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Questions and Answers

Which antibiotic is commonly used to treat MRSA infections?

  • Tetracycline
  • Penicillin G
  • Vancomycin (correct)
  • Ceftriaxone
  • Insulin can be used to manage gestational diabetes during pregnancy.

    True

    Match the following medications with their appropriate administration route:

    Ceftriaxone = IM or IV Penicillin G = IM Regular Insulin = IV Glipizide = Oral

    Which of the following medications interact with Cephalosporins? (Select all that apply)

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

    Regular Insulin is the only type of insulin that can be administered intravenously.

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

    Match the following insulin types with their onset of action:

    <p>Short-Acting Insulin(Regular/Humulin R) = 30 minutes Intermediate-Acting insulin (NPH) = 1-2 hours Rapid-Acting Insulin (lispro/Humalog, aspart/Novolog) = 10-15 minutes Long-Acting Insulin (glargine, detemir, degludec) = 30 minutes to 2 hours</p> Signup and view all the answers

    Betadine should be avoided in patients with a seafood or shellfish allergy.

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

    What laboratory test evaluates the adherence to antidiabetic therapy?

    <p>Hgb A1C</p> Signup and view all the answers

    Which laboratory tests are critical for monitoring nephrotoxicity in patients receiving Vancomycin?

    <p>BUN, Creatinine, Creatinine Clearance</p> Signup and view all the answers

    Why is it important to monitor Peak and Trough levels in patients on Vancomycin?

    <p>To prevent nephrotoxicity and ensure therapeutic levels</p> Signup and view all the answers

    What does a decreased Creatinine Clearance indicate in a patient taking Vancomycin?

    <p>Increased risk of drug toxicity</p> Signup and view all the answers

    Which of the following is NOT a side effect to monitor for when administering aminoglycosides?

    <p>Increased appetite</p> Signup and view all the answers

    Match the side effects of aminoglycosides with their descriptions:

    <p>Tinnitus = Ringing or buzzing in the ears Hearing loss/changes = Altered perception of sound Dizziness = A sensation of unsteady or spinning Reduced GFR = Decreased kidney filtration rate</p> Signup and view all the answers

    Which antibiotic is particularly useful in treating Lyme's disease?

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

    What is the primary mechanism by which tetracyclines exert their effects?

    <p>Inhibition of microbial protein synthesis</p> Signup and view all the answers

    What does basal dosing of insulin provide?

    <p>Constant dose of insulin</p> Signup and view all the answers

    Why is constant insulin delivery in basal dosing important?

    <p>It mimics natural insulin secretion by the pancreas</p> Signup and view all the answers

    In what scenario is basal insulin dosing most beneficial?

    <p>During periods of fasting or low physical activity</p> Signup and view all the answers

    First-Generation cephalosporin is the most appropriate choice for treating infections caused by gram-positive organisms.

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

    First-Generation cephalosporins are often used to treat skin and soft tissue infections due to their effectiveness against streptococci and staphylococci.

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

    First-Generation cephalosporins have a broader spectrum of activity compared to later generations.

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

    First-Generation cephalosporins can be reliably used for surgical prophylaxis in clean surgical procedures.

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

    Which symptom is commonly associated with hypoglycemia?

    <p>Blurred or double vision</p> Signup and view all the answers

    Which of the following symptoms would indicate a severe case of hypoglycemia?

    <p>Loss of consciousness</p> Signup and view all the answers

    Which of the following is NOT a typical sign of hypoglycemia?

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

    What cardiovascular symptom may present in a person experiencing hypoglycemia?

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

    Which neurological symptom is a sign of hypoglycemia?

    <p>Loss of balance</p> Signup and view all the answers

    Hyperkalemia can be a potentially lethal complication of penicillin administration.

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

    What is the primary reason for not administering antibiotics?

    <p>Drug allergy</p> Signup and view all the answers

    Why is knowledge of drug allergies critical for healthcare providers when prescribing antibiotics?

    <p>To avoid potential adverse drug reactions</p> Signup and view all the answers

    What should be the first step if a patient shows signs of an allergic reaction after antibiotic administration?

    <p>Discontinue the antibiotic and notify a healthcare provider</p> Signup and view all the answers

    What is the primary advantage of Ceftriaxone (Rocephin) in treating meningitis?

    <p>It reaches a high bactericidal titer in cerebrospinal fluid.</p> Signup and view all the answers

    How does Ceftriaxone (Rocephin) compare to other beta-lactam antibiotics in terms of persistence at the infection site?

    <p>It persists longer at the site of infection.</p> Signup and view all the answers

    What type of infections is Ceftriaxone (Rocephin) specifically indicated for?

    <p>Serious infections like meningitis.</p> Signup and view all the answers

    Which characteristic of Ceftriaxone (Rocephin) makes it effective for central nervous system infections?

    <p>Its ability to penetrate the blood-brain barrier efficiently.</p> Signup and view all the answers

    In the case of low blood glucose, what is the first priority for a patient who is awake and alert?

    <p>Consume a fast-acting carbohydrate source.</p> Signup and view all the answers

    Which of the following is a fast-acting carbohydrate source you could consume to quickly raise blood sugar levels?

