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9 Cards in this Set

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Carbapenems

Structure/Source? MoA? Susceptibility/Resistance?
Synthetic B-Lactams (Sulfur Repl with Carbon on ring)

Moa: (Same as Penic/Cephalo) Bind PBP and blocks crosslinking/peptidoglycan synthesis

Resistent to most B-Lactamase; Susceptible to carbpenemases
Carbapenem Coverage?

G+/-? DoC for?
Good for B-Lactamase producing g+/g-/anaerobes/ Enterobacter/Pseudomonas

DoC for Enterobacter
Imipenem

Metabolism/Protection/Usage? Ae (1)
(Carbapenem)

Rapidly degraded by Dihydropeptidase in Kidney, Needs Cisastatin to block dihydropeptidase;

Ae: Seizures in 50%
Doripenem

Class? Spectrum? Excretion? What doesn't it cover?
Carbapenem; Renal excretion

b-lactamase resistant g+/g-/anaerobes, pseudo DoC for Enterobacter

No MRSA,
Entapenem

Class? Spectrum? Excretion? What doesn't it cover?
Carbapenem; Renal excretion

b-lactamase resistant g+/g-/anaerobes, pseudo DoC-Enterobacter
No MRSA, No Pseudomonas coverage
Meropenem

Class? Spectrum? Excretion?
Carbapenem; Renal excretion

b-lactamase resistant g+/g-/anaerobes, pseudo DoC-Enterobacter

No MRSA coverage
Carbapenem Pk

Route? Excretion? Cross-Allergy Reactions?
Given IV or IM w/ lidocaine -irritates

Renal Excreted; Poss C-A-Rxn w/ penicillins
Monobactams

MoA? Resistance? Usage? IV vs IM coverage?
Bind PBP and block cell wall synthesis (same as other b-lactams)

B-Lactamase Resistence, used for Ceph/Penicillin/carbapenem allergic PT's

IV form only for g- rods (Hemoph/Enertobacteriaciae/Pseudo)
Aztreonam

Class? MoA? Usage? IV vs IM?
Monobactam; same mech as penicillin

Used for Pen/Ceph/Carba Allergic PT's; B-lactamase resistent

IV for g- rods only;