Midterm Exam: NR566/ NR 566 Advanced
Pharmacology Care of the Family Exam | Questions and Verified Answers (2025/ 2026 Update)- Chamberlain Common CAP pathogens - ANSWER S. Pneumoniae (most common)
- Influenzae (smokers/COPD)
- Aeruginosa (CF)
CAP first line treatment - ANSWER Macrolides, Doxycyline, Amoxicillin what to give if 1st CAP treatment doesn't work? - ANSWER Respiratory Fluoroquinolone if not received abx in the past 3 months Mycoplasma pneumoniae - ANSWER atypical pneumonia; commonly seen in children pediatric atypical pneumonia treatment - ANSWER Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone CAP treatment during pregnancy - ANSWER Amoxicillin, cephalosporins, or Erythromycin Treatment of chlamydial pneumonia in infant - ANSWER Macrolide
(Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - ANSWER Before cultures are resulted/ critically ill patient after first culture obtained, based on NP knowledge of patient history, local susceptibility/geographic location When to use narrow spectrum antibiotics? - ANSWER Used when the culture and sensitivity is resulted, and pathogen is known.how to treat C.diff - ANSWER Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days 1 / 2
address hydration Drug class known for ALL drugs in class to promote development of C. Diff - ANSWER 2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ANSWER
Cephalosporins & Carbapenems (Allergy may be mild or severe) Safe penicillin during pregancy - ANSWER Amoxicillin patient education for Cephalosporins - ANSWER Report to provider any loose stools, complete full course of antibiotics, s/s of allergy Cephalosporins in pregnancy - ANSWER All appear safe for use patient education for Tetracyclines - ANSWER photosensitivity (wear sunscreen!), complete full course, s/s of allergy Tetracyclines in pregnancy - ANSWER Can lead to fetal death; avoided for use Patient education for macrolides - ANSWER Take with meals to avoid GI upset, contraindicated w/ warfarin Aminoglycoside patient teaching - ANSWER Patients should report tinnitus, high-frequency hearing loss, persistent headache, nausea, dizziness or vertigo sulfonamides patient teaching - ANSWER Finish full course Increase fluid intake to 8-10 cups/day Take on empty stomach Avoid sun exposure/wear sunscreen Sulfonamides during pregnancy - ANSWER not to be used during 1st trimester, can cause kernicterus in infants Gentamicin renal dose adjustments - ANSWER decreased dosage for renal impaired tinea capitis treatment - ANSWER oral griseofulvin drug to treat aspergillosis (Fungal Pneumonia) - ANSWER Voriconazole Which Anthelmintics carry risk for hypotension with patients on antihypertensives? - ANSWER Ivermectin and Moxidectin
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