Carbapenems Flashcards
Carbapenem Coverage
MDR, G+, G-, Anaerobes
NO atypical, MRSA, VRE, C. Diff
Ertapenem - NO pseudomonas, Acinetobacter, Entero
Doripenem
IV: 500mg Q8h
Imipenem/Cilistatin (primaxin)
IV: 0.25 - 1g q6-8h
Meropenem (Merrem)
IV: 0.5 - 1g Q8h
IV: 4g Q8h w/ vaborbactam (Vabomere)
Ertapenem (Invanz)
IV/IM: 1g QD
Contraindications
Anaphylaxis w/ beta-lactams
Side Effects
Diarrhea
DRESS
seizure w/ impaired kidney (imipenem)
Incr. LFTs
Monitoring
Renal function
Anaphylaxis
CBC
Incr. LFTs
Drug Interactions
Decrease VAP [ ]+
Drugs that lower seizure threshold (quinolones, bupropion, tramadol, ganciclovir)
Monobactam
Used when beta-lactam allergy present
Cover G-, Pseudomonas
NO G+, anaerobes
Aztreonam (Azactam)
IV: 0.5 - 2g Q6-12h
Side effects
Rash
GI upset
N/V/D
Incr LFTs