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36 Cards in this Set
- Front
- Back
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Staph epidermidis |
Vancomycin and DC central lines |
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Coag negative staph |
Vanc and scooter central lines OR linezolid (oral) |
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MRSA |
Vancomycin |
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Succinylcholine |
-Short acting paralytic -Avoid with hyperkalemia (>5.5) -Risk for hypocalcemia |
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Linezolid |
Similar to Vanc. For MRSA or vre Or for oral use when IV not available Not for gram-negative infections |
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Ateopine |
Helps drive secretions Prevents reflex bradycardia |
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Given safely IV for GBS |
Aqueous crystalline Penicillin G |
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Fungal sepsis- 1st line |
Amphotericin B |
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Systemic candidiasis |
Amphotericin B. If not working or CNS involvement use Fluctysone or Fluconazole too |
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E. Coli |
Amp/gent or Cefotaxime |
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Gram positive organisms tx of choice |
Penicillin |
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Gram positive organisms tx of choice |
Penicillin |
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Meropenem |
Good coverage for gram negative bacteria
Increases cephalosporinases Increases risk fungal superinfection |
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True antibiotic MIC |
>/= 16 |
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Amp resistant E. coli |
When mom exposed to amp during pregnancy (uti, etc) |
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Morphine and Benzos |
Risk for long term developmental issues |
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Midazolam |
Risk for death, IVH, PVL, and movement disorders |
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Dexmedotimine (Precedex) |
Similar to clonidine- arousable sedation Selective alpha 2 adrenergic receptor agonist 94% protein bound!! Risk for hyperbili! |
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First generation cephalosporins |
Gram-positive bacteria |
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First generation cephalosporins |
Gram-positive bacteria |
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Later cephalosporins |
Gram-negative bacteria |
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Cefotaxime |
For bacterial meningitis |
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Third-generation cephalosporins |
Cefotaxime, Ceftazadime, ceftriaxone Good CNS coverage Displaces Bilirubin from binding sites- do not use if jaundiced |
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Piperacillin and tazobactam |
For Klebsiella pneumonia (non ESBL producing) |
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Carbopenems (meropenem/imipenem) |
ESBL producing Klebsiella pneumoniae |
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Gram negative infections |
Piperacillin/tazobactam (Zosyn) (nosocomial- non CNS)
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Gram negative infection (non-CNS) |
Imipenem/Cilastin (non-CNS due to some reported seizures) |
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Gram negative infection- CNS |
Meropenem (merem) - no risk for seizure- better coverage- multi- resistant and polymicrobial treatment |
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Gram negative infection- CNS |
Meropenem (merem) - no risk for seizure- better coverage- multi- resistant and polymicrobial treatment |
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Cefepime |
Fourth generation cephalosporin- used for serious gram negative infections resistant to 3rd generation treatment. More penetration through cell wall |
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First line treatment fungal therapy |
Amphotericin B |
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Anti fungal prophylaxis |
Fluconazole? |
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Anti fungal prophylaxis |
Fluconazole? |
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Medications to limit use of to avoid fungal infection |
-Postnatal steroids -H2 antagonist -3rd or 4th generation cephalosporins |
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Nystatin use |
Oral fungal prophylaxis- limited to GI colonization |
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Aspergillus infection |
Voriconazole |
