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19 Cards in this Set
- Front
- Back
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Aminopenicillins,
coverage, via? |
better gram-, E. coli , other enterics (proteus, slamonoella, shigeela, etc) gram+ enterococcus , amp and amoxicillin, both PO but amoxocillin better (Amp-Gen) combo
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Penicillinase resistant penicillin's
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I met nase ox"
methicillin nafcillin oxacillin (all 3 IV) Cloxacillin, dicloxacillin, PO |
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Best Rx for Staph Aureus
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Nafcillin (IV), penicillinase resistent penicillin
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Anti-Pseudomonl penicillins
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wide gram- coverage, still penicillinase sensitive..
carboxypenicillins: ticarcillin, carbenicillin Ureidopenicillins: piper acillin and mezlocillin |
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Cephalosporin
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broad gram+, beta lactamse resistant,
4 classes based on gram- activity MRSA and Enterococcus (like strep faecalis) are resistent |
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First Gen Cephalasporins
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gram+, (main alternative to penicllins)
esp for Staph/ strep inf, Sx give to px before Sx. Cephalothin Cephrapirin Cephradine Cephalexin Cefazolin |
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2nd gen Cephalosporins
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better Gram- coverage, community acquired bacteria pneumonia and anaerobic bacteria (Bacteroides Fragilis) -- ALL PO/ (notIV)
1) cefamandole cefaclor cefuroxime cefoxitin cefotetan |
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1st tx for community acquired bacteria pneumonia and anaerobic bacteria (bacteroides Fragilis)
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2nd gen Cephalosporins
espeically Cefuroxime |
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1st line tx Strep Pneumonia and Haemophilus Inf
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this is community acquired pneumonia thus 2ng gen cephalosporin (Cefuroxime)
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Third Gen cephalosporins
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IV only, Inpx tx for community acquired pneumonia, meningitis, UTI/ pyelonephritis
especially Ceftriaxone: best CSF penitration for meningitis, also gonorrhea |
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Inpatient tx for community acquired pneumonia, meningitis, UTI, pyelonephritis
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3rd gen cephalosporins (IV)
esp Ceftriaxone: best CSF penetration |
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Impenem
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broadest Rx: psudomonas aeuginosa, enteroccus,
but MRSA is resistent and cells w/out cell wall (mycoplasma) --super stable super tiny beta lactamase |
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Aztreoname
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A tree on Me =( (gram-)
super gram-, aerobic Rx only binds transpeptidase of gram- kills nonsocomila, multi Rx resistant gram- like pseudomonas aeuginosa combine this w/ aminoglycosides to provide broad gram +/- coverage |
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Antibiotics against Pseudomonas Aeginosa
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Penicillins:
Ticarcillin Piperacillin Carenicillin Third gen Cephalosporins -- Imipenem Aztreonam (gram-) Ciproflaxacin Aminoglycosides: Gentamicin, Tobramycin, Amiacin |
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Rx against anaerobes (like Bacteroides Fragilis)
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Penicillins combined w// beta lactamase inhibitors //
2nd gen cephalosporins (Cefoxitin, cefotetan, cefmetazole) // Impenem Chloramphenicol Clindamycin Metronizadazole Moxi Floxacin Tigecycline |
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Rx for MRSA
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Vancomycin
Linezolid Daptomycin Quinurpristine /dalfopristin Tigecycline |
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VRE Rx (vancomycin resistant enterococci
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Linezolid
Daptomycin |
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Beta latamase inhibitors
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Clavulanic acid, Sulbactam, tazobactam
(bactams) |
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Anti-ribosamal antibiotics
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CCLEan TAG (first 4 50s, 2 are 30s)
Chloramphenicol Clindamycin Linezolid Erthromycin tetracycline AG- Aminoglycosides (only one that is IV IM only) |
