A client exposed to anthrax has presented to the healthcare setting. Which of the following medications below is the treatment for this biological exposure?
Amoxicillin/clavulanate (Augmentin)
Nystatin (Mycostatin)
Ciprofloxacin (Cipro)
Tamoxifen
The Correct Answer is C
A. Amoxicillin/clavulanate (Augmentin): Amoxicillin/clavulanate is a broad-spectrum antibiotic but not the preferred choice for anthrax exposure.
B. Nystatin (Mycostatin): Nystatin is an antifungal medication used for treating fungal infections, such as oral thrush or cutaneous candidiasis. It is not effective against anthrax, which is a bacterial infection.
C. Ciprofloxacin (Cipro): Ciprofloxacin, a fluoroquinolone, is the recommended first-line antibiotic for treating anthrax exposure due to its efficacy against Bacillus anthracis, the bacteria causing anthrax.
D. Tamoxifen: Tamoxifen is a selective estrogen receptor modulator (SERM) used primarily in the treatment of breast cancer. It has no role in treating bacterial infections like anthrax.
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Correct Answer is ["A","C","D","E"]
Explanation
A. This medication should not be taken if you are lactating: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in nursing infants.
B. This medication can cause hyperglycemia: Doxycycline is not known to cause hyperglycemia. This side effect is more common with certain steroids and antidiabetic drugs.
C. This medication may cause photosensitivity - Doxycycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn.
D. This medication should not be taken with antacids: Doxycycline should not be taken with antacids or supplements containing calcium, magnesium, or aluminum as they can interfere with its absorption.
E. This medication may cause discoloration of the teeth: Doxycycline can cause permanent discoloration of the teeth if used during tooth development, which is why it is generally not recommended for children under 8 years or during pregnancy.
Correct Answer is B
Explanation
A. Clotting Factors: Epoetin alfa does not directly influence clotting factors.
B. Hemoglobin & hematocrit: Epoetin alfa is used to stimulate red blood cell production, which increases hemoglobin and hematocrit levels. Monitoring these values helps determine the drug’s therapeutic effectiveness in improving anemia associated with chronic renal disease.
C. Leukocyte Count: This medication primarily affects red blood cells, not white blood cells (leukocytes).
D. ALT & AST: These are liver function tests and are not related to the therapeutic effect of epoetin alfa.