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13 Cards in this Set

  • Front
  • Back

Penacillianase resistant pens

Methacilian, Nafcillian, oxacillian




disruption of peptidoglycan


pen works on gram +

First generation cephalosporins

cefazolin (Ancef), cephaparin, cephalexin,



Gram + cocci (uncomplicated skin)



Disrupts cell wall synthesis



Transaminitis/nausea/diarrhea/rash



Oral contraceptives and coumadin

Second generation cephalosporins

Cephacor, cefotetan, Cefoxitin, cefprozil, cefuroxime



Gram + and Gram -



Disrupts cell wall synthesis


Transaminitis/nausea/diarrhea/rashEtOH = bad



Oral contraceptives and coumadin

Third generation Cephalosporins


Ceftriaxone, cefpodoxime, cefdinir, cefixime, Ceftazadim (Pseudomonas)



Hemof influ, Gram - does not work as well for gram +



Disrupts cell wall synthesis


Transaminitis/nausea/diarrhea/rash EtOH =bad



Oral contraceptives and coumadin

Fourth generation cephalosporins

Cefepime



Gram + cocci, gram - bacilli, ESBL, Betalactamase producing strains

Fifth generation Cephalosporine

Ceftaroline



MRSA coverage, and e facealis

Fluoroquinolones

Cipro, levo, moxi, norflo



Inhibit DNA replication



UTI, PNA, prostatits,



Blood glucose disturbances arrhythmias, tendon ruptures (especially in those taking corticosteroids), neuropathy, and CNS nervousness, agitation, insomnia, anxiety, nightmares,

Aminoglycocides



Orally or parenterally

Gentamycin, tobramycin, neomycin, kanamycin, Amikicin,



Aerobic, gram - and some gram +


common for abdominal and UTI



!!Nephrotoxicity!!

Monobactams


(Parentaral)

Aztreonam



B lactam ring, only work against gram - bacteria

Carbapenums


(Parenteral)

Ertapenum, Imienum, Meropenum



Extremely broad spectrum, No MRSA

Marcolides

Azithromycin, clithromycin, dirthromycin, erythromycin, clindamycin



Gram + and -



Inhibit protein synthesis P 450 inhibitor



N/VD QT ototoxicity


Digoxin theophyline

Glycopeptides

Vancomycin

Sulfonamides



cotrimoxazole

Inhibit folate production. Need immune system to kill remaining