Podcast
Questions and Answers
Which of the following best describes a health care-associated infection (nosocomial infection)?
Which of the following best describes a health care-associated infection (nosocomial infection)?
- An infection that is caused by non-resistant microorganisms.
- An infection that is contracted in a health care facility and was not present on admission. (correct)
- An infection that occurs less than 48 hours after admission to a health care facility.
- An infection acquired by a person who has not been hospitalized within the past year.
Disinfectants are applied to living tissue to inhibit the growth of microorganisms.
Disinfectants are applied to living tissue to inhibit the growth of microorganisms.
False (B)
Which of the following is the primary mechanism of action for sulfonamide antibiotics?
Which of the following is the primary mechanism of action for sulfonamide antibiotics?
- Inhibition of bacterial cell wall synthesis
- Disruption of bacterial protein synthesis
- Interference with bacterial DNA replication
- Prevention of folic acid synthesis (correct)
What is the term for causative microorganisms that are often drug resistant and the most virulent?
What is the term for causative microorganisms that are often drug resistant and the most virulent?
The action of sulfonamides is considered to be ______, meaning they inhibit the growth of bacteria but do not necessarily kill them.
The action of sulfonamides is considered to be ______, meaning they inhibit the growth of bacteria but do not necessarily kill them.
Match the following antibiotic classes with their mechanism of action:
Match the following antibiotic classes with their mechanism of action:
Which factor would be most important to assess before administering an antibiotic?
Which factor would be most important to assess before administering an antibiotic?
Empiric therapy involves administering antibiotics based on culture and sensitivity results.
Empiric therapy involves administering antibiotics based on culture and sensitivity results.
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?
What is the implication of bacteria being described as 'bacteriostatic'?
What is the implication of bacteria being described as 'bacteriostatic'?
Community-acquired infections are those contracted within a healthcare facility, such as a hospital.
Community-acquired infections are those contracted within a healthcare facility, such as a hospital.
Which of the following is an example of a beta-lactam antibiotic?
Which of the following is an example of a beta-lactam antibiotic?
What is the key nursing action to take after administering penicillin to a patient for the first time, especially with a history of allergies?
What is the key nursing action to take after administering penicillin to a patient for the first time, especially with a history of allergies?
Giving cephalosporins with ______ may cause an acute alcohol intolerance reaction.
Giving cephalosporins with ______ may cause an acute alcohol intolerance reaction.
Match the generation of cephalosporins with their spectrum of activity:
Match the generation of cephalosporins with their spectrum of activity:
What specific advice should a nurse give to a patient taking tetracycline?
What specific advice should a nurse give to a patient taking tetracycline?
Clavulanic acid, when combined with certain penicillins, enhances the antibacterial effect.
Clavulanic acid, when combined with certain penicillins, enhances the antibacterial effect.
Which of the following is a common indication for the use of SMX-TMP (sulfamethoxazole/trimethoprim)?
Which of the following is a common indication for the use of SMX-TMP (sulfamethoxazole/trimethoprim)?
A patient is prescribed erythromycin. What should the nurse consider regarding the administration of this drug?
A patient is prescribed erythromycin. What should the nurse consider regarding the administration of this drug?
What is antimicrobial stewardship?
What is antimicrobial stewardship?
Carbapenems are typically the first-line antibiotics used for common infections due to their broad spectrum of activity.
Carbapenems are typically the first-line antibiotics used for common infections due to their broad spectrum of activity.
Which adverse effect is most associated with tetracycline use in young children?
Which adverse effect is most associated with tetracycline use in young children?
A patient reports an allergy to penicillin. Which antibiotic class should the nurse be most cautious about administering?
A patient reports an allergy to penicillin. Which antibiotic class should the nurse be most cautious about administering?
Extended-spectrum penicillins such as piperacillin/tazobactam are effective against ______ bacteria.
Extended-spectrum penicillins such as piperacillin/tazobactam are effective against ______ bacteria.
