COPY: Chapter 38/39 Pharm
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Questions and Answers

What should patients taking Beta-Lactam antibiotics avoid consuming?

  • Red meat, eggs, and poultry
  • Leafy greens, nuts, and seafood
  • Dairy, grapefruit juice, and alcohol (correct)
  • Whole grains, fruits, and vegetables
  • What is a common adverse effect associated with Tetracyclines in children, infants, and fetuses?

  • Skin rash
  • Weight gain
  • Tooth discoloration (correct)
  • Hair loss
  • Which antibiotic is commonly given before surgery to clean out the gastrointestinal tract?

  • Neomycin (correct)
  • Gentamicin
  • Tobramycin
  • Amikacin
  • What is the most common Aminoglycoside antibiotic?

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

    Which antibiotic is used to treat MRSA and Clostridioides Difficile (C-Diff)?

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

    What labs are checked to monitor kidney function in patients taking antibiotics?

    <p>Creatinine level</p> Signup and view all the answers

    Which adverse effect is associated with Sulfonamides in the blood?

    <p>Hemolytic anemia</p> Signup and view all the answers

    What is a common adverse effect of Sulfonamides in the integumentary system?

    <p>Steven-Johnson Syndrome</p> Signup and view all the answers

    Which group includes Beta-Lactam antibiotics?

    <p>Penicillin, cephalosporins, carbapenems, monobactams</p> Signup and view all the answers

    Why should patients with a history of throat swelling or hives from penicillin avoid cephalosporins?

    <p>Penicillin and cephalosporin have similar chemical structures.</p> Signup and view all the answers

    Why do patients taking Beta-Lactam antibiotics need to use an alternative form of birth control?

    <p>Because Beta-Lactam antibiotics interfere with oral contraceptives</p> Signup and view all the answers

    What is the rationale behind advising patients taking Beta-Lactam antibiotics to avoid Warfarin, NSAIDs, and Antacids?

    <p>To prevent drug-drug interactions that may affect treatment outcomes</p> Signup and view all the answers

    What is a potential adverse effect of Aminoglycoside antibiotics?

    <p>Nephrotoxicity/Ototoxicity</p> Signup and view all the answers

    Which Macrolide antibiotic is used to treat Clostridioides Difficile (C-Diff)?

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

    What is a black box warning associated with Quinolone antibiotics?

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

    When should Tetracyclines not be given?

    <p>To pregnant or breastfeeding women, or children under age 8</p> Signup and view all the answers

    What is a noted adverse effect of Erythromycin/E-Mycin based on the text?

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

    What is a possible complication leading to risk of Beta-Lactam antibiotic allergic reactions, as indicated in the text?

    <p>Generic and Brand name confusion</p> Signup and view all the answers

    Which antibiotic class mentioned in the text is associated with adverse effects of Clostridioides Difficile (C-Diff) infection?

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

    What is the purpose of running peak and trough labs for patients taking antibiotics?

    <p>To prevent toxicity by monitoring drug levels</p> Signup and view all the answers

    Which antibiotic is primarily used to treat gynecological infections and Clostridioides Difficile (C-Diff)?

    <p>Metronidazole/Flagyl</p> Signup and view all the answers

    Why should Quinolones never be given with oral anticoagulants?

    <p>To avoid potential drug interactions leading to bleeding risks</p> Signup and view all the answers

    How many generations do Cephalosporins have?

    <p>5</p> Signup and view all the answers

    Which antibiotic is commonly used to treat non-complicated urinary tract infections?

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

    What is a potential adverse effect of Vancomycin?

    <p>Red-Man Syndrome</p> Signup and view all the answers

    When asking patients about known drug allergies, what specific information is important to inquire about?

    <p>The type of reaction they had</p> Signup and view all the answers

    Which antibiotic class is typically associated with big gun infections such as sepsis?

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

    What is a common adverse effect associated with Sulfonamides in the body?

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

    Which blood test is typically used to check liver function?

    <p>AST/ALT</p> Signup and view all the answers

    When should patients be advised to drink plenty of water while taking antibiotics?

    <p>To prevent kidney damage</p> Signup and view all the answers

    What medication is used to treat complicated UTIs?

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

    What is usually the first symptom of an allergic reaction to antibiotics mentioned in the text?

    <p>Redness or rash to the face and trunk</p> Signup and view all the answers

    In what situations are Macrolide antibiotics indicated according to the information provided?

    <p>Strep, respiratory infections, syphilis, and STDs</p> Signup and view all the answers

    Which antibiotic is specifically mentioned for the treatment of osteomyelitis in the text?

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

    infection following a previous infection especially when caused by microorganisms that are resistant to or have become resistant to the antibiotics used earlier.

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

    An example of superinfection is

    <p>Clostridioides Difficile (C-Diff).</p> Signup and view all the answers

    The labs BUN/GFR check your ______ .

