Monobactams, carbapenems, and Non Beta Lactam cell wall Flashcards
monobactam structure
just beta lactam ring
monobactam drug
aztreonam
aztreonam spectrum/use
norm, gram negative. PSEUDOMONAS- ok if PCN allergy
carbapenem, general
broadest beta lactam, resists beta lactamases, MO MRSA
imipenem/cilastatian
PSEUDOMONAS, ESb1
similar drug to imipenem
meropenem!
Non beta lactam cell wall class
glycopeptides
non beta lactam cell membrane class
lipopeptides
glycopeptide drug
vancomycin
vancomycin
blind D ala D ala, block PBP, gram +, MRSA, CDIFF
vancomycin adverse affects
kidney extortion, redman syndrome (histamine not allergy)
lipopeptide drug and mech
daptomycin bind cell membrane, insert lipid tail, form potassium channel, mess up ions
daptomycin
gram +, MRSA, entero, staph, strep… no pneumonia! surfactant
daptomycin adverse
skeletal muscle toxicity
what drug works against extended spectrum beta lactamases?
carbapenem