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Pharmacology > DOCs for Pneumonia > Flashcards

DOCs for Pneumonia Flashcards

1
Q

Strep pneumoniae

A

non-resistant: Penicillin G, amoxicillin

resistant: cephalosporins, FQs, vancomycin, linezolid

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2
Q

Haemophilus influenzae

A

if not B lactamase producing: amoxicillin

if B lactamase producing: add B lactamase inhibitor

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3
Q

Mycoplasma pneumoniae

A

macrolide (azithromycin) OR tetracycline (doxycycline)

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4
Q

Chalmydophila pneumoniae

A

macrolide (azithromycin) OR tetracycline (doxycycline)

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5
Q

Chlamydophila psittaci

A

tetracycline (doxycycline)

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6
Q

Legionella spp

A

FQ, macrolide (azithromycin), tetracycline (doxycycline)

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7
Q

Enterobacteriaceae (Klebsiella, E coli, Enterobacter, Proteus)

A

3rd or 4th gen cephalosporin

**if produces B lactamase –> carbapenem (meropenem, ertapenem)

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8
Q

Pseudomonas aeruginosa

A

anti-pseudomonal B lactam (piperacillin)
PLUS
FQ (levofloxacin) or aminoglycoside (gentamicin)

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9
Q

Anaerobe (fusobacterium, bacteroides, peptostreptococcus)

A

Beta lactam + B lactamase inhibitor (amoxicillin + clavulanic acid), lincosamide (clindamycin)

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10
Q

Staph aureus

A

methicillin-sensitive: anti-staph penicillin (nafcillin, dicloxacillin, oxacillin)
methicillin-resistant (MRSA): vancomycin, linezolid

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11
Q

Pneumocystis jiroveci

A

trimethoprim/sulfamethoxazole

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12
Q

Bordetella pertussis

A

macrolide (azithromycin, clarithromycin)

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13
Q

Influenza virus

A

Oseltamivir

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14
Q

Coccidioides spp

A

no tx necessary if normal host

fluconazole or itraconazole if immunocompromised

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15
Q

Histoplasmosis

A

itraconazole

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16
Q

Blastomycosis

A

itraconazole

17
Q

Empiric outpatient recommendations

A

previously healthy: marolide + doxycycline

at risk for DRSP: FQ or B lactam + macrolide

18
Q

Empiric inpatient recommendations (non-ICU)

A

FQ or B lactam + macrolide

19
Q

Empiric inpatient recommendations (ICU)

A

B lactam + macrolide or FQ

20
Q

MRSA

A

add vancomycin or linezolid

Pharmacology (7 decks)

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