Exam 2 Part A Study
Guide, Notes & Practice
Questions with Answers
(Nursing Pharm Prep
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Rationales
Included
, Antibacterial designed to fight against or kill bacteria
Antifungal a drug that kills or prevents the growth of fungi
Antiviral drug used to treat viral infections
Factors in choosing Antibiotics 1. identify the infecting organism
2. Drug sensitivity
3. Host factors
Factors that may change when choosing Antibiotics 1. allergy to drug of choice
2. inability of drug to penetrate site of infection
3. heightened susceptibility of patient for toxicity( renal dysfunction)
Uses for Antimicrobial Drugs 1. pre-op medication for prophylactic treatment prior to surgery
2. individuals with valvular disease to prevent endocarditis
3. Patients with neutropenia/high risk of infection
Misuses of Antimicrobials 1. treatment of viral infections (mumps, chickenpox, common cold which do not
respond)
2. Fever of unknown origin
3. Improper dosage
Broad Spectrum Penicillins Ampicillin and Amoxicillin
Narrow Spectrum Penicillins Penicillin G
Penicillin V
Which penicillin is the most common to work against drug Napocillin
allergies, is the least toxic, and works better because its
more specific?
Severe reaction to Penicillin hyperkalemia, hypernatremia, and anaphylaxis
Mild reaction to Penicillin Itching
What medication can never be mixed with Penicillin? Gentamicin
Nursing Considerations when giving Cephalosporin? 1. perform cultures prior to administration
2. determine the proper route
3. Oral meds must be refrigerated
4. IM route is more painful due to thickness of medication
What is the half-life of Carbapenems? 1 hour