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37 Cards in this Set
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- Back
- 3rd side (hint)
Penicillin G
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IV 20-24 million U/day
IM 1.2 million U/day DOC for most pure streptococcal infections 1 million U = 625mg |
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Penicillin V
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250-500 mg PO q6h
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Ampicillin
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*IV 2g q4-6h
(PO 250-500 mg q6h) |
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Amoxicillin
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PO 250-500 mg q8h
Better oral absorption than ampicillin |
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Nafcillin
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IV or IM 1-2 g q4-6h
DOC Staph aureus |
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Cloxacillin
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PO 250-500 mg q6h
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Dicloxacillin
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PO 250-500 mg q6h
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Timentin
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Ticarcillin/Clavulanic Acid
IV 3.1 g q6-8h (3 g ticaracillin + 100 mg Clavulanic acid) Anaerobes/staph/strep Watch for Na+ loading & hypokalemia |
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Augumentin
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Amoxicillin/Clavulanic Acid
PO 500-875 mg (*all contain 125 mg Clavulanic acid) DOC human/animal bites |
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Unasyn
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Ampicillin/Sulbactam
IV/IM 1.5-3 g q6h 1.5 less severe inf. Parenteral 2:1 - 2 g A to 1 g S Acinetobacter (troops from Middle East) |
USA
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Zosyn
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Piperacillin/Tazobactam
IV 3.375 g q6h DOC DFI |
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Pseudomonas
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"Take care of pseudomonas"
T = ticarcillin C = carbenicillon P = piperacillin *Never as single use |
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Cephalexin
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Keflex
1st generation Gram + PO 250-1000 mg q6-12h |
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Cefazolin
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Ancef
IV 250-1500 mg q6-8h 1st generation DOC surgical prophylaxis B/C: 1. Staph/strep MC so cover them 2. Long 1/2 life 3. Excellent penetration |
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Cefuroxime
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Ceftil
2nd generation - more Gram - PO 250-500 mg q12h |
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Ceptriaxone
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Rocephin
3rd generation IV/IM 0.5-2 g q12h DOC gonorrhea *give IM in ass so you can jump start coverage until IV/PO kick in |
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Ceftazidime
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Fortaz
IV/IM 1g q8-12h |
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Cefepime
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Maxipime
4th generation Anti-pseudomonal (others are better) IV 1-2 g q12h |
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Ciprofloxacin
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Cipro
Fluoroquinolones PO 250-750 mg q12h IV 200-400 mg q12h DOC pseudomonas infection if it's the only thing grown on culture SE: Increased risk of tendonopathy |
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Levofloxacin
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Levaquin
Fluoroquinolone PO/IV 250-750 mg q12h ***DOC: LE DFI*** SE: Increased risk of tendonopathy |
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Moxifloxacin
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Avelox, Vigamox
Fluoroquinolone PO 400 mg q24h Empiric DFI SE: Increased risk of tendonopathy |
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Imipenem
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Primaxin = imipenem/cilastin
Carbapenems IV 500 mg q6-8h Broad spectrum - "gorillamycin" Cilastin prevents hydrolysis in kidneys Lowers seizure threshold |
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Meropenem
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Merrem
Carbapenem IV 1-2 g q8h More Gram (-) coverage |
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Ertapenem
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Invanz
Carbapenem IV/IM 1g q24h Once daily dosing* DOC empiric tx DFI NO pseudomonas coverage |
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Gentamicin
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Aminoglycoside
IV 5-7 mg/kg q24h Loading dose: 2 mg/kg Gram (-) |
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Tobramycin
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IV 5-7 mg/kg q24h
Loading dose: 2 mg/kg Gram (-) |
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Amikacin
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Aminoglycoside
IV 7.5 mg/kg q12h Loading dose: 7.5 mg/kg Gram (-) |
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Aminoglycoside SE
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1. Ototoxicity
2. Nephrotoxicity 3. Neuromuscular blockade |
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Metronidazole
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Flagyl
PO 500 mg q6-8h DOC: Pseudomembranous colitis from c. diff Gram (-) anaerobes |
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Clindamycin
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Macrolide
IV 600-900 mg q8h Outpt: PO 150-300 mg q8-24h Metabolized by liver Gram (+) & anaerobes, not MRSA MCC OF DIARRHEA SECONDARY TO C. diff |
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Erythromycin
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Macrolide
PO 250-500 mg q6h DOC corynebacterium minutissimum (woods lamp) SE: GI (N/V) |
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Azithromycin
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Macrolide
Gram (+) Z Pak: 500 mg (2 pills) day 1 --> 250 mg for 4 days |
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Minocycline
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Tetracycline
PO 100 mg q12h DOC: MRSA when TMP/SMX is resistant or linezolid is too $$ Contraindicated in pregnancy - teeth staining Gram (+) & (-), and unusual pathogens |
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Doxycycline
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Tetracycline
PO 100 mg q12h DOC early Lyme disease at erythema migrans stage Contraindicated in pregnancy Gram (+) & (-), including MRSA |
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Vancomycib
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IV 1g q12h (slowly over 45-60 min)
PO 125 mg q6h *only indicated for colitis d/t poor absorption Max dose: 2g/d ***monitor troughs, normal is 10uL, if too high, must increase TIME between dosing DOC: MRSA & MRSE |
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Linezolid
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Zyvox
IV/PO 600 mg q12h Covers all Gram (+) DOC: very resistant Gram (+) infections VERY $$$$ |
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Rifampin
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Rifadin
PO 300 mg q12h Adverse: RED body fluids Used in combo therapy - rapid development of resistance |
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