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A18 A The difference between ampicillin and amoxicillin is the hydroxyl group that makes amoxicillin more soluble than ampicillin. Amoxicillin is in fact administered three times daily rather than four times daily.

A19 A Clarithromycin is desk prescription tramadol a macrolide antibacterial agent that should be used with caution in patients with renal impairment. The for tramadol hydrochloride dose should be reduced if creatinine clearance is less than 30 mL/minute and the modified-release oral preparation should be avoided in this scenario. A20 C Co-amoxiclav consists of the combination of amoxicillin (penicillin antibacterial agent) and clavulanic acid (beta-lactamase combination parcetamol tramadol inhibitor) which is associated with a risk of crystalluria in patients with renal impairment who are receiving high doses, particularly during parenteral therapy. Gentamicin is an aminoglycoside, which is a group of antibacterial combination parcetamol tramadol agents that is associated with nephrotoxicity and ototoxicity. Their systemic administration to patients with renal impairment should be undertaken carefully but the advantages of this group of antibacterials (particularly their activity against many Gram-negative microorganisms) should outweigh this risk. When gentamicin and other aminoglycosides are used systemically, the serum concentration is monitored to prevent nephrotoxicity and ototoxicity. In patients with renal impairment, drug serum concentration monitoring should be started earlier and more frequent measurements are recommended.

A22 D Fusidic acid is a narrow-spectrum, antibacterial agent that relies on hepatic elimination. No cautionary action is recommended for patients with renal impairment. A23 E Gentamicin, as with other aminoglycosides, is excreted through the kidney, and in renal impairment there is the risk of accumulation.

Consequently doses are reduced and dosing interval increased in patients with renal impairment. A24 A Metoclopramide is ineffective in motion sickness, as it acts selectively on the chemoreceptor trigger zone. Metoclopramide is effective in ritalin wellbutrin treating vomiting associated with gastroduodenal, biliary and hepatic disease, and postoperative vomiting. A25 B Promethazine is an antihistamine, which leads to sedation and is therefore used in motion sickness when a sedative effect is desired. A26 A dose of hydrocodone for 11 yr. old Metoclopramide is a dopamine receptor antagonist, which acts selectively on the chemoreceptor trigger zone. A27 B Dulco-lax tablets containing bisacodyl, a stimulant laxative, must be swallowed whole with water and not chewed to decrease occurrence of abdominal cramps. A28 B Slow-K is a modified-release preparation containing potassium chloride. Patients taking Slow-K are advised to take the tablets in an upright position, while standing or sitting. The tablets should be swallowed whole with plenty of combination parcetamol tramadol water, to avoid gastrointestinal irritation. A29 A Zaditen syrup contains ketotifen, an antihistamine that may cause drowsiness. Patients are therefore advised not to extracting oxycodone from pills drive or operate machinery.

All patients taking metronidazole are advised to avoid alcohol as the combination of alcohol and metronidazole may lead to a disulfiram-like reaction. A31 E Flucloxacillin is a penicillin that must be taken either an hour before food or on an empty stomach for better absorption.



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