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

    Match

    <p>urticaria = Hives angioedema = facial swelling pruritus = itchy skin Hepato = Liver</p> Signup and view all the answers

    ____ are often combined with another antibiotic.

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

    Carbapenems end in ______

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

    Macrolides end in ______ and spell FACE.

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

    Macrolides end in CIN and spell ______

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

    Tetracyclines end in ______

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

    Quinolones end in _____

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

    Aminoglycosides end in CIN and spell ______

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

    Aminoglycosides end in ______ and spell TANG.

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

    Antibiotic therapy tailored to treat organism identified with cultures.

    <p>Definitive therapy</p> Signup and view all the answers

    Treatment of an infection before specific culture information has been reported or obtained.

    <p>Empiric Therapy</p> Signup and view all the answers

    Treatment with antibiotics to prevent an infection (as in intraabdominal surgery or after trauma)

    <p>Prophylactic Therapy</p> Signup and view all the answers

    Study Notes

    Antibiotic Considerations

    • Patients taking Beta-Lactam antibiotics should avoid consuming alcohol and certain medications like Warfarin, NSAIDs, and Antacids due to potential interactions.
    • Tetracyclines can lead to tooth discoloration in children, infants, and fetuses.
    • Neomycin, an Aminoglycoside, is commonly given before surgery to cleanse the gastrointestinal tract.
    • Gentamicin is the most common Aminoglycoside antibiotic.
    • Vancomycin is effective in treating MRSA and Clostridioides Difficile (C-Diff) infections.

    Monitoring and Adverse Effects

    • Kidney function is monitored through labs checking BUN (Blood Urea Nitrogen) and GFR (Glomerular Filtration Rate) in patients on antibiotics.
    • Sulfonamides can cause blood-related adverse effects such as aplastic anemia.
    • Skin reactions, such as rashes, are common adverse effects of Sulfonamides.
    • Beta-Lactam antibiotics include penicillins and cephalosporins.
    • Patients with a history of throat swelling or hives from penicillin should avoid cephalosporins due to cross-reactivity.

    Birth Control and Drug Interactions

    • An alternative form of birth control is advised for patients on Beta-Lactam antibiotics due to decreased effectiveness of oral contraceptives.
    • Peak and trough labs are run to monitor the drug levels, ensuring therapeutic efficacy without toxicity.

    Specific Antibiotic Effects

    • Aminoglycoside antibiotics may lead to nephrotoxicity and ototoxicity.
    • Clindamycin, a Macrolide, is utilized in treating Clostridioides Difficile (C-Diff).
    • Quinolone antibiotics carry a black box warning for the risk of tendon rupture.
    • Tetracyclines should not be given to pregnant women or young children due to the risk of permanent tooth discoloration.
    • Erythromycin (E-Mycin) has gastrointestinal upset as a noted adverse effect.

    Drug Class Identifications

    • Beta-Lactam antibiotics can trigger allergic reactions, particularly in patients with a history of sensitivity.
    • Quinolones should never be given with oral anticoagulants due to increased risk of bleeding.
    • Cephalosporins have five generations, each with varying indications and efficacy.
    • Trimethoprim-sulfamethoxazole is often used for uncomplicated urinary tract infections.
    • Vancomycin can cause redness, flushing, and other infusion-related reactions.

    Allergy Information and Treatment Strategies

    • Inquiring about specific allergens, including previous antibiotic reactions, is crucial during patient assessments.
    • Carbapenems are known as "big gun" antibiotics, effective against severe infections like sepsis.
    • Sulfonamides can lead to gastrointestinal distress.
    • Liver function is typically assessed through ALT (Alanine Aminotransferase) tests.
    • Hydration is important for patients taking antibiotics, particularly to prevent nephrotoxicity in certain classes.
    • Ciprofloxacin is commonly used for managing complicated urinary tract infections.

    Infections and Antibiotic Treatment

    • The first symptom of an allergic reaction to antibiotics is often skin rash or itching.
    • Macrolide antibiotics are indicated for respiratory infections, skin infections, and specific STIs.
    • Cefazolin is specifically mentioned for treating osteomyelitis.
    • Superinfection occurs when a secondary infection develops as a consequence of antibiotic treatment.

    Antibiotic Terminology

    • BUN/GFR checks kidney function.
    • Carbapenems often combined with other antibiotics end in "em."
    • Macrolides end in "thromycin."
    • Tetracyclines end in "cyclines."
    • Quinolones end in "floxacin."
    • Aminoglycosides end in "micin" and "cin," spelling "TANG."

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    Description

    Test your knowledge on superinfection following antibiotic treatment, with a focus on the example of Clostridioides Difficile (C-Diff) and the adverse effects of Sulfonamides in the blood and integumentary system.

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