Podcast
Questions and Answers
Which medication is contraindicated for pregnant women and children under the age of 8?
Which medication is contraindicated for pregnant women and children under the age of 8?
- Clindamycin
- Erythromycin
- Doxycycline (correct)
- Azithromycin
A patient taking doxycycline should be educated to avoid which of the following within 1 hour before or 2 hours after administration?
A patient taking doxycycline should be educated to avoid which of the following within 1 hour before or 2 hours after administration?
- Magnesium-containing laxatives (correct)
- Foods rich in potassium
- Foods high in fiber
- Foods high in Vitamin C
Which of the following is a common adverse effect associated with macrolide antibiotics?
Which of the following is a common adverse effect associated with macrolide antibiotics?
- Nephrotoxicity
- QT prolongation (correct)
- Ototoxicity
- Hypoglycemia
A patient is prescribed clindamycin. Which of the following adverse effects would warrant immediate discontinuation of the medication and notification of the provider?
A patient is prescribed clindamycin. Which of the following adverse effects would warrant immediate discontinuation of the medication and notification of the provider?
Which antibiotic class is known for inhibiting protein synthesis and can be either bacteriostatic or bactericidal?
Which antibiotic class is known for inhibiting protein synthesis and can be either bacteriostatic or bactericidal?
Which of the following infections is azithromycin commonly used to treat?
Which of the following infections is azithromycin commonly used to treat?
A patient taking doxycycline is educated to avoid certain substances that can decrease absorption of the medication. Which of the following is NOT one of those?
A patient taking doxycycline is educated to avoid certain substances that can decrease absorption of the medication. Which of the following is NOT one of those?
Which of the following medications, according to the provided text, is primarily administered intravenously (IV)?
Which of the following medications, according to the provided text, is primarily administered intravenously (IV)?
Which of the following is a primary use for vancomycin, according to the provided information?
Which of the following is a primary use for vancomycin, according to the provided information?
What is the main mechanism of action of tetracycline antibiotics?
What is the main mechanism of action of tetracycline antibiotics?
A patient receiving vancomycin develops flushing, redness, and fever. This is called ‘red man syndrome’. What is the most appropriate initial action?
A patient receiving vancomycin develops flushing, redness, and fever. This is called ‘red man syndrome’. What is the most appropriate initial action?
Which of the following conditions is NOT typically treated with tetracyclines, according to the information?
Which of the following conditions is NOT typically treated with tetracyclines, according to the information?
When monitoring a patient receiving vancomycin, why is it important to check trough levels 30 minutes prior to the fourth dose?
When monitoring a patient receiving vancomycin, why is it important to check trough levels 30 minutes prior to the fourth dose?
A patient is prescribed vancomycin and is also taking an aminoglycoside. Which of the following is the most important consideration based on the provided information?
A patient is prescribed vancomycin and is also taking an aminoglycoside. Which of the following is the most important consideration based on the provided information?
What does it mean when something is described as 'bacteriostatic'?
What does it mean when something is described as 'bacteriostatic'?
According to the information provided, what is a notable patient education point regarding cephalosporins?
According to the information provided, what is a notable patient education point regarding cephalosporins?
Which of the following is a common adverse effect of nitrofurantoin?
Which of the following is a common adverse effect of nitrofurantoin?
A patient with a history of liver disease is prescribed an antibiotic for a lower UTI. Which medication should be avoided?
A patient with a history of liver disease is prescribed an antibiotic for a lower UTI. Which medication should be avoided?
A patient is prescribed a fluoroquinolone. What is an important patient education point regarding drug interactions for this medication?
A patient is prescribed a fluoroquinolone. What is an important patient education point regarding drug interactions for this medication?
For a patient with a vancomycin-sensitive E. faecalis infection, which of the following would be the appropriate initial treatment?
For a patient with a vancomycin-sensitive E. faecalis infection, which of the following would be the appropriate initial treatment?
A patient taking a fluoroquinolone reports sudden heel pain. Which adverse effect should the healthcare provider suspect?
A patient taking a fluoroquinolone reports sudden heel pain. Which adverse effect should the healthcare provider suspect?
Which of the following is a primary use for amoxicillin?
Which of the following is a primary use for amoxicillin?
Which medication is classified as a penicillinase-resistant penicillin?
Which medication is classified as a penicillinase-resistant penicillin?
What is the primary mechanism of action for cephalosporins?
What is the primary mechanism of action for cephalosporins?
A patient with a severe Pseudomonas aeruginosa infection would MOST likely be prescribed which medication?
A patient with a severe Pseudomonas aeruginosa infection would MOST likely be prescribed which medication?
Which of the following is a common adverse effect associated with both amoxicillin and nafcillin?
Which of the following is a common adverse effect associated with both amoxicillin and nafcillin?