Match the following antibiotic classes with their common uses:
Match the following antibiotic classes with their common uses:
What is the therapeutic action of cilastatin when administered with imipenem?
What is the therapeutic action of cilastatin when administered with imipenem?
All cephalosporins are effective against MRSA (Methicillin-resistant Staphylococcus aureus).
All cephalosporins are effective against MRSA (Methicillin-resistant Staphylococcus aureus).
Why is it important to infuse carbapenems over at least 60 minutes?
Why is it important to infuse carbapenems over at least 60 minutes?
A patient taking sulfonamides should be cautioned to report what symptoms immediately?
A patient taking sulfonamides should be cautioned to report what symptoms immediately?
What dietary teaching is most important for a patient prescribed tetracycline?
What dietary teaching is most important for a patient prescribed tetracycline?
The fifth generation cephalosporin, ______, is effective against MRSA.
The fifth generation cephalosporin, ______, is effective against MRSA.
Match each nursing intervention with its rationale related to antibiotic administration:
Match each nursing intervention with its rationale related to antibiotic administration:
What is the MOST likely rationale for prescribing cefoxitin for a patient undergoing colorectal surgery?
What is the MOST likely rationale for prescribing cefoxitin for a patient undergoing colorectal surgery?
Macrolides, like erythromycin, are considered bactericidal at all concentrations.
Macrolides, like erythromycin, are considered bactericidal at all concentrations.
Which of the following antibiotics inhibits protein synthesis by binding to the 30S bacterial ribosome?
Which of the following antibiotics inhibits protein synthesis by binding to the 30S bacterial ribosome?
A patient receiving clavulanate liquid solution through a percutaneous endoscopic gastrostomy tube. What is the purpose of the clavulanic acid?
A patient receiving clavulanate liquid solution through a percutaneous endoscopic gastrostomy tube. What is the purpose of the clavulanic acid?
When completing an admission assessment, the patient reports being allergic to sulpha drugs. What will the nurse do next?
When completing an admission assessment, the patient reports being allergic to sulpha drugs. What will the nurse do next?
Which does the nurse identify as being a concern for patients receiving tetracycline?
Which does the nurse identify as being a concern for patients receiving tetracycline?
The nurse identifies Clavulin as being a member of which group?
The nurse identifies Clavulin as being a member of which group?
A patient has a health care-associated infection. What is the significance of this type of infection?
A patient has a health care-associated infection. What is the significance of this type of infection?
Cidal agents, such as disinfectants, are safe to apply directly to living tissue to inhibit the growth of microorganisms.
Cidal agents, such as disinfectants, are safe to apply directly to living tissue to inhibit the growth of microorganisms.
What is the term for an antibiotic that inhibits the growth of bacteria without necessarily killing them?
What is the term for an antibiotic that inhibits the growth of bacteria without necessarily killing them?
A patient develops pseudomembranous colitis due to the overgrowth of the bacteria Clostridium ______.
A patient develops pseudomembranous colitis due to the overgrowth of the bacteria Clostridium ______.
Which of the following is an example of prophylactic antibiotic therapy?
Which of the following is an example of prophylactic antibiotic therapy?
The primary mechanism of action for antibiotics involves enhancing the host's immune response to fight off bacterial infections.
The primary mechanism of action for antibiotics involves enhancing the host's immune response to fight off bacterial infections.
What specific advice should be given to patients taking tetracycline regarding the consumption of dairy products?
What specific advice should be given to patients taking tetracycline regarding the consumption of dairy products?
Adverse reactions to penicillins can include urticaria, pruritus, and ______.
Adverse reactions to penicillins can include urticaria, pruritus, and ______.
How do sulfonamides work to inhibit bacterial growth?
How do sulfonamides work to inhibit bacterial growth?
Sulfonamides are effective against only gram-positive bacteria, making them unsuitable for treating infections caused by gram-negative organisms.
Sulfonamides are effective against only gram-positive bacteria, making them unsuitable for treating infections caused by gram-negative organisms.
What is the term for the combination of sulfamethoxazole and trimethoprim, commonly used in antibiotic therapy?
