chp. 38-39 pharmacology
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Questions and Answers

Which system is affected by Hemolytic and aplastic anemia as an adverse effect of Sulfonamides?

  • Respiratory system
  • Muscular system
  • Urinary system
  • Blood system (correct)
  • Which antibiotic group is known for its effectiveness against both gram-positive and gram-negative bacteria?

  • Carbapenems
  • Cephalosporins
  • Monobactams
  • Penicillins (correct)
  • What is a common adverse effect of Beta-Lactam Antibiotics like Penicillins?

  • Hyperkalemia
  • Hypoglycemia
  • Photosensitivity (correct)
  • Respiratory depression
  • Which type of antibiotics are structurally and pharmacologically related to penicillin?

    <p>Cephalosporins</p> Signup and view all the answers

    What is the primary reason why patients with a history of throat swelling or hives from penicillin should not receive cephalosporins?

    <p>Potential for severe allergic reactions</p> Signup and view all the answers

    What is the main contraindication mentioned for the use of Beta-Lactum Antibiotics like Penicillins?

    <p>History of throat swelling or hives from penicillin</p> Signup and view all the answers

    Which antibiotic group has Good gram-positive coverage but Poor gram-negative coverage in its First Generation form?

    <p>*-ceph antibiotics</p> Signup and view all the answers

    What is a potential interaction mentioned between Cephalosporins and warfarin?

    <p>Increased bleeding times</p> Signup and view all the answers

    'Not all end in “CILLIN”' is associated with which group of antibiotics in the text?

    <p>*-ceph antibiotics</p> Signup and view all the answers

    Which antibiotic group includes drugs like Amoxicillin and Ampicillin in its 'Amniopenicillins' subgroup?

    <p>Penicillins</p> Signup and view all the answers

    What is one common effect on the GI system caused by Sulfonamides?

    <p>Diarrhea</p> Signup and view all the answers

    Which generation of cephalosporins provides the most potent group against gram-negative bacteria?

    <p>Third Generation</p> Signup and view all the answers

    Which medication is indicated only for the treatment of C. difficile-associated diarrhea?

    <p>Fidaxomicin</p> Signup and view all the answers

    Which antibiotic class should be avoided in children younger than 8 years due to the risk of tooth discoloration?

    <p>Tetracyclines</p> Signup and view all the answers

    Which class of antibiotics has serious toxicities, very potent antibiotics, and can be used for pressure ulcers and deep wounds?

    <p>Aminoglycosides</p> Signup and view all the answers

    Which antibiotic class must be infused over 60 minutes and is reserved for complicated body cavity and connective tissue infections in hospitalized patients?

    <p>Carbapenems</p> Signup and view all the answers

    Which antibiotic class has an adverse effect of prolonged QT interval that could lead to fainting and decreased heart rate?

    <p>Quinolones</p> Signup and view all the answers

    Which generation of cephalosporins is mainly used before surgery?

    <p>Second Generation</p> Signup and view all the answers

    "Strong affinity for calcium" is a characteristic associated with which class of antibiotics?

    <p>Tetracyclines</p> Signup and view all the answers

    Which antibiotic class has an adverse effect of hallucinations and kidney damage with long-term use?

    <p>Aminoglycosides</p> Signup and view all the answers

    Which medication is a fourth-generation cephalosporin used to treat uncomplicated and complicated UTIs?

    <p>Cefepime</p> Signup and view all the answers

    Which antibiotic should be avoided in pregnant or lactating women to prevent tooth discoloration in infants?

    <p>Doxycycline</p> Signup and view all the answers

    Which antibiotic group includes drugs like Nafcillin, Cloxacillin, Oxacillin, and Dicloxacillin?

    <p>Penicillins</p> Signup and view all the answers

    What is a common adverse effect on the integumentary system caused by Sulfonamides?

    <p>Stevens-Johnson syndrome</p> Signup and view all the answers

    Which antibiotic class is structurally and pharmacologically related to penicillin?

    <p>Cephalosporins</p> Signup and view all the answers

    What is the primary indication for Amoxicillin and Ampicillin use?

    <p>Prevention of infections caused by susceptible bacteria</p> Signup and view all the answers

    Which antibiotic group has an adverse effect of urticaria and cough listed among its side effects?

    <p>Penicillins</p> Signup and view all the answers

    What is a common interaction mentioned between Cephalosporins and nonsteroidal anti-inflammatory drugs?

    <p>Increased bleeding times</p> Signup and view all the answers

    Among the listed cephalosporins, which one belongs to the third generation and is most potent against gram-negative bacteria?

    <p>Ceftazidime</p> Signup and view all the answers

    Which antibiotic class has a common adverse effect of auditory impairment and vestibular impairment?

    <p>Aminoglycosides</p> Signup and view all the answers

    What antibiotic group should be avoided in children younger than 8 years due to the risk of tooth discoloration?

    <p>Tetracyclines</p> Signup and view all the answers

    Which medication is indicated specifically for the treatment of C. difficile-associated diarrhea?

    <p>Fidaxomicin</p> Signup and view all the answers

    Which antibiotic class carries a black box warning due to the increased risk of tendonitis and tendon rupture?

    <p>Quinolones</p> Signup and view all the answers

    Which antibiotic medication is commonly used for treating uncomplicated and complicated UTIs?

    <p>Cefepime</p> Signup and view all the answers

    'Avoid sunlight and tanning beds due to photosensitivity' is a patient education point associated with which class of antibiotics?

