Nosocomial Pneumoniae Treatment Flashcards Preview

Clinical Medicine- Pulmonary > Nosocomial Pneumoniae Treatment > Flashcards

Flashcards in Nosocomial Pneumoniae Treatment Deck (10):
1

Drugs from the 1st group

Cefepime 2g q8h OR Ceftazidime 2gm q8h OR Imipenem 1gm q8h OR Meropenem 1gm q8h OR Piperacillin/Tazobactam 4.5mg q8h

2

Drugs from the 2nd group

Ciprofloxacin 400mg q8h OR Levofloxacin 750mg q24h OR Amikacin 20mg/kg/qd OR Gentamicin 7mg/kg/qd OR Tobramycin 7mg/kg/day

3

Drugs from 3rd group

Vanco 15mg/kg q12h OR Linezolid 600mg q12h

4

How long should you treat IV?

8 days

5

When would you add vanco or linezolid?

If you suspect MRSA

6

What organisms are you providing double coverage for?

Pseudomonas, Klebsiella, Acinetobacter

7

What do you need to add if you suspect Legionella?

Macrolide (Azithromycin, erythromycin, chlarithromycin) good for atypical coverage. bind irreversibly to 50S subunit

8

Beta lactams

Imipenem, ertapenem, meropenem

9

Side effects of vanco

"red man syndrome" from histamine release when given rapidly, phlebitis, ototoxicity and nephrotoxicity high levels or given with other toxic drugs

10

Aminoglycosides

Gentamicin, tobramycin, amikacin, neomycin, streptomycin. Cidal-bind 30s subunit irreversibly. Preg cat D/C, nephrotoxic, ototoxic