Question

ANI VICIUDADU 15. When is a peak and trough drawn for a drug administered at 12007 Peak drawn Trough drawn at 16. Patient teaching for a patient prescribed antibiotics and taking birth control pills? 17. Special considerations for a patient allergic to penicillin who is prescribed ampicillin? 18. Which medication is most often prescribed to treat syphillis and gonorrhea? dinntinne ie at risk for which organ damage.

Answer 1

15) Peak drawn at 0100 . Trough drawn at 11.55

Peak level is the highest concentration of a drug in patients bloodstream. It depend on route of administration, if its moral then one hour after drug is taken, if IV then 15 to 30 min after injection.

The trough level is lowest concentration in patients blood stream, so it is drawn just prior to administration of drug.

16) Antibiotics makes birth control pills less effective. Birth control pills are hormonal contraceptives. If antibiotics is taken with birth control pills it decreases hormone level in birth control pills thus affecting its effectiveness. Also both should not be taken together as it causes adverse side effects like vomiting, nausea, headache, change inability appetite, etc.

17) Pencillin allergy is the abnormal reaction of your immune system to antibiotic drug pencillin. Ampicillin is also a pencillin drug.R8sk factors are history of other allergy, allergic reactions to other drug, family history of drug allergy, increased exposure to pencillin, certain illness like HIV.

It can be prevented by informing health care professionals, wear medical alert bracelet that identifies drug allergy, carry emergency epinephrine if anaphylaxis or severe reaction occur it can be taken.

If there are no other antibiotics treatment options available, doctor may recommend drug desensitization that would enable one to take a course of pencillin to treat infection. With this statement a very small dose if drug is administered and then progressive increase in dose over course of several hours, if there is no reaction.Patient will be carefully monitored while drug desensitization.

Allergy to one form of pencillin may or may not cause allergy to another kind.

18) For syphilis and gonorrhea, medication mostly prescribed is antibiotics like azithromycin or doxycycline , ceftriaxone(given as injection).