Podcast
Questions and Answers
What is the prototype drug for Penicillins?
What is the prototype drug for Penicillins?
- Amoxicillin (correct)
- Nephrotoxic
- Doxycycline
- Cefazolin
What is the mechanism of action (MOA) of Cephalosporins?
What is the mechanism of action (MOA) of Cephalosporins?
Inhibits cell wall synthesis with bactericidal action
Which of the following is a contraindication for Tetracyclines?
Which of the following is a contraindication for Tetracyclines?
- Pregnancy (correct)
- Nephrotoxicity
- Severe renal disease
- Allergy to penicillin
The prototype drug for Cephalosporins is ___.
The prototype drug for Cephalosporins is ___.
Penicillins are considered the least toxic antibiotics.
Penicillins are considered the least toxic antibiotics.
Which adverse effect is associated with Tetracyclines?
Which adverse effect is associated with Tetracyclines?
What should be monitored closely during the first dose of Penicillins?
What should be monitored closely during the first dose of Penicillins?
What nursing consideration is crucial before administering Cephalosporins?
What nursing consideration is crucial before administering Cephalosporins?
Flashcards
What is the prototype drug for Penicillins?
What is the prototype drug for Penicillins?
Amoxicillin is the most commonly used penicillin and serves as the standard for the entire penicillin family, acting as a reference point for understanding the group's properties and actions.
How do Cephalosporins work?
How do Cephalosporins work?
Cephalosporins work by interfering with the construction of the bacterial cell wall, effectively stopping the bacteria from multiplying. This mechanism leads to the death of the bacteria, making them bactericidal.
Why are Tetracyclines avoided during pregnancy?
Why are Tetracyclines avoided during pregnancy?
Tetracyclines are contraindicated in pregnancy due to their potential to harm the developing fetus, potentially impairing bone and tooth development. This risk outweighs any potential benefits.
What is the prototype drug for Cephalosporins?
What is the prototype drug for Cephalosporins?
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Are Penicillins known for their safety?
Are Penicillins known for their safety?
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What is a potential adverse effect of Tetracyclines?
What is a potential adverse effect of Tetracyclines?
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Why is it important to closely monitor a patient during their first dose of Penicillins?
Why is it important to closely monitor a patient during their first dose of Penicillins?
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Why are culture and sensitivity tests essential before giving Cephalosporins?
Why are culture and sensitivity tests essential before giving Cephalosporins?
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Study Notes
Penicillins
- Prototype antibiotic: Amoxicillin
- Mechanism of Action: Contains beta-lactam ring that disrupts cell wall synthesis; can be bactericidal or bacteriostatic based on dosage.
- Clinical Uses: Effective for pneumonia, meningitis, skin, bone, joint, stomach infections, and blood/valve infections.
- Contraindications: Allergy to penicillin.
- Adverse Effects: Risk of anaphylaxis or allergic reactions.
- Characteristics: Considered the least toxic antibiotic, usually well tolerated.
- Nursing Considerations: Monitor closely during the first dose, ensure adequate fluid intake, avoid administration with food.
Cephalosporins
- Prototype antibiotic: Cefazolin (Ancef)
- Mechanism of Action: Inhibits cell wall synthesis with a bactericidal effect.
- Clinical Uses: Target serious infections in lower respiratory tract, CNS, GU system, bones, and joints where penicillins may be ineffective.
- Adverse Effects: Potential for seizures and nephrotoxicity; caution when combined with other nephrotoxic drugs.
- Contraindications: Hypersensitivity to cephalosporins.
- Nursing Considerations: Conduct culture and sensitivity (C&S) tests before therapy, assess renal and liver functions, avoid co-administration with iron or antacids.
Tetracyclines
- Prototype antibiotic: Doxycycline
- Mechanism of Action: Inhibits protein synthesis.
- Clinical Uses: Effective against respiratory and skin infections, also the drug of choice for specific STIs.
- Adverse Effects: Can cause severe photosensitivity and hepatotoxicity.
- Contraindications: Use with caution during pregnancy (requires contraceptive use), avoid in cases of severe hepatic or renal disease.
- Nursing Considerations: Store away from light and heat to maintain stability.
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