Common pod drugs DOSE AND COVERAGE Flashcards

1
Q

Augmentin ( amoxicillin/clavulonic acid)

A

Coverage: gram positives, some gram negatives, and some anaerobes(bacteroides

Dosage: 500mg, 875mg, 1000mg PO BID
*each tab contains 125mg clavulonic acid

DOC for dog bites and cate bites( pasturella multocida)

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2
Q

Zosyn(pipercillin/tazobactam)

A

Coverage: gram positives, some gram negatives and anaerobes(bacteroides)

Dosage: 3.375mg IV q6

MC broad spectrum IV drug used for DM infections.

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3
Q

Unasyn(ampicillin/sulfabactam)

A

Coverage: gram positives, some gram negatives, and some anaerobes

Dosage: 1.5-3.0g IV q6-8

DOC for presumed aerobic and anaerobic infections.

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4
Q

PENICILLIN G

A

Coverage: pure streptococcal infections, anaerobes including clostridia (not bacteroides), and enterococcus.

Dosage: 10-20 million units IM/IV divided daily q 4 hours.
*Gustilo and Anderson farm or soil injuries.

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5
Q

Ancef (Kefzol/Cefazolin)

A

Coverage: Staphylococcus, streptococcus, gram negatives (E. Coli, Shigella, Salmonella, P. mirabilis), and anaerobes other than bacteroides.
Dosage: 0.5g - 2g IV q 8 hours

*Great bone penetration with long half-life – great surgical prophylaxis

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6
Q

Keflex (Cephalexin)

A

Coverage: Staphylococcus, streptococcus, gram negatives (E. Coli, Shigella, Salmonella, P. mirabilis), and anaerobes other than bacteroides.

Dosage: 250mg – 500mg PO bid -qid

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7
Q

Duricef (Cefadroxil)

A

Coverage: Staphylococcus, streptococcus, gram negatives (E. Coli, Shigella, Salmonella, P. mirabilis), and anaerobes other than bacteroides.

Dosage: 500mg – 1g PO daily

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8
Q

Gentamicin

A

Coverage: Aerobic gram negatives, staphylococcus, streptococcus, and no anaerobe coverage.

Dosage: 1.5-2mg/kg loading dose
1-1.7mg/kg divided q 8h
5-7mg/kg q 24h

Peak: 6-10 µg/ml
Trough: 2µg/ml

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9
Q

Clindamycin

A

Coverage: gram positives and anaerobes (no C. difficile)
Dosage: 600mg – 900mg IV/IM q 8 hours or
150mg - 300mg PO bid-tid

*Some MRSA effectiveness, watch for C. difficile.

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10
Q

Ciprofloxacin(Cipro)

A

Coverage: Most all gram negatives, pseudomonas, and have gram positive resistance (great with clindamycin).

Dosage: 500mg PO bid for mild to moderate infections and 750mg PO bid for severe infections and osteomyelitis.

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11
Q

LEvofloxacin(levaquin)

A

Coverage: Gram negatives and less pseudomonas coverage, but greater susceptibility for staphylococcus and streptococcus.

Dosage: 500 mg PO or IV for mild to moderate infections or 750mg PO or IV for complicated skin and skin structure infections (IV and PO dosing fairly equivalent).

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12
Q

Trimethoprim/Sulfamethaxazole (Bactrim DS)

A

Coverage: Bacteriostatic against all organisms, staphylococcus, MRSA, gram negatives (except pseudomonas), and limited activity against streptococcus

Dosage: 60mg Trimethoprim/800mg Sulfamethaxazole PO bid or tid for severe infections.

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13
Q

Vancomycin

A

Vancomycin is a bactericidal antibiotic that inhibits cell wall mucopeptide formation.

Coverage: Bactericidal against all gram positive organisms, MRSA, MRSE, enterococcus, gram positive anaerobes (clostridia, corynebacteria) and has no gram negative coverage.

Dosage: 1g IV q 12 hours (max dose 2g/day)

Peak: 20-30µg/ml
Trough: 10µg/ml

  • Beware: Red man syndrome! Administer over 45 - 60 min. Nephrotoxicity, Ototoxicity

**May use in oral form ONLY for pseudomembranous colitis (125mg PO qid) and only after flagyl fails.

**Used alongside Zosyn for IV antibiotic coverage in diabetic infections for coverage of MRSA

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14
Q

Zyvox(linezolid)

A

Coverage: All gram positives including enterococcus and MRSA

Dosage: 600mg PO/IV bid.

*100% bioavailability and hence reserved in IV form only for those who cannot tolerate PO.

