Antibiotics

Question 1

What are penicillin’s used for
(drugs ending in -cillin)

Answer 1

pneumonia, upper respiratory infections , meningitis, endocarditis, rheumatic fever, syphilis, pharyngitis

Question 2

What are the SE of penicillin

Answer 2

Anaphylaxis
Allergic reaction
Renal impairment
Hyperkalemia and hypernatremia
Dysrhythmias

Question 3

What are the nursing care for penicillin

Answer 3

watch for reaction 30 min after
keep epi pen and airway support near
assess renal function and watch I&O
Assess cardiac and electrolyte status

Question 4

What are the contraindications and interactions of penicillin

Answer 4

Do not give if pt has allergy to penicillin, cephalosporins and imipenem

Never mix with amnioglycosides

Question 5

What to educate on penicillins

Answer 5

take with food or not
take with fluids
take entire dose
take another form of birth control

Question 6

What are the uses of cephalosporins
(drugs staring with Cef-)

Answer 6

skin infection
urinary infections
upper respiratory infections

Question 7

What are the complications of cephalosporins

Answer 7

Anaphylaxis and cross sensitivity with penicillin
Nurse care- watch for reaction; epi
Bleeding
Nurse care- do not give to pt at risk or actively bleeding, assess for bleeding, give vitamin K and assess clotting factors
Thrombophlebitis
Nurse- rotate sites, give diluted and slow
Renal issues
Care- assess renal labs and functions
C-diff/diarrhea

Question 8

What are the interactions and contraindications of cephalosporins

Answer 8

careful in Renal pt ; Bleeding pt
take I/o
not for pt with severe reactions to penicillin’s or cephalosporins
Edu to not take alcohol on the antibiotic

Question 9

What are patient education for cephalosporins

Answer 9

Take with food
take entire course
store oral suspensions in refrigerator

Question 10

What are macrolides used for
(clarithromycin, erythromycin)

Answer 10

Treat c-diff due to antibiotic resistance
MRSA
Strep and staph