NR 566 Midterm Exam- Questions
with Correct Verified and Well
Analyzed Answers Graded A+
Community Acquired Pneumonia - Common Pathogens
-S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for previously
healthy adults and what to give if 1st drug didn't work?
1st line: Amoxicillin, doxycycline and macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients?
Macrolides: Azithromycin, Erythromycin, Clarithromycin
Treatment of community acquired pneumonia in pregnancy
Amoxicillin, cephalosporins, or erythromycin
If someone has been treated w/ an antibiotic in the previous 90 days
of contracting CAP, a quinolone would be prudent choice to
prescribe. Be familiar with drug examples w/n the antibiotic class
"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant?
Erythromycin 12.5 mg/kg PO QID x 14 days
, When to use a broad-spectrum antibiotic?
-before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics
-active against only a few species of microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of
antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Empiric antibiotics - What are they?
Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics
-patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are
most likely causing the infection
C. Diff associated diarrhea - how to treat?
Stop prior antibiotic and start Vancomycin or Fidaxomicin or
Metronidazole
Chart in Book
Drug class known for ALL drugs in class to promote development of
C. Diff
-Cephalosporins
Specifically: 2nd generation (Cefoxitin) and 3rd generation
(Cefotaxime)
-Fluoroquinolones (Ciprofloxacin and Levofloxacin)
-Clindamycin
Penicillin - Cross-sensitivity reaction
with Correct Verified and Well
Analyzed Answers Graded A+
Community Acquired Pneumonia - Common Pathogens
-S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for previously
healthy adults and what to give if 1st drug didn't work?
1st line: Amoxicillin, doxycycline and macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients?
Macrolides: Azithromycin, Erythromycin, Clarithromycin
Treatment of community acquired pneumonia in pregnancy
Amoxicillin, cephalosporins, or erythromycin
If someone has been treated w/ an antibiotic in the previous 90 days
of contracting CAP, a quinolone would be prudent choice to
prescribe. Be familiar with drug examples w/n the antibiotic class
"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant?
Erythromycin 12.5 mg/kg PO QID x 14 days
, When to use a broad-spectrum antibiotic?
-before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics
-active against only a few species of microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of
antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Empiric antibiotics - What are they?
Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics
-patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are
most likely causing the infection
C. Diff associated diarrhea - how to treat?
Stop prior antibiotic and start Vancomycin or Fidaxomicin or
Metronidazole
Chart in Book
Drug class known for ALL drugs in class to promote development of
C. Diff
-Cephalosporins
Specifically: 2nd generation (Cefoxitin) and 3rd generation
(Cefotaxime)
-Fluoroquinolones (Ciprofloxacin and Levofloxacin)
-Clindamycin
Penicillin - Cross-sensitivity reaction
