part 8 Flashcards
1
Q
This beta lactam antibiotic has a very broad antimicrobial spectrum.
A
Carbapenems
2
Q
Are carbapenems active against MRSA?
A
no
3
Q
How must carbapenems be given and why?
A
- must be given IV
- not absorbed by GI
- elimination is primarily renal
4
Q
What do the carbapenems end in?
A
-penem
5
Q
What antibiotic is often given to a pt allergic to penicillin?
A
Vancomycin
6
Q
Is Vanco used for gram + or - bacteria?
A
+
7
Q
What is Vanco most commonly used for?
A
- C.diff
- MRSA
- other serious infections in pt’s allergic to penicillin
8
Q
What are the important adverse effects of vanco?
A
- major toxicity is renal failure
- ototoxicity
- thrombophlebitis
- immune-mediated thrombocytopenia
- red-man syndrome
9
Q
What tests do you need before you can hang vanco?
A
peak and trough
10
Q
What is red man syndrome and what are some symptoms?
A
- histamine release
- flushing
- rash
- pruritus (itch)
- urticaria (hives)
- tachycardia
- hypotenison
11
Q
What are 2 ways to stop the red man syndrome caused by vanco?
A
- slow dow IV
- stop IV
