5 Questions
What is the primary mechanism of action of penicillin?
Destroying the bacterial cell wall
What is the role of beta-lactamase inhibitors in combination with penicillins?
Destroy beta-lactamase enzymes produced by bacteria
Which of the following medications is a combination of penicillin and a beta-lactamase inhibitor?
Amoxicillin/clavulanic acid (Augmentin)
What is a potential side effect or complication associated with penicillin antibiotics?
Super-infections like C-diff and fungal infections
Why is it important to report persistent watery diarrhea to healthcare providers when taking penicillin antibiotics?
To assess for Clostridium difficile infection
Study Notes
Penicillin Action
- Destroys bacterial cell wall by inhibiting production
- Effective against gram-positive and some gram-negative bacteria
Beta-Lactamase
- Enzyme produced by bacteria to inactivate or fight off antibiotics
Medications
- Examples of penicillin medications: Amoxicillin, Ampicillin, Penicillin, Penicillin V
- Penicillin and beta-lactamase inhibitors: Ampicillin/sulbactam (Unasyn), Amoxicillin/clavulanic acid (Augmentin), Ticarcillin/clavulanic acid (Timentin), and Piperacillin/tazobactam (Zosyn)
Side Effects and Complications
- Gastrointestinal effects: sore mouth, furry tongue
- Super-infections: C-diff, Pseudomembranous colitis (diarrhea), fungal infections (candidiasis)
- Hypersensitivity reactions: anaphylaxis
- Caution: liver failure, oral contraceptives
Nursing Interventions
- Report allergic reactions: rash, itchy throat, hives
- Report persistent watery diarrhea for Cloristidium difficile assessment
- Store oral liquids in refrigerated conditions
- Be aware of allergy to cephalosporins
Test your knowledge on how penicillin destroys bacterial cell walls by inhibiting their production, the role of beta-lactamase enzymes, and the use of beta-lactamase inhibitors to combat antibiotic resistance. Explore medications like Amoxicillin, Ampicillin, and Penicillin V.
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