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Selection of Antimicrobials
Questions on Adverse Effects of Antimicrobials
24
Health Care
Professional
01/21/2010

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Cards

Term
The three most serious adverse effects of penicillins are:
Definition
Allergic rxns, hematologic disorders, neurologic disorders (seizures)
Term
True or false: Ceftriaxone requires renal dosage adjustment.
Definition
False
Term
The most serious adverse effects of cephalosporins are:
Definition
Allergic rxns, hematologic disorders, neurologic disorders, disulfiram-like rxn (cefotetan)
Term
The most serious adverse effects of carbapenems are:
Definition
Diarrhea (C. difficile), allergic rxn (cross-sensitivity with PCNs is higher than with cephalosporins), seizures (imipenem)
Term
Major adverse effects of aminoglycosides includes:
Definition
Nephrotoxicity, ototoxicity, neuromuscular blockade
Term
The serious adverse effects of TMP-SMX is:
Definition
Hypersensitivity, crystallization resulting in kidney stones (contraindicated in renal failure), hematologic disorder (bone marrow suppression at high doses), contraindicated in pregnancy/breast feeding.
Term
The serious adverse effects of tetracyclines are:
Definition
Photosensitivity, discoloration of developing teeth, esophageal ulceration
Term
The major adverse effect of tigecycline is:
Definition
Nausea and vomiting
Term
True or False: Tigecycline does not require renal dose adjustment.
Definition
True. Tigecycline requires HEPATIC dose adjustment.
Term
The common adverse effects of macrolides are:
Definition
Nausea, abdominal pain (worse with erythromycin), metallic taste (clarithromycin)
Term
These macrolides have significant drug interactions with CYP3A4:
Definition
Erythromycin, Clarithromycin
Term
This ketolide is often associated with hepatic failure:
Definition
Telithromycin
Term
The major adverse effects of the quinolones are:
Definition
CNS effects (dizziness), photosensitivity, arthropathy (contradicted < 18 y.o.), tendonitis/tendon rupture (Black Box Warning), QT interval prolongation
Term
These very common drugs interact with quniolones:
Definition
Multivalent metal cations (antacids, Fe supplements)
Term
Common adverse effects of clindamycin includes:
Definition
Diarrhea, C. difficile colitis, GI upset
Term
The most serious adverse effects of metronidazole include:
Definition
CNS effects, GI upset, Metallic taste, Disulfiram-like rxn
Term
Major adverse effects of chloramphenicol include:
Definition
Aplastic anemia (irreversible), bone marrow suppression (reversible), Gray Baby Syndrome (neonates)
Term
Chloramphenicol interacts with these drugs:
Definition
Warfarin, phenytoin. (P450 interaction)
Term
Common adverse effects of vancomycin include:
Definition
Nephrotoxicity, drug fever, Red Man syndrome
Term
Quinupristin/Dalfopristin interacts with:
Definition
Normal saline, CYP3A4
Term
Major adverse effects of quinupristin/dalfopristin include:
Definition
Inflammation at infusion site, arthralgia/myalgia
Term
The major adverse effect of long-term use of linezolid is:
Definition
Thrombocytopenia
Term
Linezolid may interact with this class of drugs:
Definition
SSRIs
Term
The common adverse effect of daptomycin is:
Definition
Myopathy
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