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Chpt 91 - Pharmacology for Nursing Care
Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole, Daptomycin, Rifampin, Rifaxamin, Bacitracin, and Polymyxins
12
Nursing
Undergraduate 1
12/02/2012

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Cards

Term
How do fluoroquinolones work?
Definition
They disrupt cell division and DNA replication in the bacterial cell by inhibiting DNA gyrase and topoisomerase IV
Term
Which organism has become resistant enough to fluoroquinolones that they are no longer used to treat it?
Definition
Neisseria gonorrhoeae
Term
Oral fluoroquinolones are a viable alternative to which more invasive antibacterial therapy?
Definition
Hospitalization for parenteral antibiotics
Term
What is the major concern for patients taking fluoroquinolones?
Definition
Tendinitis and tendon rupture
Term
What must patients using fluoroquinolones do before sspending time outside?
Definition
Use protective clothing and sunscreen because fluoroquinolones pose a risk for phototoxicity
Term
Why should fluoroquinolones not be used in patients with myasthenia gravis?
Definition
It can exacerbate muscle weakness
Term
What substances can reduce absorption of fluoroquinolones?
Definition
Cationic substances including milk products (calcium), aluminum and magnesium containing antacids, iron and zinc salts, and sucralfate
Term
What organisms is Metronidazole useful against?
Definition
protozoa and infections caused by obligate anaerobic bacteria including Bacteroides fragilis and C. difficile
Term
If a patient must take antacids while on fluoroquinolones, when should they be taken?
Definition
Two hours before meals
Term
Which organisms is Metronidazole effective against?
Definition
anaerobic bacteria only
Term
How is Bacitracin administered?
Definition
Topically
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