What is the term for the combination of sulfamethoxazole and trimethoprim, commonly used in antibiotic therapy?
A potential adverse effect of sulfonamide therapy is ______, which can manifest as a significant itchy rash or hives.
A potential adverse effect of sulfonamide therapy is ______, which can manifest as a significant itchy rash or hives.
What is the primary mechanism of action for penicillins?
What is the primary mechanism of action for penicillins?
All penicillins are administered intravenously to ensure optimal absorption and distribution.
All penicillins are administered intravenously to ensure optimal absorption and distribution.
What dietary restriction is important for patients taking cloxacillin sodium to ensure proper absorption?
What dietary restriction is important for patients taking cloxacillin sodium to ensure proper absorption?
Clavulanic acid is often combined with amoxicillin to inhibit the action of ______, which can degrade the antibiotic.
Clavulanic acid is often combined with amoxicillin to inhibit the action of ______, which can degrade the antibiotic.
A patient with a known penicillin allergy is prescribed cephalosporins. What action should the nurse prioritize?
A patient with a known penicillin allergy is prescribed cephalosporins. What action should the nurse prioritize?
Cephalosporins are only effective against gram-positive bacteria, limiting their use in treating infections caused by gram-negative organisms.
Cephalosporins are only effective against gram-positive bacteria, limiting their use in treating infections caused by gram-negative organisms.
What is the primary use of cefazolin in clinical practice?
What is the primary use of cefazolin in clinical practice?
Ceftriaxone is advantageous for the treatment of central nervous system infections because it easily passes the ______.
Ceftriaxone is advantageous for the treatment of central nervous system infections because it easily passes the ______.
Why must carbapenems be infused over at least 60 minutes?
Why must carbapenems be infused over at least 60 minutes?
Carbapenems are typically the first-line choice for treating common bacterial infections due to their broad spectrum of antibacterial activity.
Carbapenems are typically the first-line choice for treating common bacterial infections due to their broad spectrum of antibacterial activity.
What enzyme does cilastatin inhibit in order to protect imipenem from breakdown?
What enzyme does cilastatin inhibit in order to protect imipenem from breakdown?
Macrolides prevent bacterial growth by inhibiting ______ synthesis within bacterial cells.
Macrolides prevent bacterial growth by inhibiting ______ synthesis within bacterial cells.
A patient is prescribed erythromycin but complains of significant gastrointestinal upset. Considering the adverse effects of macrolides, what alternate macrolide might be a better choice?
A patient is prescribed erythromycin but complains of significant gastrointestinal upset. Considering the adverse effects of macrolides, what alternate macrolide might be a better choice?
Flashcards
What is a bactericidal antibiotic?
What is a bactericidal antibiotic?
An agent that kills bacteria.
What is a bacteriostatic antibiotic?
What is a bacteriostatic antibiotic?
An agent that inhibits bacterial growth, slowing their reproduction.
What is Colonization in microbiology?
What is Colonization in microbiology?
The presence of bacteria on the surface of the body without causing disease.
What is a community-acquired infection?
What is a community-acquired infection?
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What is empiric therapy?
What is empiric therapy?
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What is targeted therapy?
What is targeted therapy?
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What is prophylatic therapy?
What is prophylatic therapy?
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What is a nosocomial infection?
What is a nosocomial infection?
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What are Host Factors?
What are Host Factors?
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What does subtherapeutic mean?
What does subtherapeutic mean?
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What is a health-care associated infection?
What is a health-care associated infection?
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What is coccus?
What is coccus?
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What is bacillus?
What is bacillus?
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What is coccobacillus?
What is coccobacillus?
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What shapre is Vibrio bacteria?
What shapre is Vibrio bacteria?
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What shapre is Spirillum bacteria?
What shapre is Spirillum bacteria?
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What shapre is Spirochete bacteria?
What shapre is Spirochete bacteria?
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What is pseudomembranous colitis?
What is pseudomembranous colitis?
