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Nap RxP ID1
NAPLEX
77
Pharmacology
Post-Graduate
08/03/2019

Additional Pharmacology Flashcards

 


 

Cards

Term
Time > MIC |Time dependent antibiotics are?
Definition
Beta-lactams
Term
Time > MIC - Time dependent antibiotics goals?
Definition
Drug level > MIC for entire dosing interval via short dosing interval
Term
ABs that TX: Community Associated MRSA SSTI
Definition
SMX/TMP (Bactrim DS)
Doxycycline or Minocycline
Clindamycin
Linezolid
Term
ABs that TX: Severe SSTI requiring hospitilaztion / IV therapy
Definition
***Must cover MRSA and strep ***
Vancomycin
Linezolid or tedizolid
Daptomycin
Ceftaroline
Telavancin
Oritavancin
Dalbavancin
Quinupristin/Dalfopristin
Tigecycline
Term
ABs that TX: Noscomial MRSA
Definition
Vancomycin
Linezolid
Televancin
Daptomycin (not pneumonia)
Rifampin (never alone)
Term
ABs that TX: VRE (e. faecalis)
Definition
Pen G or ampicillin
Linezolid
Daptomycin
Tigecycline
If cytitis only: nitrofurantoin, fosfomycin, doxycycline
Term
ABs that TX: VRE (e. faecium)
Definition
Daptomycin
Linezolid
Quinupristin/Dalfopristin
Tigecycline
If cytitis only: nitrofurantoin, fosfomycin, doxycycline
Term
ABs that TX: pseudomonas aeruginosa
Definition
Piperacillin/tazobactam
Cefepime
Ceftazidine
Ceftazidine/Avibactam
Ceftolozane/Tazobactam
Carbapenems (NOT ertapenem)
Ciprofloxacin, Levofloxacin
Aztreonam
Aminogylcosides
Colistimethate, polymixin B
Term
ABs that TX: acinetobacter baumannii
Definition
carbapenems (except ertapenem)
ampicillin/sulbactam
minocycline
tigecycline
quinolones
SMX/TMP
Colistmethate, polymixin B
Term
ABs that TX: ESBL GNR
Definition
Carbapenems
ceftolozane/tazobactam
cefepime (high dose)
Aminogylcosides
Cystitis only: fosfomycin
Term
ABs that TX: carbapenem-resistant G- Rods (CRE)
Definition
ceftazidime/avibactam
colistimethate, polymixin B
Term
ABs that TX: Bacteroides fragilis
Definition
metronidazole
Beta-lactam/beta-lactamse inhibitor
cefotetan, cefoxitin
carbapenems
tigecycline
Term
ABs that TX: C. difficile
Definition
Vancomycin (1rst!)
Fidaxomicin (2nd!)
Metronidazole
Term
ABs that TX: Atypical organisms
Definition
Azithromycin, clarithromycin
Doxycycline, minocycline
Quinolones
Term
ABs that TX: HNPEK
Definition
Amoxicillin (beta-lactamase negative)
Beta-lactam/beta-lactamase inhibitor
Cephlasporin (NOT Gen 1)
Carbapenems
SMX/TMP
Aminoglycosides
Quniolones
Term
Brand/Generic: Penicillin
Definition
Pen VK
Term
Brand/Generic: Penicillin G Benzathine
Definition
Bicillin L-A
Term
Brand/Generic: Amoxicillin
Definition
Amoxil, Moxatag
Term
Brand/Generic: Amoxicillin + clavulanate
Definition
Augmentin
Term
Brand/Generic: Ampicillin + sulbactam
Definition
Unasyn
Term
Brand/Generic: Piperacillin + tazobactam
Definition
Zosyn
Term
Coverage: Natural Penicillins (penicillin, benzathine)
Definition
Streptococci (incr. resistances)
Enterococci
G+ anaerobes (mouth flora)
Term
Coverage: Aminopenicillins (amoxicillin)
Definition
Natural penicillin coverage + HNPEK
Augmentin - clauvunate adds coverage for: MSSA, G- anaerobes (B. fragilis)
Term
Coverage: Extended spectrum Penicillins (Zosyn)
Definition
Augmentin coverage + CAPES + pseudomonas
Term
Coverage: Antistaphyloccals (nafacillin, oxacillin, dicloxacillin)
Definition
Streptococci + MSSA only
Term
__________________ is first line treatment for strep throat and mild nonpurulent skin infections
Definition
Pen VK
Term
__________________ is first line treatment for otitis media
Definition
Amoxicillin
Term
__________________ is drug of choice for infective endocarditis prophylaxis in dental procedures?
Definition
Amoxicillin
Term
__________________ is drug of choice for syphilis
Definition
Penicillin G benzathine (Bicillin-LA)
2.4M U IM x 1 dose
Term
__________________ is only penicillin with psuedomanonas coverage
Definition
Piperacillin/tazobactam (Zosyn)
Term
Dicloxacillin + naficillin v. warfarin?
Definition
Decrease INR through increased metabolism of warfarin
