NR 566 Midterm study guide
Questions with Correct Verified and
Well Analyzed Answers Graded A+
Common CAP pathogens
S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment
Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work?
Respiratory Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae
atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment
Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone
CAP treatment during pregnancy
Amoxicillin, cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant
Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg
once daily on days 2-5
When to use broad/empiric spectrum antibiotics?
, Before cultures are resulted/ critically ill patient after first culture
obtained, based on NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow spectrum antibiotics?
Used when the culture and sensitivity is resulted, and pathogen is
known.
how to treat C. diff
Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of
C. Diff
2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregnancy
Amoxicillin
patient education for Cephalosporins
Report to provider any loose stools, complete full course of
antibiotics, s/s of allergy
Cephalosporins in pregnancy
All appear safe for use
patient education for Tetracyclines
photosensitivity (wear sunscreen!), complete full course, s/s of
allergy
Tetracyclines in pregnancy
Questions with Correct Verified and
Well Analyzed Answers Graded A+
Common CAP pathogens
S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment
Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work?
Respiratory Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae
atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment
Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone
CAP treatment during pregnancy
Amoxicillin, cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant
Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg
once daily on days 2-5
When to use broad/empiric spectrum antibiotics?
, Before cultures are resulted/ critically ill patient after first culture
obtained, based on NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow spectrum antibiotics?
Used when the culture and sensitivity is resulted, and pathogen is
known.
how to treat C. diff
Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of
C. Diff
2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregnancy
Amoxicillin
patient education for Cephalosporins
Report to provider any loose stools, complete full course of
antibiotics, s/s of allergy
Cephalosporins in pregnancy
All appear safe for use
patient education for Tetracyclines
photosensitivity (wear sunscreen!), complete full course, s/s of
allergy
Tetracyclines in pregnancy
