Ep 147 OER 3.20 Miscellaneous Antibacterials Glycopeptides - Nursing Pharmacology

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Summary 3.20 Vancomycin 

The chapter covers vancomycin, a glycopeptide antibiotic used for treating serious infections like MRSA. It works by inhibiting bacterial cell wall synthesis. Vancomycin is typically administered via IV for systemic infections and orally for C-diff. Key concerns include nephrotoxicity, ototoxicity, and "red man syndrome," which occurs with rapid infusion. Monitoring of renal function and trough levels is crucial.

Multiple Choice Questions

1. What is vancomycin primarily used to treat? a) Viral infections b) MRSA c) Fungal infections d) Diabetes
2. How does vancomycin work? a) Disrupts protein synthesis b) Inhibits cell wall synthesis c) Increases glucose uptake d) Enhances DNA replication
3. What condition can occur if vancomycin is infused too quickly? a) Hair loss b) Red man syndrome c) Weight gain d) Increased appetite
4. How is vancomycin administered for systemic infections? a) Orally b) Topically c) Intravenously d) Subcutaneously
5. Which function should be closely monitored during vancomycin therapy? a) Cardiac function b) Renal function c) Respiratory function d) Blood glucose levels

Answer Key

1. b) MRSA
2. b) Inhibits cell wall synthesis
3. b) Red man syndrome
4. c) Intravenously
5. b) Renal function