Term
Penicillins v. methotrexate?
Definition
Increase MTX serum conc.
Term
Tetracyclines and penicillins?
Definition
Tetracyclines decrease the effectiveness of penicillins by slowling bacterial growth.
Term
Coverage: First generation cephlasporin
Definition
(cephalexin, cefazolin) MSSA, PEK
Term
Coverage: Second generation cephlasporin
Definition
Grp #1 (cefuroxime) - s. penumo, HNPEK
Grp #2 (cefotetan) - adds anaerobe coverage (B. fragilis)
Term
Coverage: Third generation cephlasporin
Definition
Grp #1 (cefdinir, ceftriaxone, cefotaxime) - resistant strep, enhance G- coverage
Grp #2 (ceftazidime) - NO G+ activity, psuedomonas
Term
Coverage: Fourth generation cephlasporin
Definition
(cefepime) - resistant strep, pseudomonas
Term
Common uses: cephalexin
Definition
Outpatient: Skin infections (MSSA), strep throat
Term
Common uses: cefuroxime
Definition
Outpatient: Otitis media, CAP, sinus infection
Term
Common uses: cefdinir
Definition
Outpatient: CAP, sinus infection
Term
Common uses: cefazolin
Definition
Inpatient: surgical prophylaxis
Term
Common uses: cefotetan, cefoxitin
Definition
Inpatient: Anaerobe (B. fragilis), surgical proph,
Term
Causes disulfiram-like reactions with alcohol?
Definition
cefotetan
Term
Common uses: ceftriaxone, cefotaxime
Definition
Inpatient: CAP, meningitis, spontaneous bacterial peritonitis, pylenephritis
Term
Common uses: ceftazidime, cefepime
Definition
Inpatient: pseudomonas
Term
Common uses:
ceftolozane/tazobactam
ceftazidime/avibactam
Definition
Inpatient: MDR G- organisms including pseudomonas
Term
Common uses: ceftaroline
Definition
Inpatient: the only beta-lactam active against MRSA
Term
Brand/generic: cefazolin
Definition
Ancef, kefzol
Term
Brand/generic: cephalexin
Definition
Keflex
Term
Brand/generic: cefuroxime
Definition
Ceftin, Zinacef
Term
Brand/generic: cefotetan
Definition
Cefotan
Term
Brand/generic: cefdinir
Definition
Omnicef
Term
Brand/generic: ceftriaxone
Definition
Rocephin
Term
Brand/generic: cefotaxime
Definition
Claforan
Term
Brand/generic: ceftazidime
Definition
Fortaz, Tazicef
Term
Brand/generic: ceftazidime + avibactam
Definition
Avycaz
Term
Brand/generic: ceftolozane + tazobactam
Definition
Zerbaxa
Term
Not for neonates ≤ 28D
Definition
ceftriaxone; due to biliary sludging
Term
Brand/generic: cefepime
Definition
Maxipime
Term
Brand/generic: ceftaroline fosamil
Definition
Telfaro
Term
Brand/generic: Meropenem
Definition
Merrem
Term
Brand/generic: Ertapenem
Definition
Invanz
Term
Carbapenem exhibit ______ - dependent antibacterialactivity
Definition
TIME
Term
Coverage: carbapenems
Definition
ESBL producing organisms
Term
Administration: carbapenems
Definition
IV only
Term
Ertapenem must be diluted in ___________
Definition
Normal saline
Term
Unlike other carbapenems Ertapenem does not cover
Definition
pseudomonas, acinetobacter, enterococcus
Term
As a class carbapenems do not cover:
Definition
Atypicals, VRE, MRSA, C. diff, Stenotrophomonas
Term
Common uses: carbapenems
Definition
Polymicrobial infections (diabetic foot inf.)
Emperic therapy of resistant organizations
Resistant pseudomonas or acinetobacter
Term
Monobactam drug list- brand/generic:
Definition
Aztreonam (Azactam)
Term
Coverage: Aztreonam
Definition
*** similar to ceftazidime ***
NO G+ coverage,
covers many G-,
pseudomonas
Term
Aztreonam is commonly used when __________________
Definition
a patient has a beta lactam allergy.
Term
Beta lactam spectrum: MRSA coverage (1 drug)
Definition
Only ceftaroline
Term
Beta lactam spectrum: NO MSSA coverage (4 drugs)
Definition
penicillin, amoxicillin, ceftazidime, aztreonam
Term
Beta lactam spectrum: enteroccous coverage (4 drugs)
Definition
penicillin, amoxicillin, piperacillin/tazobactam, carbapenem
Term
Beta lactam spectrum: pseudomonas (5 drugs)
Definition
ceftazidime, aztreonam, cefepime, carbapenem,
ceftolozane/tazobactam
Term
Beta lactam spectrum: atypicals
Definition
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