    <p>Tetracyclines</p> Signup and view all the answers

    'Excellent oral absorption, absorption reduced by antacids' is a characteristic of antibiotics from which class?

    <p>Quinolones</p> Signup and view all the answers

    Which system can be affected by convulsions as an adverse effect of Sulfonamides?

    <p>GI system</p> Signup and view all the answers

    Why should patients with a history of throat swelling or hives from penicillin not receive cephalosporins?

    <p>Potential allergic reaction</p> Signup and view all the answers

    What is a common interaction mentioned between Beta-Lactum Antibiotics and oral contraceptives?

    <p>Reduced effectiveness of oral contraceptives</p> Signup and view all the answers

    Which antibiotic class requires infusion over 60 minutes and is reserved for complicated body cavity infections?

    <p>Carbapenems</p> Signup and view all the answers

    Which group of antibiotics is known for being structurally and pharmacologically related to penicillins?

    <p>Cephalosporins</p> Signup and view all the answers

    What is a common adverse effect on the blood system caused by Beta-Lactum Antibiotics like Penicillins?

    <p>Thrombocytopenia</p> Signup and view all the answers

    Which antibiotic group should be avoided in patients at risk of developing crystalluria?

    <p>Sulfonamides</p> Signup and view all the answers

    Which antibiotic class should be avoided in children younger than 8 years or pregnant/lactating women due to the risk of tooth discoloration?

    <p>Tetracyclines</p> Signup and view all the answers

    Which antibiotic class is known for its adverse effects of nephrotoxicity and ototoxicity, which may result in auditory and vestibular impairments?

    <p>Aminoglycosides</p> Signup and view all the answers

    Which antibiotic class must be infused over 60 minutes and is reserved for complicated body cavity and connective tissue infections in acutely ill hospitalized patients?

    <p>Carbapenems</p> Signup and view all the answers

    Which antibiotic class carries a black box warning due to the increased risk of tendonitis and tendon rupture?

    <p>Quinolones</p> Signup and view all the answers

    Which antibiotic group has the adverse effect of hallucinations and kidney damage with long-term use?

    <p>Quinolones</p> Signup and view all the answers

    Which generation of cephalosporins is primarily used before going into surgery?

    <p>First Generation</p> Signup and view all the answers

    'Avoid dairy products, antacids, and iron salts' with which class of antibiotics to prevent reduced absorption?

    <p>Tetracyclines</p> Signup and view all the answers

    Study Notes

    Anemia and Antibiotic Effects

    • Hemolytic and aplastic anemia are adverse effects of Sulfonamides, impacting the blood system.
    • Sulfonamides can cause convulsions as an adverse effect, affecting the nervous system.

    Antibiotic Effectiveness

    • The antibiotic group effective against both gram-positive and gram-negative bacteria includes Beta-Lactam Antibiotics.
    • Cephalosporins have good gram-positive coverage but poor gram-negative coverage, particularly in their First Generation form.

    Adverse Effects and Contraindications

    • Common adverse effects of Beta-Lactam Antibiotics, such as Penicillins, include rash and allergic reactions, particularly urticaria and cough.
    • A known contraindication for Beta-Lactam Antibiotics is a history of anaphylaxis or severe allergic reactions to penicillin.
    • Patients with a history of throat swelling or hives from penicillin should not receive cephalosporins due to possible cross-reactivity.
    • Anticipated adverse effects from Sulfonamides include GI disturbances.

    Generation Specifics

    • The generation of cephalosporins that offers the most potent activity against gram-negative bacteria is the Third Generation.
    • The First Generation of cephalosporins is typically used for surgical prophylaxis.

    Specific Antibiotic Information

    • Amoxicillin and Ampicillin are categorized under the Aminopenicillins subgroup of the Beta-Lactam class, primarily indicated for respiratory tract infections.
    • A fourth-generation cephalosporin used for UTIs is Cefepime.
    • C. difficile-associated diarrhea is specifically treated with Vancomycin.

    Special Precautions

    • Tetracyclines are the antibiotic class to avoid in children younger than 8 years due to tooth discoloration risks.
    • The infusion duration of 60 minutes is a requirement for Carbapenems, indicated for severe infections.
    • Fluoroquinolones carry a black box warning for tendonitis and tendon rupture.

    Interactions and Cautions

    • There is a noted interaction between Cephalosporins and warfarin, which can enhance anticoagulant effects.
    • Beta-Lactam Antibiotics may reduce the efficacy of oral contraceptives.
    • Avoidance of sunlight and tanning beds is advised for Sulfonamides due to photosensitivity risks.

    Structural Relations and Miscellaneous

    • Antibiotic classes structurally related to penicillin include Cephalosporins, which are analogous in action and structure.
    • Nephrotoxicity and ototoxicity, associated with drugs like Aminoglycosides, can lead to auditory and vestibular impairments.
    • It is crucial to avoid dairy products, antacids, and iron salts with certain antibiotics to prevent absorption reduction.

    Key Characteristics

    • Sulfonamides may have gastrointestinal and integumentary system effects, including rash and potential for Stevens-Johnson syndrome.
    • Excellent oral absorption is a noted feature of certain antibiotic classes but can be hindered by antacids.
    • The common adverse effect of auditory impairment is seen in the aminoglycoside class.

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    Learn about sulfonamides, one of the first groups of antibiotics often combined with another antibiotic. Discover their indications and the adverse effects they can have on the blood, integumentary, GI system, and other areas of the body.

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