2
Pharmacology final exam (Galen) with verified detailed || || || || || || ||
solutions
Aminoglycosides "mycins" - ✔✔Gentamicin || || ||
Aminoglycosides used for - ✔✔Gram negative sepsis, many life-threatening infections,
|| || || || || || || || || ||
inactive against anaerobic bacteria
|| || ||
Aminoglycosides side effects - ✔✔GI upset, rash, visual disturbances,
|| || || || || || || || ||
PHOTOSENSITIVITY, dizziness, weakness || ||
Aminoglycosides Adverse effects - ✔✔Nausea/diarrhea OTOTOXIC and NEPHROTOXIC
|| || || || || || ||
loop diuretics increase ototoxicity, SUPERINFECTION
|| || || ||
Aminoglycosides nursing considerations - ✔✔Monitor BUN ( 10-20 normal) Creatinine
|| || || || || || || || || ||
(0.5-1.2)
Monitor I&O ||
should not be given more than 10 days
|| || || || || || || ||
obtain C&S BEFORE starting drug
|| || || ||
Penicillin "cillins" - ✔✔Amoxicillin and ampicillin
|| || || || ||
Penicillin used for - ✔✔BROAD SPECTRUM PCN - to treat gram + and gram -, commonly
|| || || || || || || || || || || || || || || ||
used for respiratory infections, otitis media, H. Pylori, E. Coli
|| || || || || || || || ||
,2
Penicillin side effects - ✔✔GI disturbance, headaches, rash, stomatitis (mouth ulcers),
|| || || || || || || || || || ||
dizziness, anxiety, confusion || ||
Penicillin adverse effects - ✔✔Thrombocytopenia, leukopenia, Angioedema, hepatotoxicity
|| || || || || || ||
Penicillin nursing considerations - ✔✔decrease effectiveness of oral contraceptives, assess
|| || || || || || || || || ||
for allergies to cephalosporins, asthma, renal impairment
|| || || || || ||
LAB montior: ALT (4-36 normal), AST ( 0-35 normal), BUN (10-20 normal), creatinine (0.5-
|| || || || || || || || || || || || ||
1.2 normal) monitor for bleeding
|| || || ||
Obtain C&S BEFORE starting drug
|| || || ||
Cephalosporins "cefs" - ✔✔Ceftriaxone and cefpodoxime || || || || ||
Cephalosporins used for - ✔✔Third generations cephalosporins || || || || || ||
Cephalosporins side effects - ✔✔GI upset, headaches, dizziness, rash, dyspepsia (
|| || || || || || || || || || ||
indigestion)
Cephalosporins adverse effects - ✔✔Bleeding, angioedema, HEPATOXICITY, || || || || || || ||
agranulocytosis, renal failure || ||
Cephalosporins nursing considerations - ✔✔Cross-sensitivity with PCN, GIVE WITH
|| || || || || || || || ||
FOOD ||
encourage patients to eat yogurt, buttermilk, or use probiotics to avoid superinfection
|| || || || || || || || || || ||
LABS - ALT (4-36 normal), AST (0-35 normal), LDH 100-190 normal), PT (11-12.5 seconds
|| || || || || || || || || || || || || ||
normal), INR (0.9-1.2 seconds normal)
|| || || || ||
obtain C&S BEFORE starting drug
|| || || ||
, 2
Tetracycline - ✔✔Doxycycline (Vibramycin)
|| || ||
tetracycline used for - ✔✔BROAD SPECTRUM low dose therapy used to tx: ACNE, STD's,
|| || || || || || || || || || || || || ||
respiratory infections, UTI's
|| ||
Tetracycline side effects - ✔✔GI upset, PHOTOSENSIVITY
|| || || || || ||
Tetracycline adverse effects - ✔✔Discolors teeth permanently if given to children under 8
|| || || || || || || || || || || || ||
yrs
Tetracycline nursing considerations - ✔✔Milk products prevent absorption, decrease oral
|| || || || || || || || || ||
contraceptive effectiveness, AVOID ANTACIDS, IRON
|| || || ||
LABS - liver enzymes - ALP (30-120 normal), ALT (4-36 normal), AST (0-35 normal), BUN
|| || || || || || || || || || || || || || ||
( 10-20 normal), creatinine (0.5-1.2 normal)
|| || || || || ||
obtain C&S BEFORE starting drug
|| || || ||
Macrolides - ✔✔Erythromycin and azithromycin
|| || || ||
Macrolides used for - ✔✔to treat Otitis Media, STD's, skin infections, and respiratory
|| || || || || || || || || || || || ||
infections
Macrolides side effects - ✔✔PHOTOSENSITIVTY, headache, GI upset, Blurred vision, rash
|| || || || || || || || || ||
Macrolides adverse effects - ✔✔Hepatoxicity, SUPERINFECTION, STEVEN-JOHNSON -
|| || || || || || ||
SYNDROME
Macrolides nursing considerations - ✔✔No meals 1 hour
|| || || || || || ||
