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105 Cards in this Set

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Common feature of Sulfonamides:

SULFA

Sulfonamides Mechanism of Action:

Prevents Folic Acid Synthesis

Indication of Sulfonamides:

UTIs


OM


"travelers diarrhea"



Examples/Meds with Sulfonamides:

Bactrim


Septra

Sulfonamides DD:

Sulfonylureas (increase BS)


Warfarin (increase bleeding)

Sulfonamides AE:

Photosensivity

😎

NI of Sulfonamides:

co-allergens (thiazides, sulfonylureas)

PE of Sulfonamides:

Increase water intake (3-4 L) daily

Common feature for Penicillin:

icillin

Penicillin Mechanism of Action:

Inhibits cell wall synthesis

Indications for Penicillin:

WIDE SPECTRUM

Examples/Meds with Penicillin:

Penicillin G


Amoxicillin


Ampicillin


Zosyn


Augmentin


Unasyn







Penicillin SE:

urticaria, pruritis, angiodema

Penicillin AE:

Anaphylaxis

Penicillin DD:

OC's


anticoagulants (increase bleeding)

NI for Penicillin:

know s/s for anaphylaxis


IV: give 1 hr before other antibiotic



PE for Penicillin:

PO - 1 hr before or 2 hrs after meal


Take with full glass of water


Oral Suspension - Refrigerate

Cephalosporins Common Feature:

CEF


CEPHA

Cephalosporins Mechanism of Action:

Inhibits cell wall synthesis

Indication of Cephalosporins:

Surgical prophylaxis (1st gen.)


Gonorrhea, PID (3rd gen.)


Tx: MRSA (5th gen.)

Examples/Meds with Cephalosporins:

1st - Cephazolin


3rd - Ceftriaxone


4th - Cefepime


5th - Ceftaroline

Cephalosporins SE:

diarrhea, abd cramps, rash, itching, edema.

Cephalosporins DF and DD:

Alcohol intolerance


Warfarin (increased bleeding)

Cephalosporins PE:

No alcohol for 3 days


eat yogurt to avoid superinfections

Carbopenems Common feature:

-PENEMS

Carbopenems Mechanism of Action:

Inhibits cell wall synthesis

Indications of Carbopenems:

MDR


Complicates body and tissue infection


Meningitis


Pyelonephritis

Examples/Meds with Carbopenems:

Meropenem


Ertapenem


Impipenem-cilastatin


Doripenem

Carbopenems AE:

Seizures


respiratory distress


death

Carbopenems SE:

N/V


D


Rashes

NI for Carbopenems:

IM - reconstitute with 1% Lidocaine


IV - infuse over 40 - 60 minutes



Monobactams Common feature:

ONAM

Monobactams Mechanism of Action:

Inhibits cell wall sysnthesis

Indication of Monobactams:

WIDE RANGE


UTI


SEPTICEMIA


ABD and GU infection



Examples/Meds with Monobactams:

Aztreonam

Monobactams SE:

N/V


D


rash

Monobactams AE:

EKG changes


Elevated LFT's

Tetracyclines Common feature:

CYCLINE

Tetracycline Mechanism of Action:

Inhibits protein sysnthesis

Tetracycline Indicators:

WIDE SPECTRUM


Gonorrhea/Chlamydia


RMSF


Acne

Example/Meds with Tetracyclines:

Tetracyclines


Doxycycline



Tetracycline AE:

Discoloration of teeth


Photosensitivity

😎

Tetracycline C:

Pregnant women


Breastfeeding


Children < 8

Tetracycline DD:

OC's (< effect)

NI of Tetracycline:

Binds with Ca+, Mg, Al

PE for Tetracycline:

No milk, antacid, iron preps within 1 hr before or 2 hrs after

Aminoglycosides Common feature:

CIN

Aminoglycosides Mechanism of Action:

Prevents protein sysnthesis

Aminoglycosides Indications:

