Misc.
This class of antibiotics are known for causing photo-sensitivity
What are Quinolones (Ciprofloxacin)
While receiving an intravenous Aminolycoside your patient complains of ringing in their ears. What is your priority action at that time?
Stop the infusion
This is commonly used to treat intra-abdominal, protozoal and gynecological infections
What is Metronidazole (Flagyl)
This is the first line oral treatment for a Clostridium Difficile infection
What is Vancomycin
This syndrome is caused by rapid Vancomycin infusion.
Red-man Syndrome
The nurse should be aware of the increased risk of seizures in patients receiving this category of antibiotics.
Quinolones
True or False: Aminoglycosides are bactericidal
True
Quinolones are used to treat this rare but serious illness caused by a spore-forming bacterium.
What is Anthrax
This antibiotic can cause a disulfram-like reaction (severe vomiting) if alcohol is drank during the course of treatment
Metronidazole
This antibiotic can cross the placenta and cause deafness
What is a Quinolone
This antibiotic carries a black-box warning from the FDA
Quinolones
What two routes are Aminoglycosides administered?
Parenteral (IV) and inhaled
When giving IV Quinolones, the nurse needs to keep in mind that these drugs may have life-threatening interactions when administered with what other class of drugs?
Oral anticoagulants
This is the first line treatment for MRSA infections
Vancomycin
Name one class of antibiotic that carries a risk of ototoxicity and nephrotoxicity?
What is Vancomycin and Gentamycin
Therapeutic monitoring involves the nurse reviewing which specific lab values?
BUN/Creatnine
AST/ALT
Name the expected range of a peak or trough while on Gentamycin
Peak 5-8mcg/ml
Trough <2 mcg/ml
Therapeutic effectiveness is decreased if ingested with what other food/meds?
Dairy products
Calcium, Magnesium
Antacids, Zinc or iron
After this many doses will the nurse anticipate an order to draw a peak & trough level
What is the 3rd dose
The nurse will monitor for which potential cardiac effect of Quinolone therapy?
Prolonged QT interval
What two medications must be monitored by peak & trough levels?
Vancomycin & Gentamycin
Explain what the MIC value is in antibiotic therapy.
MIC value is the lowest concentration of an antibiotic at which bacterial growth is completely inhibited
Name one type of bacteria Quinolones are effective against.
Gram negative rods and Pseudomonas
Give Vancomycin, 1250mg in 250ml NS, IVPB q 12 hours. Infuse over 90 minutes. How many mL/hour will you program the pump for?
167 ml/hr
When taken with steroids this class of drug carries a risk of tendon rupture
What are Quinolones (Cipro/Levo)