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Author Question: A patient is receiving an intraperitoneal aminoglycoside during surgery. To prevent a serious side ... (Read 58 times)

rosent76

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on: Jul 23, 2018
A patient is receiving an intraperitoneal aminoglycoside during surgery. To prevent a serious side effect of this drug, the nurse expects to administer which agent?
 
  a. Amphotericin B
  b. Calcium gluconate
  c. Neuromuscular blocker
  d. Vancomycin

Question 2

Which infection(s) may be treated with linezolid (Zyvox)? (Select all that apply.)
 
  a. Community-acquired pneumonia (CAP) that is penicillin sensitive
  b. Nosocomial pneumonia caused by methicillin-sensitive Staphylococcus aureus (MSSA)
  c. Pneumonias caused by Mycoplasma avium
  d. Superficial methicillin-resistant Staphylococcal aureus skin infections (MRSA)
  e. Vancomycin-resistant infections


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blfontai

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Aminoglycosides can inhibit neuromuscular transmission, especially during intraperitoneal or intrapleural instillation, and this risk is increased when neuromuscular blocking agents and general anesthetics are given. Calcium can reverse neuromuscular blockade. Amphotericin B, additional neuromuscular blockers, and vancomycin are not indicated.

Answer to Question 2

ANS: A, B, E
Linezolid is indicated for CAP caused by PCN-sensitive strains of Streptococcus pneumoniae, nosocomial pneumonia caused by MSSA and MRSA, and vancomycin-resistant enterococcal (VRE) infections. It is not recommended for M. avium infections or for superficial skin infections caused by MRSA.


rosent76

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

dantucker

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Reply 3 on: Yesterday
Excellent

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