What is a notable drug interaction for both amoxicillin and nafcillin?
What is a notable drug interaction for both amoxicillin and nafcillin?
Which cephalosporin is most commonly used for treating infections associated with MRSA?
Which cephalosporin is most commonly used for treating infections associated with MRSA?
A patient taking a cephalosporin develops a severe bloody diarrhea, along with abdominal pain. Which adverse effect should the nurse suspect?
A patient taking a cephalosporin develops a severe bloody diarrhea, along with abdominal pain. Which adverse effect should the nurse suspect?
Which of the following describes the MOST significant advantage of amoxicillin compared to penicillin?
Which of the following describes the MOST significant advantage of amoxicillin compared to penicillin?
Which of the following cephalosporins is known for its ability to penetrate the cerebrospinal fluid (CSF)?
Which of the following cephalosporins is known for its ability to penetrate the cerebrospinal fluid (CSF)?
Which of the following adverse effects is most associated with sulfonamide use, specifically in newborns?
Which of the following adverse effects is most associated with sulfonamide use, specifically in newborns?
What is the primary mechanism of action of aminoglycoside antibiotics?
What is the primary mechanism of action of aminoglycoside antibiotics?
For a patient with a severe infection of the kidneys (pyelonephritis), which treatment option is least likely to be considered?
For a patient with a severe infection of the kidneys (pyelonephritis), which treatment option is least likely to be considered?
Which of the following conditions is NOT among the common uses for sulfonamides?
Which of the following conditions is NOT among the common uses for sulfonamides?
A patient with a known sulfa allergy is prescribed an antibiotic. Which of the following medications would be most concerning?
A patient with a known sulfa allergy is prescribed an antibiotic. Which of the following medications would be most concerning?
Which of these is a unique characteristic of amikacin compared to other aminoglycosides?
Which of these is a unique characteristic of amikacin compared to other aminoglycosides?
When monitoring a patient on aminoglycosides, what is an important consideration regarding serum levels relative to the next dose?
When monitoring a patient on aminoglycosides, what is an important consideration regarding serum levels relative to the next dose?
What is the mechanism of action of Trimethoprim/Sulfamethoxazole (Bactrim)?
What is the mechanism of action of Trimethoprim/Sulfamethoxazole (Bactrim)?
Which of these is the most common use of silver sulfadiazine?
Which of these is the most common use of silver sulfadiazine?
A patient presents with dysuria, urinary urgency/frequency, and suprapubic discomfort. Which condition is most likely?
A patient presents with dysuria, urinary urgency/frequency, and suprapubic discomfort. Which condition is most likely?
What is a key characteristic of bacteriostatic drugs?
What is a key characteristic of bacteriostatic drugs?
Which of the following actions contributes to acquired resistance to antimicrobial drugs?
Which of the following actions contributes to acquired resistance to antimicrobial drugs?
What type of antibiotic is most responsible for facilitating the emergence of drug-resistant organisms?
What type of antibiotic is most responsible for facilitating the emergence of drug-resistant organisms?
Which patient factor must be considered when selecting an appropriate antibiotic?
Which patient factor must be considered when selecting an appropriate antibiotic?
What is a common adverse effect of penicillin?
What is a common adverse effect of penicillin?
What is the primary mechanism of action of penicillin?
What is the primary mechanism of action of penicillin?
Which indication is appropriate for the prophylactic use of antimicrobials?
Which indication is appropriate for the prophylactic use of antimicrobials?
Which type of allergic reaction to penicillin occurs within 2-30 minutes?
Which type of allergic reaction to penicillin occurs within 2-30 minutes?
How do aminoglycosides and penicillin interact?
How do aminoglycosides and penicillin interact?
What is the most common type of penicillin allergy reaction?
What is the most common type of penicillin allergy reaction?
Why is monitoring of antimicrobial therapy important?
Why is monitoring of antimicrobial therapy important?
What is a common feature of a superinfection?
What is a common feature of a superinfection?
Which of the following is NOT a guideline for the use of antibiotics?
Which of the following is NOT a guideline for the use of antibiotics?
Flashcards
Bactericidal drugs
Bactericidal drugs
Drugs that directly kill bacteria at achievable concentrations.
Bacteriostatic drugs
Bacteriostatic drugs
Drugs that slow down the growth of bacteria but don't kill them directly.
Acquired Resistance to Antimicrobial Drugs
Acquired Resistance to Antimicrobial Drugs
The ability of bacteria to become resistant to antibiotics over time, making the drugs less effective.
