This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient at high risk of developing VAP has acquired late-onset VAP. Which of the following ... (Read 44 times)

mynx

  • Hero Member
  • *****
  • Posts: 555
on: Jul 16, 2018
A patient at high risk of developing VAP has acquired late-onset VAP. Which of the following combinations of antibiotics is suitable for this patient to receive as initial combination therapy? I. methicillin-sensitive Staphylococcus aureus II. antipseudomonal fluoroquinolone plus vancomycin III. antipseudomonal, cephalosporin, beta-lactam/beta-lactamase inhibitor IV. carbapenems plus aminoglycoside
 
  A. I, IV only
  B. II, III only
  C. II, III, IV only
  D. I, II, III, IV

Question 2

Which of the following antibiotics are bactericidal in time-dependent fashion? I. aminoglycosides II. fluoroquinolones III. vancomycin IV. beta-lactams
 
  A. I, II only
  B. II, III only
  C. III, IV only
  D. I, II, IV only


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

wilsonbho

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Using antibiotics from different classes will increase the chance of covering pathogens resistant to the class of antimicrobial the patient received. An antipseudomonal, cephalosporin, beta-lactam/beta-lactamase inhibitor, or carbapenems plus an aminoglycoside, or antipseudomonal fluoroquinolone plus anti-MRSA antibiotic (linezolid or vancomycin) is the recommended initial combination for late-onset and for VAP in high-risk patients.
D. Incorrect response: See explanation C

Answer to Question 2

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Aminoglycosides and fluoroquinolones are bactericidal in a concentration-dependent fashion with postdose effect. Beta-lactams and vancomycin are bactericidal in time-dependent manner with no postantibiotic effect.
D. Incorrect response: See explanation C.


mynx

  • Hero Member
  • *****
  • Posts: 555
Reply #2 on: Jul 16, 2018
Correct answers!


wilsonbho

  • Sr. Member
  • ****
  • Posts: 322
Reply #3 on: Jul 16, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

In most climates, 8 to 10 glasses of water per day is recommended for adults. The best indicator for adequate fluid intake is frequent, clear urination.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
CHD Risk Factors CHD Risk Factors
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw
Over time, cells acquire mutations. Two independently acquired mutations in the same cell may be suf Over time, cells acquire mutations. Two independently acquired mutations in the same cell may be suf
Video: Enzyme structure - Properties of enzymes

For a complete list of videos, visit our video library