Spectrum of activity/ G+ and G- organisms

Question 2

List all the G- bacilli bacteria

Answer 2

1) SPACE-M
Serratia
Proteus, Pseudomonas
Acinetobacter
Citrobacter
Enterobacter
Morganella
2) Non-fermenters
Acinetobacter baumanii
Stenotrophomonas maltophilia

Question 3

List all the G- diplococci

Answer 3

Neisseria species (2)

Question 4

What are the 2 main groups of G- bacilli?

Answer 4

Lactose + and -

Question 5

List 2 G- coccobacilli

Answer 5

H. influenzae & L. pneumophila

Question 6

What group of bacteria is lactose+?

Answer 6

Enterobacteriaceae (Ex: E. coli, Proteus, Klebsiella)

Question 7

What bacteria is lactose- and glucose +?

Answer 7

P. aeruginosa

Question 8

Name a strict anaerobe that’s lactose-

Answer 8

B. fragilis

Question 9

What are the 3 groups of lactose- bacteria? List members of each group

Answer 9

1) Oxidase+ (cholera, P. aerginosa)
2) Oxidase - (urease+ H. pylori, P. mirabilis)
3) Strict anaerobe (B. f)

Question 10

If I said I had a G+ bacteria in grape like clusters what is that?

Answer 10

S. aureus

Question 11

1) If you hear something is G+ & in a cluster, what should you think of?
2) What abt G+ in pairs or chains?
3) What abt G+ and in chains?

Answer 11

1) Staphylococci (S.a and S.e)
2) Streptococci
3) Enterococci

Question 12

List 3 antibiotics with great G+ coverage

Answer 12

1) Vancomycin
2) Daptomycin
3) Linezolid/ tedizolid

Question 13

List the general spectrum of activity trends for:
1) Carbapenems
2) Monobactams (Aztreonam)

Answer 13

1) Great G+, G-, & anaerobic coverage
-NO MRSA or atypicals
2) Great G- coverage, NO G+ coverage
-Incl. pseudomonas

Question 14

List the general spectrum of activity trends for:
1) Aminoglycosides
2) Macrolides
3) Fluroquinolones

Answer 14

1) Mainly G-s, synergy dosing for G+s
-Incl. pseudomonas
2) Great atypical coverage
-Also Streptococcus pneumoniae, Haemophilus, Neisseria, and Moraxella
3) Variety of G+, G-, & atypical coverage

Question 15

How to remember first gen cephalosporins?

Answer 15

All start w. “cefa” sounds: cefazolin, cephalexin, cefadroxil (exception is Cefaclor which is 2nd gen)

Question 16

How to remember second gen cephalosporins?

Answer 16

Furry (cefuroxime) foxies (cefoxitin) tan (cefotetan) faces (cefaclor) like pros (cefprozil)

Question 17

How to remember 3rd gen cephalosporins?

Answer 17

Tri (ceftriaxone) po’docs (cefpodoxime) were fixing (cefixime) dinner (cefdinir) and got tazed (ceftazidime) for not paying taxes (cefotaxime*)

Question 18

How to remember 4th gen cephalosporins?

Answer 18

“pi”(cefepime)

Question 19

How to remember 5th gen cephalosporins?

Answer 19

Line (ceftaroline) Zone (ceftolozone)

Question 20

Which 3 groups of antibiotics have the following adverse effects?:
○ GI upset
○ Diarrhea
○ Rash / allergic reactions
○ Seizures with accumulation

Answer 20

Penicillins, Cephalosporins, Carbapenems

Question 21

For kids Advil/ ibuprofen dosing, list:
1) The weight-based dosing
2) Dosing schedule
3) Max daily dose

Answer 21

1) 5-10mg/kg
2) Every 6-8hrs PRN
3) 300mg/dose up to 4 doses; no more than 1200mg/day

Question 22

For kids Tylenol/ acetaminophen, list:
1) The weight-based dosing
2) Dosing schedule
3) Max daily dose

Answer 22

1) 10-15mg/kg
2) Every 4-6hrs PRN
3) 480mg/dose up to 5 doses; no more than 2400mg/day