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CRNI Pharmacology
Natural Penicillin | Penicillin G, Gram +, -cidal |
---|---|
Penicillinase-resistant | Staphcillin,Unipen, ^liver enzymes, Staph Aureus/Epidermis, |
Aminopenicillins | Gram -, not for penicillinase |
Ampicillin Sodium (Omnipen N) | most unstable, 4 hrs in D5W, 8 in 0.9% |
1st Gen Cephalosporin | Cefazolin Sodium (Kefzol) Gram +, nephotoxic |
2nd Gen Cephalosporin | Mefoxin,Cefotan, Gram -, bleed, diarrhea, N, Colitis |
3rd Gen Cephalosporin | Gram -, crosses blood-brain barrier, ROCEPHIN, meningitis, bacteremia, septicemia, resp, genito, Lyme |
Tetracyclines | static-> cidal, broad spectrum, VIBRAMYCIN IV/Doxycycline Hytrate, sub for Penicillin |
Aminoglycosides | cidal, Gram -, Gentamycin, Amikacin, Tobramycin, nephrotoxic, Ototoxic, P & T |
Erythromycin | Gram -+, static->cidal, ERYTHROCIN IV, sub for penicillin, hearing loss & phlebitis! |
Clindamycin Phosphate | CLEOCIN PHOSPHATE, static, aer+anaer, sub for penicillin, diarrhea, fatal colitis, hypot,cardio-pulm arrest |
Vancomycin HCL | VANCOCIN,cidal, MRSA, nephrotoxic/ototoxic,over 60 min, "redman syndrome" |