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15
Q

Lamisil(Terbenafine)

A

Dosage: 250mg PO daily

Inhibits the fungal enzyme squalene epoxidase

*Liver metabolism so must monitor liver functions

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16
Q

Naftin

A

Dosage: 1% cream apply daily or gel apply bid

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17
Q

Lotrimin(Clotrimazole)

A

Dosage: cream/solution apply bid

Inhibits fungal steroid synthesis

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18
Q

Loprox (Ciclopirox)

A

Dosage: .77% cream/gel apply bid

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19
Q

Ciclopirox (Penlac)

A

Dosage: 8% lacquer apply daily

20
Q

Griseofulvin (Gris-Peg)

A

Dosage: 500mg PO daily

Interferes with microtubule function disrupting mitosis

21
Q

Fluconozole (Diflucan)

A

Dosage: 300mg PO weekly

Inhibits fungal steroid synthesis

22
Q

Itraconazole (Spronox)

A

Dosage: 100mg PO bid with fatty meal

Inhibits fungal steroid synthesis

23
Q

Percocet (Oxycodone/Acetaminophen)

A

Dosage: 5/325 1-2 PO q 4-6 hours PRN pain

24
Q

Vicodin (Hydrocodone/Acetaminophen)

A

Dosage: 5/325 1-2 PO q 4-6 hours PRN pain

25
Q

Morphine Sulfate

A

Dosage: 4mg IV q 4 hours PRN severe pain

PCA: dose/lockout/basal/max dose per hour

Morphine PCA: 1mg/6minutes/0basal/10mg/hour

26
Q

Dilaudid (Hydromorphone)

A

Dosage: 2mg IV q 4 hours PRN severe pain

Dilaudid PCA: .1mg/6 minutes/0 basal/1mg/hour

27
Q

Oxycontin (Oxycodone)

A

Dosage: 10mg (20, 30, 40, 60, 80) q 12 hours

28
Q

Ultram (Tramadol)

A

Dosage: 25-50mg PO q 4-6 hours PRN pain

29
Q

Tylenol (Acetaminophen)

A

Dosage: 650mg PO q 6 hours PRN pain

Maximum dose: 4g/day (FDA) 3g/day (Tylenol)

30
Q

Tylenol #3 (with Codeine)

A

Dosage: 1 PO (300/30) q 6 hours PRN pain

Maximum dose: 360mg daily

31
Q

Tylenol #3 (Pediatrics)

A

Dosage: .5-1mg/kg q 4-6 hours PRN pain.

Elixir: .5ml (12mg/120mg) q 4-6 hours PRN pain.

32
Q

Probenecid

A

Dosage: 500mg PO bid.

Inhibits renal tubular urate resorption and renal tubular penicillin secretion.

Avoid with renal impairment.

33
Q

Colchicine

A

Dosage: Acute: 1.2mg PO, followed by .6mg PO an hour until diarrhea or vomiting ensues.

Chronic: .6mg PO daily

Decreases leucocyte lactic acid production and phagocytosis of rate crystals, which decrease uric acid production and the inflammatory response.

34
Q

Allopurinol

A

Dosage: 200-600mg divided up to 4 doses a day.

Renal dosing is max 200mg/day.

Inhibits xanthine oxidase which prevents conversion to uric acid.

35
Q

Aspirin

A

Dosage: 81mg PO daily
325mg PO q4-6 hours

Irreversibly inhibits Cox-1 almost exclusively.

36
Q

Ibuprofen (Advil, Motrin)

A

Dosage: 300-800mg PO tid-qid

Inhibitory against Cox-1 and Cox-2 with a maximum dose of 3200mg/day.

37
Q

Naprosyn (Naproxen, Aleve)

A

Dosage: 250-500mg PO q 12 hours

Inhibitory against Cox-1 and Cox-2 with a maximum dose of 1500mg/day.

38
Q

Medrol Dose Pack (Methylprednisolone)

A
Dosage: 21 4mg tablets in a 6 day tapered dose
Day 1: 6 pills
Day 2: 5 pills
Day 3: 4 pills
Day 4: 3 pills
Day 5: 2 pills
Day 6: 1 pill
39
Q

Triamcinolone (Kenalog)

A

Dosage: 10-40mg/ml given as an injection

40
Q

Dexamethasone (Decadron)

A

Dosage: 4-8mg/ml given as an injection

41
Q

Benadryl

A

Dosage: 25-50mg IV/PO q 6 hours PRN pruritus

42
Q

Tylenol (Acetaminophen)

A

Dosage: 650mg PO q 6 hours PRN headache/fever greater than 101 degrees Fahrenheit

43
Q

Senna

A

Dosage: 2 tabs PO QHS for constipation

44
Q

Colace (Docusate)

A

Dosage: 100mg PO BID for constipation

45
Q

Lactulose

A

Dosage: 15ml PO daily for constipation

46
Q

Zofran (Ondansetron)

A

Dosage: 4mg IV q 6 hours PRN nausea/vomiting

47
Q

Glucophage (Metformin)

A

Dosage: 500-1000mg PO bid

MOA: decreases hepatic glucose production and intestinal glucose absorption; increases insulin sensitivity.