Nr 567 Final Study Guide Questions And Correct Answers

Bactericial Antibiotics {Ans: antibiotics that kill bacteria}Naloxone {Ans: This is a pure antagonist, with clinical indication for treatment of acute opioid overdose. IV naloxone can dramatically reverse opioids, even in comatose states, with recent widespread community availability of intramuscular and intranasal administration options available given the prescription and recreational opiate crisis, and related deaths. Given the short duration of action, patients can relapse into coma or previous overdose state, and may need continued monitoring and potentially further doses or constant infusion.}tetracyclines and macrolides {Ans: These medications inhibit bacterial protein synthesis. They disrupt bacterial replication, but do not directly kill bacteria. Broad spectrum gram + and gram -, Rickettsia, H. pylori, Borrelia burgdorferi, Bacillus anthracis, Vibrio cholerae Bordetella pertussis, Corynebacterium diphtheriae​}Calcium Channel Blockers {Ans: If beta-blockers are not tolerated, consider}ACEs and ARBs {Ans: Reduces cardiac remodeling post-MI, Improves patient survival in those with heart failure or anterior myocardial infarction}obstructive shock {Ans: caused by pe or pneumothorax}Vancomycin {Ans: gram + bacteria: methicillin resistant S. aureus, S. epidermidis, C. diff​ MRSA​ other serious infections​ reserve for severe infections to retain sensitivity to drug​. red man syndrome}neupogen {Ans: Stimulates WBC production}Ziprasidone {Ans: appropriate for IM