heart patients undergoing dental procedures - ANSWERS-prophylactics antibiotics
are not required under current guidelines
medication used for right sided endocarditis due to staph - ANSWERS-Daptomycin
pyrogenic bacteria - ANSWERS-1.bacteria that produce endotoxins
2. stimulate inflammatory response that results in fever
Invasion period of infection - ANSWERS-immune and inflammatory responses are
initiated
vertical transmission - ANSWERS-from parent to child transmission across the
placental barrier
Horizontal transmission - ANSWERS-transmission of organism from one person to
another typically through direct contact
Passive acquired immunity - ANSWERS-passages if immunoglobulin across the
placental barrier
,Combination of Beta lactam and beta lactamase inhibitors - ANSWERS-1. increase
the antimicrobial spectrum of activity of beta lactam antibiotic
2. Augmentin combination of Amoxicillin and clavulanic acid
3.Zosyn: piperacillin and tazobactam used for pseudomonas
4. Unasyn: combination of ampicillin and sulbactam
5. ceftriaxone and sulbactam
Fluroquinolones - ANSWERS-1. pneumonia and exacerbated chronic bronchitis
2. decrease potential for development of further resistance
3. not active vs MRSA
4. interact with minerals in foods and vitamins
5. space dosing away from meals containing iron, calcium and magnesium
6. interact with dairy products and foods containing calcium and magnesium
7. increase warfarin effect
8. decrease caffeine clearance
9. require monitoring for joint pain
10. tendon rupture are associated with use
Cotrimoxazole (trimethoprim + sulfamethoxazole) AKA Bactrim - ANSWERS-1.
used to treat UTI
2. work great for people not previously taking antibiotics
, Urinary Tract Infections - ANSWERS-1. elderly patient may have stomach pain and
confusion
2. E coli is most common bacteria it is gram negative
Amphotericin B - ANSWERS-1. requires close renal function monitoring
2. possible nephrotoxicity
3. ototoxicity monitor hearing
C-diff medication treatment - ANSWERS-Metronidazole and oral vancomycin
Metrodinazole (Flagyl) education - ANSWERS-avoid alcohol during medication
therapy and two days post last dose
Fluconazole (Diflucan) - ANSWERS-Antifungal
Candida albicans
drug interactions -may cause hepatic enzyme inhibition
Ketoconazole (Nizoral) hepatic enzyme monitoring - ANSWERS-ALT
AST
Alkaline Phosphate
Bilirubin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now