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77 Cards in this Set

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Chlamydia DOC
Doxy, azithro, erythro, floxin
E. Faecalis
PAVLA
PCN, amp, vanc, linezolid, ag

Clinda/keflex wont treat
Gonorrhea
Ceftriaxone, cefixime (PO), cipro, ofloxacin
Legionella DOC
Macrolides

Alternative, rifampin, cipro, levaquin
Lyme
Doxy, amoxicillin, Ceftin

dirithromycin
Erythro injection salt forms
lactobionate & gluceptate
Erythromcyin TOPICALS
Acne -->
Opthalmic
Staticin & Emgel

Ilotycin - opthalmic
Erythromycin increases levels of
theo, cbz, valproate, simvastatin, lovastatin, cyclosporine, triazolam
Zithromax not for < than ____
6 months of age
Mycoplasma pneumonia
macrolide, TCN, doxy, FQ
Onchomyosis
FLu, itra, terbinafine
Nystatin
Brands
Dosage form
Bio-statin, Mycostatin, Nystat, Nystop, Pedi-Dri

tablet, vaginal tab, suspension, cream, ointment, lozenge, powder for reconstitution
Mycolog
Nystatin and triamcinolone- ileostomy pouch, tape burn
Pseudomonas
Anti-pseudomonas PCN
ceftazidime, cefipime + AG
Quinolone + imipenem
Sulfacetamide
opthalmic sulfonamide derivative --> Bleph-10, Sodium Sulamyd
Sulfonamides can cause

2 things mainly
SJS

Crystalluria --> 2/3 L water
Zovirax important counseling tip
Water! 2/3L water
Staph w/ PCN allergy
Erythromycin, Vanc, clindamycin, TCN, linezolid, synercid,
Systemic antifungal
Diflucan
Rifampin (Rifadin Rimactane) can cause
orange discoloration
Isoniazid can cause ______ deficiency and _________
pyridoxine B6

peripheral neuropathy
Dont give doxycycline w/
trivalent cations --> Aluminum
What is the DOC for syphilis?
PCN
DOC for mammalian bites?
Augmentin
DOC for listeria & enterococcus
AMP
What antibiotic avoid in HF or HTN?
Timentin due to Na load

Fungally- Itraconazole (CI in HF)
Which abx have MTT side chains?

What are the 2 risks with this
cefmetazole (Zefazone), cefotetan (Cefotan), Cefamandole (Mandole), cefoperazone (Cefobid)
hyperprothombinemia & disulfiram like rxn
What is the DOC for SSSI?
1st gen ceph
Best anaerobe activity of Cephs?
cefoxitin
Which cephalosporins are cephomycins?
cefotetan, cefoxitin, cefmetazole
Ceclor big side effect
serum sickness
Cefpodoxime should be

2 thingsq
refrigerated
taken with food
Dose for ceftriaxone in meningitis?
2g IV q12h
Cefdinir counseling points
do not take with Al or Mg antacids or iron or food
Cefepime Does not cover?
anaerobes
Carbapenems can cause _______
seizures, imipenem is worst
Does aztreonam have to be dose adjusted in RI?
NO
Ideal peak/trough for gent/tobra?
Peak 4-10
trough<2
Do aminoglycosides have anaerobic activity?
no
Avoid ilosine (Erythro estolate)due to
increased incidence of cholestatic hepatitis
Erythromycin in what form causes ototoxicity?
IV
Biaxin has what SE?
metallic taste
Name two major SE of ketek?
QTC prolongation
Hepatotoxicity
Which drug is contraindicated with cisapride (Propulsid) and Pimozide (Orap)
Ketek --> QT prolongation
AE of chloramphenicol
gray baby syndrome, idiosyncratic aplastic anemia
What must you avoid with TCN?
antacids, iron, zinc
What is the age restriction for TCN's
8 yoa
Major SE to tygacil?
Profound NV
What is the DOC for UTI?
Bactrim
What is the DOC for PCP?
Bactrim
Ratio of Sulfamethoxazole to trimethoprim?
5:1
Septra interacts with ?
Warfarin and phenytoin
1 ds tab is equal to ____ IV and _____ suspension?
10, 20 ML
What drugs reduce quinolone absorption?
5
antacids, Ca2+ supps, iron, sucralfate, didanosine (Videx)

doses 2-4 hrs apart
Which FQ doesnt have to be renally adjusted?
Avelox
Trough for vanc?
10-20 anything less than 4 is wrong
3 flagyl SE's?
metallic taste, disulfiram, dose related PN
WHen is linezolid induced myelosuppression generally seen?
2 weeks
MOA of Dapto?
deposits calcium inthe the bacterial cell wall causing cell death
DOC for CAP = ambulatory?
Macrolide, FQ
nosocomial pneumonia?
AG + 3rd gen ceph, cefipime, timentin, zosyn, meropenem, imipenem

Vanc if MRSA suspected
Adult aspiration pneumonia?
PCNG or clinda
Hospital acquired aspiration pneumonia?
Timentin or zosyn
Latent TB DOC?
Isoniazid for 9 months
How do u treat infectious diarrhea with-
1. E. coli
2. Salmonella
3. Shigella
4. Campylobacter
5. Yersinia
6. Vibrio
1. FQ or bactrim if inpatient
2. if febrile FQ or bactrim
3. Bactrim
4. Macrolide or FQ
5. FQ
6. TCN or FQ
DOC for gonorrhea?
Ceftriaxone
What is the DOC for cryptococcus meningitis?
AmphoB + flucytosine or diflucan
Hepatitis B?
Lamivudine 3tc Epivir + interferon alpha 2b
Hepatitis C?
Acute - interferon alpha 2b
Chronic- + ribavirin
What should be given to a patient with Zoster who is resistant to acyclovir?
Foscarnet (Foscavir)
Erisypelas and Pen allergy?
erythromycin
Which AG is only given IM?
streptomycin
Which has greater pseudomonas activity? tobra or gent?
Enterococci?
tobra
Gent
What are the three risk factors for neuromuscular blockade with AG?
myasthenia gravis, hypoCa, elevated peaks
Dicloxacillin should be given with food? TF
F
Spectrobid
Bacampicillin
Dose of zosyn for pseudomonas?
4.5g IV q6h