Pharm: abx

Question 1

abx of choice for MSSA

Answer 1

nafcillin IV or dicloxacillin PO

Question 2

listeria coverage

Answer 2

amox or ampicillin

Question 3

main SE of aminoglycosides

Answer 3

oto and nephrotoxicity

Question 4

main SE of tetracyclines (3)

Answer 4

photosensitivity, teeth stains, GI upset

Question 5

main SE of vanc (3)

Answer 5

infusion reaction, oto and nephrotoxicity

Question 6

main SE of nitrofurantoin (2)

Answer 6

pulm fibrosis, gi distress

Question 7

main risk of linezolid

Answer 7

serotonin syndrome

Question 8

main SE of PCN

Answer 8

hypersensitivity

Question 9

main SE of isoniazid

Answer 9

peripheral neuropathy

Question 10

which class can cause black hairy tongue?

Answer 10

PCNf

Question 11

is augmentin safe in preg?

Answer 11

yes

Question 12

which carbapenem has risk for seizures and is less freq used

Answer 12

imipenem

Question 13

aztreonam (Azactam)
covers only ______

Answer 13

gram -

Question 14

can aztreonam be used in pt w/ serious beta lactam allergy?

Answer 14

yes

Question 15

which cephalosporin can cause seizures / CNS effects?

Answer 15

cefepime

Question 16

azithromycin class

Answer 16

macrolide

Question 17

macrolide main SEs (2)

Answer 17

QT prolongation, GI upset

Question 18

gentamicin and neomycin class

Answer 18

Aminoglycosides

Question 19

2 main SEs of linezolid

Answer 19

cytopenia, peripheral neuropathy

Question 20

is gentamicin or other aminoglycosides ok in pregnancy?

Answer 20

no, crosses placenta

Question 21

BBW for PO FQ (4 parts)

Answer 21

avoid in myasthenia gravis. can cause myasthenia crisis
Tendon rupture, peripheral neuropathy, CNS effects

Question 22

ciipro ok in preg?

Answer 22

no

Question 23

doxy ok in preg or breastfeeding?

Answer 23

no

Question 24

doxy ifood nteraction

Answer 24

dairy (take 4 hrs apart).

Question 25

pt ed for doxy (3)

Answer 25

avoid sun, don't take at bedtime or lie down immediately after, drink lots of fluids

Question 26

3 common SE of bactrim

Answer 26

hyperK, diarrhea, renal failure

Question 27

pt ed for metronidazole

Answer 27

don't drink alcohol

Question 28

azith ok for pt on statins?

Answer 28

no

Question 29

if you have to give an older pt a FQ, make sure they aren't taking ______

Answer 29

warfarin

Question 30

CI for bactrim (3+1 drug interaction)

Answer 30

methotrexate, pregnancy cat D, G6PD deficiency, CrCl<15

Question 31

which UTI med can cause peripheral neuropathy

Answer 31

nitrofurantoin

Question 32

don't use azith for acute bac sinusitis d/t _______

Answer 32

strep pneumo resistance

Question 33

BBW for tigecycline

Answer 33

higher rate of mortality (DOES NOT treat bacteremia).

Question 34

CI for daptomycin (Cubicin) - don't use for infx where?

Answer 34

lungs

Question 35

BBW for lipoglycopeptide ( telavancin, dalbavancin, ortiavancin)

Answer 35

BW: nephrotoxicity, pregnancy.

Question 36

BBw for clindamycin

Answer 36

#1 cause of C diff