Common pod drugs DOSE AND COVERAGE Flashcards
Augmentin ( amoxicillin/clavulonic acid)
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)
Zosyn(pipercillin/tazobactam)
Coverage: gram positives, some gram negatives and anaerobes(bacteroides)
Dosage: 3.375mg IV q6
MC broad spectrum IV drug used for DM infections.
Unasyn(ampicillin/sulfabactam)
Coverage: gram positives, some gram negatives, and some anaerobes
Dosage: 1.5-3.0g IV q6-8
DOC for presumed aerobic and anaerobic infections.
PENICILLIN G
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.
Ancef (Kefzol/Cefazolin)
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
Keflex (Cephalexin)
Coverage: Staphylococcus, streptococcus, gram negatives (E. Coli, Shigella, Salmonella, P. mirabilis), and anaerobes other than bacteroides.
Dosage: 250mg – 500mg PO bid -qid
Duricef (Cefadroxil)
Coverage: Staphylococcus, streptococcus, gram negatives (E. Coli, Shigella, Salmonella, P. mirabilis), and anaerobes other than bacteroides.
Dosage: 500mg – 1g PO daily
Gentamicin
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
Clindamycin
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.
Ciprofloxacin(Cipro)
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.
LEvofloxacin(levaquin)
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).
Trimethoprim/Sulfamethaxazole (Bactrim DS)
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.
Vancomycin
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
Zyvox(linezolid)
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.
Lamisil(Terbenafine)
Dosage: 250mg PO daily
Inhibits the fungal enzyme squalene epoxidase
*Liver metabolism so must monitor liver functions
Naftin
Dosage: 1% cream apply daily or gel apply bid
Lotrimin(Clotrimazole)
Dosage: cream/solution apply bid
Inhibits fungal steroid synthesis
Loprox (Ciclopirox)
Dosage: .77% cream/gel apply bid