Spectrum of activity/ G+ and G- organisms Flashcards
List all the G- bacilli bacteria
1) SPACE-M
Serratia
Proteus, Pseudomonas
Acinetobacter
Citrobacter
Enterobacter
Morganella
2) Non-fermenters
Acinetobacter baumanii
Stenotrophomonas maltophilia
List all the G- diplococci
Neisseria species (2)
What are the 2 main groups of G- bacilli?
Lactose + and -
List 2 G- coccobacilli
H. influenzae & L. pneumophila
What group of bacteria is lactose+?
Enterobacteriaceae (Ex: E. coli, Proteus, Klebsiella)
What bacteria is lactose- and glucose +?
P. aeruginosa
Name a strict anaerobe that’s lactose-
B. fragilis
What are the 3 groups of lactose- bacteria? List members of each group
1) Oxidase+ (cholera, P. aerginosa)
2) Oxidase - (urease+ H. pylori, P. mirabilis)
3) Strict anaerobe (B. f)
If I said I had a G+ bacteria in grape like clusters what is that?
S. aureus
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?
1) Staphylococci (S.a and S.e)
2) Streptococci
3) Enterococci
List 3 antibiotics with great G+ coverage
1) Vancomycin
2) Daptomycin
3) Linezolid/ tedizolid
List the general spectrum of activity trends for:
1) Carbapenems
2) Monobactams (Aztreonam)
1) Great G+, G-, & anaerobic coverage
-NO MRSA or atypicals
2) Great G- coverage, NO G+ coverage
-Incl. pseudomonas
List the general spectrum of activity trends for:
1) Aminoglycosides
2) Macrolides
3) Fluroquinolones
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
How to remember first gen cephalosporins?
All start w. “cefa” sounds: cefazolin, cephalexin, cefadroxil (exception is Cefaclor which is 2nd gen)
How to remember second gen cephalosporins?
Furry (cefuroxime) foxies (cefoxitin) tan (cefotetan) faces (cefaclor) like pros (cefprozil)
How to remember 3rd gen cephalosporins?
Tri (ceftriaxone) po’docs (cefpodoxime) were fixing (cefixime) dinner (cefdinir) and got tazed (ceftazidime) for not paying taxes (cefotaxime*)
How to remember 4th gen cephalosporins?
“pi”(cefepime)
How to remember 5th gen cephalosporins?
Line (ceftaroline) Zone (ceftolozone)
Which 3 groups of antibiotics have the following adverse effects?:
○ GI upset
○ Diarrhea
○ Rash / allergic reactions
○ Seizures with accumulation
Penicillins, Cephalosporins, Carbapenems
For kids Advil/ ibuprofen dosing, list:
1) The weight-based dosing
2) Dosing schedule
3) Max daily dose
1) 5-10mg/kg
2) Every 6-8hrs PRN
3) 300mg/dose up to 4 doses; no more than 1200mg/day
For kids Tylenol/ acetaminophen, list:
1) The weight-based dosing
2) Dosing schedule
3) Max daily dose
1) 10-15mg/kg
2) Every 4-6hrs PRN
3) 480mg/dose up to 5 doses; no more than 2400mg/day