Drug Cards: Cephalosporins
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Questions and Answers

What is the trade name for cefadroxil?

  • Keflex
  • Ceclor
  • Ancef
  • Duricef (correct)
  • What is the usual dose for cefadroxil?

    1-2g/d orally in divided doses

    Cefazolin is contraindicated in patients with severe kidney problems.

    True

    What are the adverse effects associated with cefadroxil?

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

    What should patients avoid when taking cefadroxil?

    <p>Alcoholic beverages</p> Signup and view all the answers

    What is the therapeutic blood serum level for cefazolin?

    <p>10 and 30 mcg/mL</p> Signup and view all the answers

    Cephalexin can be used in patients with known allergy to the cephalosporin group.

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

    Match the following drugs with their trade names:

    <p>Cefadroxil = Duricef Cefazolin = Ancef Cephalexin = Keflex Cefaclor = Ceclor</p> Signup and view all the answers

    What should patients be advised to report while taking cephalexin?

    <p>Signs of superinfection and allergy</p> Signup and view all the answers

    What is the usual dose for cefaclor?

    <p>250 mg orally q8h</p> Signup and view all the answers

    Cephradine has the same therapeutic use as cefadroxil.

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

    Study Notes

    Cefadroxil (Duricef)

    • Class: Cephalosporins
    • Therapeutic use: Treats infections caused by susceptible microorganisms
    • Contraindications: Allergy to cephalosporin antibiotics
    • Therapeutic blood serum level: 0.8 µg/mL
    • Adverse effects: Nausea, vomiting, diarrhea, hypersensitivity, superinfection, nephrotoxicity, headache, Stevens-Johnson syndrome, pseudomembranous colitis
    • Usual dose: 1-2g/day orally in divided doses
    • Nursing implications: Use cautiously in renal disease, hepatic impairment, bleeding disorders, pregnancy, or known penicillin allergy
    • Patient teaching: Avoid alcohol during and after treatment (3 days) to prevent severe reactions

    Cefazolin Sodium (Ancef, Kefzol)

    • Class: Cephalosporins
    • Therapeutic use: Infections and perioperative prophylaxis
    • Contraindications: Serious kidney problems, severe antibiotic-associated diarrhea, decreased prothrombin, blood clotting disorders
    • Therapeutic blood serum level: 10-30 mcg/mL
    • Adverse effects: Similar to cefadroxil
    • Usual dose: 250 mg-1g IM/IV every 6-12 hours; perioperative: 0.5-1 g IM/IV
    • Nursing implications: Adjust dosage in severe renal impairment; prolonged use may cause superinfection and antibiotic-associated colitis
    • Patient teaching: Take medication at prescribed times; consider using with food or milk for better absorption

    Cephalexin (Keflex, Biocef, Keftab)

    • Class: Cephalosporins
    • Therapeutic use: Similar to cefadroxil
    • Contraindications: Allergy to cephalosporins
    • Therapeutic blood serum level: 50-200 ng/mL
    • Adverse effects: Similar to cefadroxil
    • Usual dose: 1-4 g/day orally in divided doses
    • Nursing implications: Use cautiously in hypersensitivity cases, pregnancy, lactation, and renal disease
    • Patient teaching: Report symptoms of superinfection or allergy; notify healthcare professional of severe diarrhea, especially if bloody

    Cephradine (Velosef)

    • Class: Cephalosporins
    • Therapeutic use: Similar to cefadroxil
    • Contraindications: Serious kidney problems, severe antibiotic-associated diarrhea
    • Therapeutic blood serum level: 8-42 mcg/mL
    • Adverse effects: Similar to cefadroxil
    • Usual dose: 250 mg-1g every 6-12 hours
    • Nursing implications: Modify dosage in severe renal impairment; cautious use required in patients with penicillin allergy history
    • Patient teaching: Advise on yogurt or buttermilk for diarrhea; report severe diarrhea, unusual symptoms, and consult on breastfeeding risks

    Cefaclor (Ceclor)

    • Class: Cephalosporins
    • Therapeutic use: Treats infections caused by susceptible microorganisms
    • Contraindications: Allergy to cephalosporins or hypersensitivity history
    • Therapeutic blood serum level: 0.16 mcg/mL
    • Adverse effects: Nausea, vomiting, diarrhea, hypersensitivity, nephrotoxicity, headache, hematologic reactions
    • Usual dose: 250 mg orally every 8 hours
    • Nursing implications: Use cautiously with significantly impaired renal function; assess prior hypersensitivity history before prescribing

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    Description

    Explore the essential details of cephalosporins through interactive flashcards. Learn about generic and trade names, therapeutic uses, contraindications, and adverse effects for better understanding of this antibiotic class.

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