Antibiotics Flashcards
antimicrobial
works against bacteria, fungal, + parasites
antibiotics
works against bacteria only
- NOT virus (cold, flu, covid)
- can be either broad-spectrum or narrow-spectrum
cidal vs static
cidal attacks attacks cell wall
static attacks proteins DNA synthesis
obstacles of abx
- BBB
- purulent abscess
- decreased blood flow
- —–mechanical non living or PAD/PVD
- inside heart
- —–especially in/under thrombus formation or endocarditis
- concomitant conditions
abx that are prone to resistance
MRSA- vancomycin
sulfa drugs
bactrim
supra/superinfection
- abx kills normal flora which causes opportunistic microbes to take over
- —C-diff
- —thrush
- —black hairy tongue
antibiotic resistance
- prevent by making sure level is above MEC
- finish the abx as instructed
allergic reaction
-tachypnea, drop in BP, acute dizziness
stop medication
toxic reaction
- SJS
- acute tubular necrosis (kidney failure)
- immediate 1st dose interstitial nephritis
- hemolysis
***monitor BUN/creatinine, + peak test
bactericidal abx categories
1 PCN
2 cephalosporin
3 monobactams
4 carbapenems
5 glycopeptides
PCN
abx names
penicillin G
piperacillin-tazobactam
amoxicillin clauvinate
ampicillin
PCN
A/E
- pseudocollitis
- bloody stools
PCN - G
route/teaching
white + milky
-give IM or in IV bottle
Cephalosporin
abx names
ceftriaxone
cefazolin
cefuroxime
ceftriaxone, cefazolin, cefuroxime
AE
- ETOH cause disulfram-like rxn
- superinfection: black furry tongue
ceftriaxone, cefazolin, cefuroxime
RN
- ancef is used as prophylactic
- can cross BBB
- don’t give if allergice to PCN
carbapenems
abx names
imipenem
meropenem
imipenem, meropenem [carbapenem]
AE
- SJS rash
- suprainfection> black tongue
imipenem, meropenem [carbapenem]
RN
- cilastatin added to increase half-life
- don’t give if allergic to PCN
glycopeptide
abx name
vancomyacin
vancomyacin [glycopeptide]
Tx
- MRSA
- C.Diff
- alternative for PCN allergy
vancomyacin [glycopeptide]
AE
***nephrotoxic
—–peak/trough test
red man syndrome
ototoxic
tachycardia
low BP