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What is secondary infection?
What is secondary infection?
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What is antimicrobial resistance?
What is antimicrobial resistance?
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What is Antimicrobial stewardship?
What is Antimicrobial stewardship?
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What is a Food-drug Interaction?
What is a Food-drug Interaction?
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What is a therapeutic response?
What is a therapeutic response?
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What is a subtherapeutic response?
What is a subtherapeutic response?
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What is a Superinfection?
What is a Superinfection?
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Name the class of Antibiotics that inhibit cell wall synthesis.
Name the class of Antibiotics that inhibit cell wall synthesis.
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Name the class of Antibiotics that interfere with metabolites.
Name the class of Antibiotics that interfere with metabolites.
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Name the class of Antibiotics that interfere with DNA replication.
Name the class of Antibiotics that interfere with DNA replication.
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Name the class of Antibiotics that interfere with RNA synthesis.
Name the class of Antibiotics that interfere with RNA synthesis.
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Name the class of Antibiotics that interfere with protein synthesis.
Name the class of Antibiotics that interfere with protein synthesis.
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What the properties of B-Lactam Antibiotics?
What the properties of B-Lactam Antibiotics?
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What are Sulfonamides?
What are Sulfonamides?
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How do Sulfonamides work?
How do Sulfonamides work?
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What are adverse effects of Sulfonamides?
What are adverse effects of Sulfonamides?
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What are contraindications of Penicillins?
What are contraindications of Penicillins?
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How do Macrolides work?
How do Macrolides work?
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What is Macrolides used for?
What is Macrolides used for?
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What are the drugs in the class Macrolides?
What are the drugs in the class Macrolides?
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What are the adverse effects of Macrolides?
What are the adverse effects of Macrolides?
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What are the drugs in the class Tetracyclines?
What are the drugs in the class Tetracyclines?
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How do Tetracyclines work?
How do Tetracyclines work?
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What is an important side effect of Tetracyclines?
What is an important side effect of Tetracyclines?
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What are fourth generation cephalosporins used for?
What are fourth generation cephalosporins used for?
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What are Carbapenems primairly used for?
What are Carbapenems primairly used for?
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What should you educate patients on when giving Antibiotics??
What should you educate patients on when giving Antibiotics??
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What should you educate patients on when giving Sulfonamides??
What should you educate patients on when giving Sulfonamides??
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What is important to adminster with Antibiotics??
What is important to adminster with Antibiotics??
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It is imporant to Assess for penicillin allergy when giving which drug??
It is imporant to Assess for penicillin allergy when giving which drug??
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Before beginning which drug class therapy, assess which factors??
Before beginning which drug class therapy, assess which factors??
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Study Notes
Glossary of Terms
- Bactericidal: Kills bacteria directly.
- Bacteriostatic: Inhibits bacterial growth without killing them.
- Colonization: Presence of microorganisms without causing disease.
- Community-acquired infection: Infection acquired by a person who has not been hospitalized or had a medical procedure within the past year.
- Targeted therapy: Treatment aimed at a specific pathogen.
- Empiric therapy: Treatment initiated before knowing the exact pathogen.
- Prophylactic therapy: Treatment given to prevent infection.
- Health care-associated infection (nosocomial infection): Infection acquired in a healthcare setting.
- These infections are not present on admission.
- These infections occur more than 48 hours after admission.
- These infections are one of the top 10 causes of death in Canada.
- Causative microorganisms are often drug resistant and the most virulent.
- Methicillin-resistant Staphylococcus aureus (MRSA)
- vancomycin-resistant Enterococcus (VRE)
- Prevention includes:
- Handwashing
- Masking
- Disinfectants and antiseptics
- Host factors: Patient-specific factors (e.g., immune system, age) affecting infection and treatment.
- Subtherapeutic: Drug levels below the effective concentration.
- Disinfectant: Kills organisms on nonliving objects.
- A disinfectant is a cidal agent.
- Antiseptic: Inhibits the growth of microorganisms on living tissue.