E. Coli


Klebsiella spp


Prophylaxis: GU and GI procedures to prevent endocarditis

Examples/Meds with Aminoglycosides:

Gentamycin


Tobramycin


Neomycin

Aminoglycosides AE:

Ototoxic


Nephrotoxic


Thrombocytopenia


Agranulocytes

👂🏽

Aminoglycosides DD:

Wafarin (do not use)


NMBDs (do not use)


Loop diuretics (ototoxicity)

Aminoglycosides NI:

Monitor blood levels (BUN & Crea)


Hydration (renal function)


IM - ice site to reduce pain


IV - infuse slowly over 30-60 min

Fluoroquinolones Common feature:

FLOXACIN

Fluoroquinolones Mechanism of Action:

Alters DNA

Fluoroquinolones Indications:

UTI


URI


Pneumonia


Gonorrhea


Anthrax (cipro)

Examples/Meds with Fluoroquinolones:

Ciproflaxin


Levoflaxin

Fluoroquinolones AE:

Photosensitivity

😎

Fluoroquinolones PE:

do not take with acidic foods or antacids


Take 2 hrs before or after meals


Drink plenty of fluids (crystalluria)

Fluoroquinolones W:

Monitor for CNS effects (driving)

Macrolides (z-pack) Common feature:

ROMYCIN

Macrolides Mechanism of Action:

Prevents protein sysnthesis

Macrolides Indications:

Strep


URI


LRI


Pneumonia

Example/Meds with Macrolides:

Erythromycin


Azithromycin

Macrolides DD:

Theophylline (toxicity)

Macrolides AE:

Eosinophilla


Anaphylaxis


Hepatotoxic

Macrolides PE:

Full of water 1 hr before or 2 hrs after meals


Coated can be taken wit meals


NO FRUIT JUICE (Acid-sensitive)



Macrolides NI:

Monitor LFT's

Cleocin Indications:

Chronic bone Infection


Abd infections


GU infections

Examples/Meds with Cleocin:

Clindomycin

Cleocin AE:

C. diff

Oxazolidinones Brand Name:

Zyvox

Oxazolidinones Indications:

VRE


MRSA

Examples/Meds with Oxazolidinones:

Linezolid

Oxazolidinones AE:

Hypotension

Oxazolidinones DD:

SSRI (serotonin syndrome)

Oxazolidinones DF:

Tyramines

Flagyl Indications:

Protozoal


Abd infections


GYN infections

Examples/Meds with Flagyl:

Metronidazole

Macrodantin Indications:

UTI

Examples/Meds with Macrodantin:

Nitrofurantoin

Synercid Indications:

VRE


MRSA

Examples/Meds with Synercid:

quinupristin-dalfopristin

Synercid AE:

Myalgia (muscle pain)


Arthralgia (joint pain)

Macrodantin W:

Fetal hepatotoxicity

Macrodantin CA:

monitor renal function

Vancocin Indications:

MRSA (DOC)


C. diff

Examples/Meds with Vancocin:

Vancomycin

Vancocin AE:

ototoxicity


Nephrotoxicity


RED MAN SYNDROME

Vancocin DD:

NMBDs (additive effect)

Vancocin NI:

monitor blood level


IV: infuse over 60 min

Lipopeptides Brand Name:

Cubicin

Lipopeptides Indications:

MRSA


VRE

Examples/Meds with Cubicin:

Daptomycin

Vibativ Indications:

MRSA


VRE

Examples/Meds with Vibativ:

Telavancin

Vibativ AE:

Renal Toxicity


QT prolongation

Dalvance Indications:

MRSA

Examples/Meds with Dalvance:

Dalbavancin

Dalvance NI:

Long 1/2 life (dosed once a week)

Polypeptide Brand Name:

Coly-Mycin

Polypeptide Indications:

Gram-negative

Examples/Meds with Coly-Mycin:

Colistimethate

Polypeptide AE:

Acute respiratory failure

Polypeptide NI:

Commonly called Colistin