    <p>Fruit juice</p> Signup and view all the answers

    Which of the following actions is most critical after consuming a fast-acting carbohydrate for low blood glucose?

    <p>Monitor blood sugar levels.</p> Signup and view all the answers

    The nurse understands that educating this self-administration action allows for better insulin absorption of insulin and educates this to her patient prior to discharge. What is the correct action?

    <p>Rotating sites of administration with each injection (areas of SQ tissue such as abdomen, backs of arms, thighs)</p> Signup and view all the answers

    Which medication is often prescribed for the treatment of common acne in teenagers?

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

    What is the correct order for mixing 2 insulins?

    <p>The clear (such as regular) insulin is drawn up into the syringe first followed by cloudy.</p> Signup and view all the answers

    Your patient is taking glipizide for type 2 diabetes. What time should she be educated to take this medication?

    <p>30 minutes before breakfast or meals</p> Signup and view all the answers

    What side effects should you instruct your patient to monitor for when prescribed imipenem/cilastatin (Primaxin)?

    <p>Severe abdominal pain</p> Signup and view all the answers

    How does giving insulin to a type 1 diabetic work to reduce blood glucose levels?

    <p>All of the above.</p> Signup and view all the answers

    Study Notes

    Drug Interactions with Cephalosporins

    • Cephalosporins can interact with Warfarin, alcohol, and oral contraceptives.
    • Dilantin (anti-seizure medications), calcium channel blockers, and antacids can also interact.

    Antibiotic for Bug Bites/Tick Bites

    • Antibiotics like tetracyclines can treat some animal bites and Lyme's disease.
    • They work by inhibiting microbial protein synthesis.

    Injectable Insulin

    • Regular insulin is the only insulin that can be administered intravenously (IV).

    Basal Dosing of Insulin

    • Basal insulin dosing provides a constant insulin delivery.

    Betadine Contraindication

    • Betadine is contraindicated for patients with shellfish/seafood allergies.

    Aminoglycosides Side Effects

    • Administering aminoglycosides requires monitoring for tinnitus, hearing loss/changes, and dizziness.
    • Reduced GFR (nephrotoxicity) and increased creatinine levels are also monitored.

    First-Generation Cephalosporin Use

    • A first-generation cephalosporin is appropriate against gram-positive bacteria, indicated by a culture.

    Insulin Lispro Onset

    • Insulin lispro (Humalog) starts working 10-15 minutes after subcutaneous (SQ) injection.

    Hypoglycemia Symptoms

    • Hypoglycemia presents with symptoms such as confusion, sweating, difficulty concentrating, loss of consciousness, blurred/double vision, slurred speech, clumsiness, seizures, tachycardia, and nausea.

    Penicillin Administration and Hyperkalemia

    • Hyperkalemia, a life-threatening complication, can arise from penicillin administration.

    Antibiotic Contraindication

    • A drug allergy is the number one contraindication for antibiotic administration.

    Ceftriaxone (Rocephin) Meningitis Treatment Mechanism

    • Ceftriaxone reaches high bactericidal levels in the cerebrospinal fluid (CSF), persisting longer at the site of infection than other beta-lactam antibiotics.

    Antidiabetic Therapy Adherence Evaluation

    • Hemoglobin A1C (HbA1c) assesses patient adherence to anti-diabetic therapy over recent months.

    Low Blood Glucose Management (Awake and Alert)

    • Consume fast-acting carbohydrates (juice, glucose tablets, hard candy, honey).
    • Monitor blood sugar, and consume longer-acting carbs if needed.

    Insulin Administration Site Rotation

    • Patients should rotate injection sites (abdomen, back of arms, thighs) to improve insulin absorption.

    Ceftriaxone Administration Routes

    • Ceftriaxone (Rocephin) can be administered intravenously (IV) or intramuscularly (IM).

    Acne Treatment

    • Tetracycline is often prescribed for teenage acne.

    Insulin Mixing Order

    • When mixing insulins, draw up clear insulins (e.g., regular) first, followed by cloudy insulins.

    Glipizide Administration Timing

    • Glipizide should be taken 30 minutes before meals, especially breakfast.

    Penicillin G Administration

    • Penicillin G is prepared for intramuscular (IM) injection.

    Imipenem/Cilastatin (Primaxin) Side Effects

    • Monitor for confusion, seizures (especially in older adults), dizziness, injection site pain, skin rash, hives, itching, fever, wheezing, and tremors.

    MRSA Treatment

    • Vancomycin is a likely choice to treat MRSA infections.

    Insulin's Effect on Blood Glucose

    • Insulin unlocks cell receptors to allow glucose entry for energy, reducing blood glucose levels.

    Gestational Diabetes Management with Insulin

    • Insulin can be used to manage gestational diabetes during pregnancy.

    Vancomycin Monitoring

    • Monitor blood urea nitrogen (BUN), creatinine, and creatinine clearance (renal function).
    • Monitor "peak" and "trough" levels (drug concentration).

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    Description

    Explore the interactions, uses, and side effects of cephalosporins and insulin in this comprehensive quiz. Test your knowledge on antibiotic treatments for bites, the safe administration of insulin, and contraindications related to Betadine. Perfect for students in pharmacology or nursing courses.

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