Pharmacology final exam (Galen) with verified detailed || || || || || || ||
solutions
Aminoglycosides "mycins" - ✔✔Gentamicin || || ||
Aminoglycosides used for - ✔✔Gram negative sepsis, many life-threatening infections,
|| || || || || || || || || ||
inactive against anaerobic bacteria
|| || ||
Aminoglycosides side effects - ✔✔GI upset, rash, visual disturbances,
|| || || || || || || || ||
PHOTOSENSITIVITY, dizziness, weakness || ||
Aminoglycosides Adverse effects - ✔✔Nausea/diarrhea OTOTOXIC and NEPHROTOXIC
|| || || || || || ||
loop diuretics increase ototoxicity, SUPERINFECTION
|| || || ||
Aminoglycosides nursing considerations - ✔✔Monitor BUN ( 10-20 normal) Creatinine
|| || || || || || || || || ||
(0.5-1.2)
Monitor I&O ||
should not be given more than 10 days
|| || || || || || || ||
obtain C&S BEFORE starting drug
|| || || ||
Penicillin "cillins" - ✔✔Amoxicillin and ampicillin
|| || || || ||
Penicillin used for - ✔✔BROAD SPECTRUM PCN - to treat gram + and gram -, commonly
|| || || || || || || || || || || || || || || ||
used for respiratory infections, otitis media, H. Pylori, E. Coli
|| || || || || || || || ||
,2
Penicillin side effects - ✔✔GI disturbance, headaches, rash, stomatitis (mouth ulcers),
|| || || || || || || || || || ||
dizziness, anxiety, confusion || ||
Penicillin adverse effects - ✔✔Thrombocytopenia, leukopenia, Angioedema, hepatotoxicity
|| || || || || || ||
Penicillin nursing considerations - ✔✔decrease effectiveness of oral contraceptives, assess
|| || || || || || || || || ||
for allergies to cephalosporins, asthma, renal impairment
|| || || || || ||
LAB montior: ALT (4-36 normal), AST ( 0-35 normal), BUN (10-20 normal), creatinine (0.5-
|| || || || || || || || || || || || ||
1.2 normal) monitor for bleeding
|| || || ||
Obtain C&S BEFORE starting drug
|| || || ||
Cephalosporins "cefs" - ✔✔Ceftriaxone and cefpodoxime || || || || ||
Cephalosporins used for - ✔✔Third generations cephalosporins || || || || || ||
Cephalosporins side effects - ✔✔GI upset, headaches, dizziness, rash, dyspepsia (
|| || || || || || || || || || ||
indigestion)
Cephalosporins adverse effects - ✔✔Bleeding, angioedema, HEPATOXICITY, || || || || || || ||
agranulocytosis, renal failure || ||
Cephalosporins nursing considerations - ✔✔Cross-sensitivity with PCN, GIVE WITH
|| || || || || || || || ||
FOOD ||
encourage patients to eat yogurt, buttermilk, or use probiotics to avoid superinfection
|| || || || || || || || || || ||
LABS - ALT (4-36 normal), AST (0-35 normal), LDH 100-190 normal), PT (11-12.5 seconds
|| || || || || || || || || || || || || ||
normal), INR (0.9-1.2 seconds normal)
|| || || || ||
obtain C&S BEFORE starting drug
|| || || ||
, 2
Tetracycline - ✔✔Doxycycline (Vibramycin)
|| || ||
tetracycline used for - ✔✔BROAD SPECTRUM low dose therapy used to tx: ACNE, STD's,
|| || || || || || || || || || || || || ||
respiratory infections, UTI's
|| ||
Tetracycline side effects - ✔✔GI upset, PHOTOSENSIVITY
|| || || || || ||
Tetracycline adverse effects - ✔✔Discolors teeth permanently if given to children under 8
|| || || || || || || || || || || || ||
yrs
Tetracycline nursing considerations - ✔✔Milk products prevent absorption, decrease oral
|| || || || || || || || || ||
contraceptive effectiveness, AVOID ANTACIDS, IRON
|| || || ||
LABS - liver enzymes - ALP (30-120 normal), ALT (4-36 normal), AST (0-35 normal), BUN
|| || || || || || || || || || || || || || ||
( 10-20 normal), creatinine (0.5-1.2 normal)
|| || || || || ||
obtain C&S BEFORE starting drug
|| || || ||
Macrolides - ✔✔Erythromycin and azithromycin
|| || || ||
Macrolides used for - ✔✔to treat Otitis Media, STD's, skin infections, and respiratory
|| || || || || || || || || || || || ||
infections
Macrolides side effects - ✔✔PHOTOSENSITIVTY, headache, GI upset, Blurred vision, rash
|| || || || || || || || || ||
Macrolides adverse effects - ✔✔Hepatoxicity, SUPERINFECTION, STEVEN-JOHNSON -
|| || || || || || ||
SYNDROME
Macrolides nursing considerations - ✔✔No meals 1 hour
|| || || || || || ||
