Pneumonia Drugs Flashcards

1
Q

Outpt uncomplicated TXT

A
  1. Macrolide or FQ

2. Tetracycline

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2
Q

Outpt TXT w/ comorbids (No HCAP)

A
  1. FQ

2. Beta-lactamase inhib + Macrolide

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3
Q

Macrolide

A

(azithro/clarithro)

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4
Q

Tetracycline

A

(Doxy)

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5
Q

FQ

A

(New - Levoflox, Moxiflox, gemiflox)

Other - cipro)

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6
Q

Beta-lactamase inhib

A

Amoxicillin-Clav
ampicillin/sulbactam
Piperacillin-tazobactam

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7
Q

Inpt Non-ICU w/ CAP

A
  1. FQ

2. Ceph or PCN (Beta inhib) + macrolide

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8
Q

Empiric - pts w/ suspected HCAP (3 drug)

A
  1. Antipseudomonal cephalosporin
    + FQ + MRSA (vancomycin)
  2. Antipseudomonal carbapenem
    + FQ + MRSA (Vancomyin)
  3. B-lactamase inhibitor
    + Antipseudomonal fluoroquinolone + MRSA (Vanc)
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9
Q

Antipseudomonal cephalosporin

A

Cefepime

Ceftazidime

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10
Q

Antipseudomonal carbapenem

A

Imipenem

Meropenem

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11
Q

Inpt ICU

A
  1. Ceph + Macrolide
  2. Ceph + FQ
  3. FQ + Monobactam OR lincosamide
    (Add Vanc or Linezolid if HCAP/MRSA)
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12
Q

Inpt Psuedomonas risk

A
1. B-lactamase inhibitor + FQ
2 cefepime + FQ
ALT- carbapenem + FQ OR aminoglycoside
PCN allergy- Monobactam + FQ
(Add Vanc or Linezolid HCAP/MRSA)
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13
Q

Eryhtromycin notes

A

Cheap, for CAP
GI SE
Photosensitivity

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14
Q

Clarithromycin notes

A

fewer GI SE

Metallic taste

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15
Q

Azithromycin

A

once-a-day or single-dose therapy

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16
Q

New FQs

A

extend coverage to common and atypical agents + once-a-day dosing

17
Q

FQs are for

A

pts cant tolerate other agents,
documented pneumococcal resistance,
or failed other therapies

18
Q

CI for FQ

A

myasthenia gravis

19
Q

Broad Spec ABX increases risk for what?

A

Bacterial resistance if given w/in last 3 mo

20
Q

ICU pt - PCN-allergy

A

FQ + aztreonam OR clindamycin