Decreasing drug concentration
Decreasing drug concentration
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Inactivating an antibiotic
Inactivating an antibiotic
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Altering the drug target molecule
Altering the drug target molecule
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Producing a drug antagonist
Producing a drug antagonist
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How antibiotic use promotes resistance
How antibiotic use promotes resistance
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Broad-spectrum antibiotics and resistance
Broad-spectrum antibiotics and resistance
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Extent of antibiotic use and resistance
Extent of antibiotic use and resistance
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Superinfection
Superinfection
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Identifying the infecting organism
Identifying the infecting organism
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Drug sensitivity of organism
Drug sensitivity of organism
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Host factors in antibiotic selection
Host factors in antibiotic selection
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Dosage size and duration of antibiotic therapy
Dosage size and duration of antibiotic therapy
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Beta-lactam Antibiotics
Beta-lactam Antibiotics
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Penicillinase-Resistant Penicillins
Penicillinase-Resistant Penicillins
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Rash
Rash
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Diarrhea
Diarrhea
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Pseudomembranous Colitis
Pseudomembranous Colitis
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Amoxicillin
Amoxicillin
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Amoxicillin/Clavulanate (Augmentin)
Amoxicillin/Clavulanate (Augmentin)
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Bactericidal Antibiotics
Bactericidal Antibiotics
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Bacteriostatic Antibiotics
Bacteriostatic Antibiotics
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Cephalosporins
Cephalosporins
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Vancomycin: Mechanism of Action
Vancomycin: Mechanism of Action
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Vancomycin: Uses
Vancomycin: Uses
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"Red Man" Syndrome
"Red Man" Syndrome
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Tetracyclines: Mechanism of Action
Tetracyclines: Mechanism of Action
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Tetracyclines: Uses
Tetracyclines: Uses
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Tetracyclines: Adverse Effects
Tetracyclines: Adverse Effects
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Vancomycin: Therapeutic Monitoring
Vancomycin: Therapeutic Monitoring
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Tetracyclines: Drug Interactions and Precautions
Tetracyclines: Drug Interactions and Precautions
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What is a lower UTI?
What is a lower UTI?
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Why is nitrofurantoin used for UTI prophylaxis?
Why is nitrofurantoin used for UTI prophylaxis?
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What is a significant adverse effect of nitrofurantoin?
What is a significant adverse effect of nitrofurantoin?
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Which drug is frequently used intravenously for severe E.coli infections?
Which drug is frequently used intravenously for severe E.coli infections?
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What should patients taking fluoroquinolones report to their doctor?
What should patients taking fluoroquinolones report to their doctor?
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Macrolides
Macrolides
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Doxycycline and Minocycline
Doxycycline and Minocycline
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What is the antibiotic used to treat H. pylori infections?
What is the antibiotic used to treat H. pylori infections?
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What common adverse effects are associated with macrolides?
What common adverse effects are associated with macrolides?
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What drug interactions are important to be aware of with Doxycycline and Minocycline?
What drug interactions are important to be aware of with Doxycycline and Minocycline?
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What should the patient do if they experience C. difficile colitis while taking Clindamycin?
What should the patient do if they experience C. difficile colitis while taking Clindamycin?
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What are some of the potential adverse effects of Doxycycline and Minocycline?
What are some of the potential adverse effects of Doxycycline and Minocycline?
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Aminoglycosides
Aminoglycosides
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Nephrotoxicity
Nephrotoxicity
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Ototoxicity
Ototoxicity
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Sulfonamides
Sulfonamides
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Stevens-Johnson Syndrome
Stevens-Johnson Syndrome
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Kernicterus
Kernicterus
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Acute Cystitis
Acute Cystitis
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Acute Uncomplicated Pyelonephritis
Acute Uncomplicated Pyelonephritis
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Acute Bacterial Prostatitis
Acute Bacterial Prostatitis
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Trimethoprim/Sulfamethoxazole (Bactrim)
Trimethoprim/Sulfamethoxazole (Bactrim)
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Study Notes
Antibiotic & Anti-Infective Drugs
- Bactericidal drugs kill bacteria directly at clinically achievable concentrations
- Bacteriostatic drugs slow bacterial growth, but don't kill them
Acquired Resistance to Antimicrobial Drugs
- Over time, organisms develop resistance; once susceptible, they may no longer be.
- 4 basic actions of antimicrobials:
- Decrease drug concentration at the site of action
- Inactivate the drug
- Alter the structure of drug target molecules
- Produce a drug antagonist
Abx Use/Drug-Resistant Microbe Emergence
- Antibiotic use promotes resistance: creates conditions for microbes resistant to drugs to overgrow.
- Broad-spectrum antibiotics are most responsible for promoting resistance
- Abx use rate affects resistance emergence; more use means faster development of resistant organisms
Selection of Abx
- Identify the organism to match the correct antibiotic
- Assess drug sensitivity of the organism
- Consider host factors: site of infection, genetics, and prior allergic reactions.
- Consider patient variables: allergies, inability to penetrate the site of infection for drug, or other factors preventing use.
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