module 12 cell membrane acting agents Flashcards
daptomycin MOA
binds to components of cell membrane
-> rapid depolarization, inhibiting synthesis of DNA, RNA, and proteins
daptomycin spectrum of activity
gram +
-inc: staph, strep, VRE, MRSA, VISA/VRSA
daptomycin AE
muscle pain
HA
GI upset
insomnia
daptomycin administration
bactericidal
- concentration dependent
wt. based dosing
daptomycin monitoring
CPK: baseline and weekly
daptomycin education
ineffective against pulmonary infections
polymixins Rx
polymixin E
polymixin B
polymixin MOA
detergent like
interacts with lipopolysaccharides in outer membrane
-> inc permeability and damage
-> inc. susceptibility to hydrophilic abx
polymixin administration
bactericidal
- concentration dependent
polymixin E: eliminated non-renally
polymixin B: active drug