- Antiseptics do not necessarily kill microorganisms.
- Antiseptics are static agents.
Infections: Sites of Origin
- Infections are classified based on where they are acquired.
- Community acquired infections are contracted outside of medical facilities.
- Healthcare-associated infections are contracted within a healthcare facility.
Antibiotic Therapy Concepts
- Pseudomembranous colitis: A condition often caused by Clostridium difficile.
- Secondary infection: An infection that occurs during or after treatment for another infection.
- Resistance: Microorganisms' ability to withstand antibiotics.
- Antimicrobial stewardship: Responsible use of antimicrobials to combat resistance.
- Food-drug interactions: Altered drug effects due to food consumption.
- Dairy, antacids, and tetracyclines can interact with antibiotics.
- Empiric therapy: Antibiotic therapy started before the causative organism is known.
- Definitive therapy: Antibiotic therapy tailored to a specific identified organism.
- Prophylactic therapy: Antibiotics used to prevent infections.
- Therapeutic response: Antibiotic treatment is effective in eliminating infection.
- Subtherapeutic response: Signs and symptoms of infection do not improve with antibiotic treatment.
- Superinfection: A secondary infection caused by opportunistic pathogens due to antibiotic use.
Antibiotic Therapy: Mechanism Of Action
- Antibiotics interfere with cell wall synthesis, protein synthesis, and DNA replication.
- Antibiotics act as antimetabolites to disrupt critical bacterial cell reactions.
Antibiotic Therapy Considerations
- Common allergic reactions include use of:
- Penicillins
- Sulfonamides
- Severe reactions include:
- Difficulty breathing
- Throat swelling
- Itchy rash
- Hives
- Severe gastrointestinal intolerance
- Host factors include:
- Age, allergies, kidney/liver function, pregnancy status, genetic characteristics, infection site, and host defenses.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency may result in hemolysis.
- Slow acetylation can lead to toxicity due to slow metabolism.
Antibiotic Classes
- Sulfonamides were introduced in the 1930s.
- Penicillins (beta-lactam) were discovered in 1928 and widely used in the 1940s.
- Cephalosporins (beta-lactam) were introduced in the 1960s.
- Carbapenems are beta-lactam antibiotics.
- Macrolides and tertracyclines are also antibiotic classes.
Sulfonamides
- Sulfonamides were among the first antibiotics used.
- These often combine with another antibiotic
- Sulfamethoxazole is combined with trimethoprim (a non-sulfonamide antibiotic).
- This combination is also known as SMX-TMP.
- This combination has synergistic effects.
- Sulfonamides are bacteriostatic.
- Sulfonamides prevent synthesis of folic acid, which is required in the synthesis of purines and nucleic acid.
- Sulfonamides do not affect human cells.
- They affect organisms that synthesize their own folic acid.
- Sulfonamides are effective against both gram-positive and gram-negative bacteria.
- Sulfonamides are administered PO (by mouth).
Sulfonamides: Indications and Adverse Effects
- Sulfonamides treat UTIs caused by:
- Enterobacter
- Escherichia coli
- Klebsiella
- Proteus mirabilis
- Proteus vulgaris
- Staphylococcus aureus
- Sulfonamides treat Pneumocystis jiroveci pneumonia (HIV), using sulfamethoxazole/trimethoprim (SMX-TMP).
- They treat upper respiratory tract infections.
- SMX-TMP is used for outpatient Staphylococcus infections due to community-acquired MRSA.
- Adverse effects include:
- Hemolytic and aplastic anemia, agranulocytosis, thrombocytopenia.
- Photosensitivity, exfoliative dermatitis, Stevens-Johnson syndrome, epidermal necrolysis.
- Nausea, vomiting, diarrhea, pancreatitis, hepatotoxicity.
- Convulsions, crystalluria, toxic nephrosis, headache, peripheral neuritis, urticaria, cough.
- Contraindications include pregnancy and infants.
- Adverse interactions include sulfonylureas, phenytoin, warfarin and cyclosporin.
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