things to remember Flashcards
(46 cards)
Natural PCN’s
great for streptococcus species
Aminopenicillins
drug of choice for enterococcus
DONT FOR GET LISTERIA
dicloxacillin
oxacillin
nafacillin
Drug of choice against staphylococcus
DOSE Adjust LIVER
Pipercillin
Streptococcus VSE Neiserria PSUEDOMONAS GP anaerobes
Aminopenicillinase/Beta lactatmase inhibitor
streptococcus VSE GNR HNM Anaerobes (+/-)
Antipusedomonal/betalactamase
Streptococcus VSE MSSA GNR HNM Psuedomonas Anaerobes (+/-)
2nd gen cephs
URI and walking pneumonia
streptococcus
GNR
HNM
Few anaerobes
3rd gen ceph
great empiric therapy
URI/UTI/Otitis media
Ceftazidime
GNR
HNM
psuedomonas
Cefepime
most broad spectrum (great empiric therapy)
Streptococcus MSSA GNR HNM Psuedomonas
Renal dose adjust esp in elderly
Ceftraroline
Streptococcus VSE MSSA GNR HNM
Ceftazadime/Betalactam
GNR
HNM
Psuedomonas
Reserved for SPACE pathogens
Ceftolozane/Tazobactam
Streptococcus
GNR
HNM
Psuedomonas
Carbapenems
SPEFICALLY FOR MDR(SPACE PATHOGENS) or SEPTIC SHOCK
very resistant to betalacamases
streptococcus VSE MSSA GNR HNM Psuedomonas
Ertapenem
streptococcus VSE MSSA GNR HNM
Meropenem/betalactamase inhibitor
Drug of choice for patients wit carbapenem -resistant enterobacter
Aztreonam
Safest drug to give with allergies \$\$\$\$$ Always given in tandem to get with GP covering agent GNR HNM Psuedomonas
Glycopeptides MOA
inhibit PBP from cross linking peptidoglycan
only susceptible to gram pos drugs only (except VRE)
bacteriostatic drugs
Streptococcus VSE MSSA MRSA GP+
Vanco IV vs. PO
infections (random levels vs. troughs
MRSA- 15-20
MSSA 10-20
PO-Cdiff (smaller doses no monitoring )
Tetracycline MOA
inhibit protein synthesis
prevent tRNA binding to 30s ribosomal subunit
bacteriostatic
dose adjustments: liver
Doxycycline and Tetracycline
• Strepto • MSSA • MRSA • HNM • Atypical don't give in children less than 8 because of enamel genesis vestibular toxicity and photosensitivity
dose adjustments: liver
Minocycline
Minocycline (MINO ATYPICAL) • Strepto • MSSA • MRSA • HNM dose adjustments: liver
Tigecycline
everything but VRE and Atypical
dose adjustments: liver
**CAN BE USED FOR MDR GNR INFECTIONS
Omadacycline
Omadacycline: Same + HM and Atypical • Strepto • VRE • MSSA • MRSA • GNR • HM • Atypicals dose adjustments: liver