Antibiotic coverage &SE Flashcards
Cephalosporins
Hypersensitivity
Risk for C.diff
Penicillins
Hypersensitivity
Nephrotoxicity
Hematologic
False positive Coobs test
Cefepime
Biliary sludging
Ceftriaxone- under 1month
Serum sickness
Cefaclor
Bacteroids
Cephalosporins
Cefoxitin (Mefoxin)
Cefotetan (Cefotan)
Ceftolazane/tazobactam (Zerbaxa)
Pseudomonas
Cephalosporin
Ceftolazane/tazobactam( Zerbaxa )
Ceftazidime (Fortaz)
Cefepime (Maxipime)
HEN PEK
H. Influenza
Enterobacter
Neisseria
Proteus
E.coli
Klebsiella
Cephalosporin resistant bacterial
Atypical
Enterococcus
Listeria
Carbapenems
Seizure risk (imipenem) Hypersensitivity
Glycopeptide
Nephrotoxicity
Ototoxicity
Red-man syndrome
RBW dose
QT: telavancin
Bleeding: Orbactiv
Lipopeptide
Myopathy
Monitor CK: d/c > 10x
AG
Nephrotoxicity Ototoxicity PAE IBW dose Synergy dose for gram +
TC/GC
Photosensitivity Take with water and stand for 30min N/V Pregnancy category D Reduce OC effect Chelation
Macrolide/ ketolide
GI, QT, CYP 450 DDI,
Dificid
Only for c.diff
Block RNA synthesis by inhibiting RNA transcription
Lincosamide
Increase CDI. C. Diff
Require D-test
Oxazolidinones
Thrombocytopenia
Serotonin syndrome
FQs
C.diff risk CNS in elderly QT prolongation Tendinitis and rupture Photosensitivity Chelation Contraindication in pregnancy DDI with warfarin.
Flagyl
Disulfiram reaction Metallic taste Stomatitis Peripheral neuropathy Avoid in 1st tri and feeding
Bactrim
Sulfa allergy
GI, Hematologic
Avoid in pregnancy
Good for CSF Meningitis
Nitrofurantoin
Ineffective when renal under 40-50
Bactericidal only for UTI ( high concentration in bladder)
Rifampin
Fluid discoloration
Hepatotoxicity
CYP450 DDI
RIFABUTIN BETTER THAN RIFAMPIN
Colistin
Polymyxin
Available IV/IM/ inhalation
Nephrotoxicity elevated Scr/BUN
neurotoxicity