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- Why do the penicillin and cephalosporin groups of drugs have mildertoxicity than other antibiotics? What are their primary side effects?A parent calls to ask about giving a medication for diarrhea to his child, 12 years of age, who is recovering from the flu. The nurse expects the prescriber to recommend which medication? a) bismuth subsalicylate (Pepto-Bismol)b )Lactobacillus GG (Culturelle)c )belladonna alkaloid/phenobarbital combination (Donnatal Elixir)d) loperamide (Imodium A-D)A patient tells the nurse that he has been using an herbal supplement that contains kava for several years to help him to relax in the evening. However, the nurse notes that he has a yellow tinge to his skin and sclera, and is concerned about liver toxicity. The nurse advises the patient to stop taking the kava and to see his health care provider for an examination. What else, if anything, should the nurse do at this time? a )Report this incident to MedWatch. b )Notify the state’s pharmaceutical board. c )Contact the supplement manufacturer. d) No other action is needed.
- For each of the following antibiotics, identify its mechanism of action. Antibiotic Mechanism of Action Erythromycin Aminoglycosides Linezolid Sulfonamides Penicillins Vancomycin Polymyxins Rifampin QuinolonesFilipina’s 3-year-old daughter, Manila, was brought to a clinic. The doctor diagnosed Manila with a severe dry cough. A mucolytic solution was prescribed and to be administered for seven days. The prescription states, “Mucolytic, XYZ Brand, 60 ml, dosage-1 teaspoon 1 hour before a meal, 3x a day”. Now, Filipina is skeptical of the dosage mentioned in the prescription regarding the proper amount of medicine to be administered to her daughter. If you are Filipina, how are you going to approach the case to make sure that your daughter will not have an overdose or underdose of the medicine prescribed? Apply the principle of accuracy and precision in the problem.Is it as effective to take two antibiotics sequentially as it is to take them simultaneously, as long as the total length of time that they are both taken is the same? Explain.
- 7) A patient who has been on her Amoxicillin regimin for 5 days calls your doctor's office today and says that she is experiencing a black "hairy" tongue and full body rash that is not raised or itching. Which of the following, after consultation with the physician, would be your BEST response to her? A) You are experiencing a medical emergency and you need to hang up and call 911. B) These are an idiosyncratic reaction to the medication. Go to the emergency department immediately. C) You're going to die! D) These are normal side effects of treatment with Penicillins. Call back or call 911 if you have difficulty breathing.Many antibiotics used in modern medicine are compounds made by fungi that inhibit bacterial protein synthesis. Describe the specific effect of the following antimicrobial drugs: (i) Tetracycline (ii) Puromycin (iii) Alpha-AmanitinA 19-year-old woman presented because of the recent onset of breakthrough bleeding. She has been taking the same oral contraceptive Pill for two years, she has not forgotten any pills or had diarrhea or vomiting. She has been with her current sexual partner for four months and has recently stopped using condoms as additional protection. She is otherwise well. On examination the vulva and vagina are healthy and there is no inflammation. There is a small cervical ectropion and profuse mucus and pus discharge from the cervix. There is no tenderness on bimanual vaginal examination and no masses palpable. An endocervical swab and urine test was administered.
- Many antibiotics used in modern medicine are compounds made by fungi that inhibit bacterial protein synthesis. Describe the specific effect of the following antimicrobial drugs: (i) Chloramphenicol (ii) Rifamycin125. A 37-year-old man develops a recurrent episode of pseudomembranous colitis shortly after completing an initial course of oral metronidazole therapy. Which of the following best explains the recurrence? A) The bacterial strain can form spores that persist in the gastrointestinal tract B) Other gastrointestinal flora have degraded the metronidazole CC) The patient has an underlying gastrointestinal tract disorder OD) Systemic therapy is necessary to eradicate this infectionLatasha’s doctor prescribed Amoxicillin for her to take for 10 days upon her diagnosis of Strep Throat. She began to feel better and stopped taking the Amoxicillin after 5 days. A couple of weeks later, she began to feel ill again and returned to the doctor. This time, the doctor prescribed that she takes the antibiotic Zithromax for 5 days.