Antimicrobial Side Effects Flashcards
First Aid Anti
What are the main negative side effects associated with use of penicillin G or penicillin V?
Hypersensitivies
Direct Coombs hemolytic anemia
Interstitial nephritis
First Aid Anti
What are the main negative side effects associated with use of penicillinase-sensitive penicillins (amoxicillin, ampicillin)?
Hypersensitivities
Rash
Pseudomembranous colitis
First Aid Anti
What are the main negative side effects associated with use of penicillinase-resistant penicillins (dicloxacillin, nafcillin, oxacillin)?
Hypersensitivities
Interstitial nephritis
First Aid Anti
What are the main negative side effects associated with use of antipseudomonal penicillins?
Hypersensitivities
First Aid Anti
What are the main negative side effects associated with cephalosporin use?
Hypersensitivities
Hemolytic anemia
Disulfiram-like reaction
Vitamin K deficiency
(also increase aminoglycoside nephrotoxicity)
First Aid Anti
What are the main negative side effects associated with carbapenem use?
GI distress
Rash
CNS toxicity
First Aid Anti
What are the main negative side effects associated with use of monobactams (aztreonam)?
Usually none
(maybe some GI upset)
First Aid Anti
What are the main negative side effects of vancomycin use that are not widespread?
NOT trouble-free
Nephrotoxicity
Ototoxicity
Thrombophlebitis
First Aid Anti
What are the main negative side effects of vancomycin use that are more systemic?
Red man syndrome (prevented by histamines and slow infusion)
DRESS syndrome (drug reaction with eosinophilia and systemic symptoms)
First Aid Anti
What are the main negative side effects associated with aminoglycoside use?
Nephrotoxicity
Neuromuscular blockade
Ototoxicity
Teratogenicity
First Aid Anti
Aminoglycosides are contraindicated in which patient populations?
Renal failure patients (nephrotoxicity)
Myasthenia gravis patients (neuromuscular blockade)
Patients on loop diuretics (ototoxicity)
Pregnant patients (teratogenicity)
First Aid Anti
What are the main negative side effects associated with tetracycline use?
GI distress
Photosensitivity
Teratogenicity (associated with teeth discoloration and bone growth problems)
First Aid Anti
What are the main negative side effects associated with cloramphenicol use?
Anemia and aplastic anemia (both dose-dependent)
Gray baby syndrome
First Aid Anti
What are the main negative side effects associated with clindamycin use?
Pseudomembranous colitis
First Aid Anti
What are the main negative side effects associated with macrolide use?
MACRO
GI motility
QT arrhythmia
Cholestatic hepatitis
Rash
Eosinophilia