CAPA ABX Flashcards
PenG admin
IV or IM
Pen VK admin
PO
Benzthine penicillin admin
long acting IM (syphillus)
Common treatments for natural penicillinss
strep pharngitis, cellulitis
Aminopenicillins (2 examples)
ampicillin, amoxicillin
Ampicillin admin
IV
Common treatment for aminopenicillins
pharyngitits, sinusitis, otitis media, endocarditis prophalaxsis, lyme dz (for patients under 8)
Antistaph penicillins do/do not have MRSA coverage
DO NOT
Antistaph penicillins examples (2)
nafcillin (IV), dicloxacillin
Antistaph penicillins treatments
skin and soft tissue with suspected staph, but works well against strep as well
Augmented penicillins examples
augmentin, ampicllin/sulbactam (unasyn) (IV)
Coverage of aminopenicillins
streps, enterococci, boriellia bordorfi, listeria
Coverage of augmented penicillins
streps, enterococci, bergdorfi, lsiteria+ pastuerlla, morxella, Hflu, anaerobes**
treatment for augmented aminopencillins
dog bites, human bites, otitist media, sinusistis, acute exacerbation of chronic bronch, dental infections, skin and soft tissue
Augmented extended spectrum example…and added covereage
piptazo, all the above + PSEUDOMONAS
MOA of penicillins
stops cell wall syntesis by binding penicillin binding protein
Penicillin MOR
lactamases and PBP alteration
Peniciliins are ________ processed
renally
Clavulanate is associated with __________(adr)
diarrhea
Ceaphalosporins (1 gen) has great ___________ but poor _________ coverage
gram + (EXCEPT MRSA), gram-
examples of 1st gen cephalosporins
cefazolin (ancef IV) or cephalexin (Keflex PO)
What doesn’t 1st gen cephalosporin cover?
MRSA!
Common treatment indiciations for 1st gen cephalosporins
skin and soft tissue, strep pharyngitis, preof prophalzais (cefazolin), uncomplicated cyctisit
2nd gen cephalosporins examples
cefuroxime (ceftin)
2nd gen coverage
covers same as 1st, +strep pneumo, mcat, hflu
1st gen ceph coverage
strep pyogenes, MSSA, some gram - E coli, klebsiella, proteus
2nd generation cephalosporins exampel
cefuroxime (ceftin PO)
3rd generation cephalosporins examples
Ceftriazone (IV IM), cefdini (omnicef PO)
3rd gen ceph coverage
gram - with some gram +, NOT enteroccosu or MRSA
4th gen name and coverage
cefepime (IV) most gram - rods, +PSEUDOMONAS***
Next gen cephalosporins name and coverage
very broad gram - and gram + coverage, MRSA coverage**
penem general coverage
broad, excellent gram -, includes pseudomonas** (except ertapenem)
Carbapenems are usually used for __________
more resistant bacteria such as ESBL and pseudomonas
ADRs for carbapenems
seizures (especially imipnenm) and nephrotoxicity
Tetracyclines does or do not cover MRSA
do
MOA of tetercyclines
protein synthesis inhibition at 30S bacterial ribosome
MOR of tetracyclines
efflux pump
ADRs for tetracyclines
photosensitivity, contrainidicated in pregnancy
examples of tetracyclines
mino, tetra, doxy
Macrolides examples
ACE, Azitrho (PO or IV), claritho (PO), erythromycin (PO or IV)
Macrolide coverage
strep pneumo, strep pyogenes, mcat,, Hflu, ***chlamydia, mycoplasm, hpylori, bordetella pertusis
MOA of macrolides
protein synthesis inhibition at 50S ribosome
MOR of macrolides ribosolmal changes and efflux pump
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Safety concerns with macrolides
Clrithro is a CYPA4 inhibitor, monitor warfarin. QT prolonations (azithro)
ADR to erythromycin
nausea/vomiting/diarrhea
Special treatment for macrolides
whooping cough**
Lincosamides examples
clindamycin (PO, IV)
Coverage of lincosamides
anaerobes above diaphragm, Staph/strep in PCN allergic patient
MOA of lincosamides
protein synt inhibition at the 50S ribosome
MOR of lincosamides
ribosomal modications
ADRS of lincosamides
Nause/ diarrhea, CDIFF