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DCPA Antibiotics

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Question
Answer
show Presence of microbe in a host does not cause a specific immune reaction or infection (Do NOT Tx w/ Abx)  
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Empiric Therapy   show
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show Abx choise based on identified pathogen & susceptibilty patterns  
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De-escalation   show
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Collateral Damage   show
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Minimum Inhibitory Concentration (MIC)   show
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show Compilation of data for bacteria vs. abx  
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Gram (+) Cocci bacteria   show
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show Associated with "hardware"  
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show UTI, appendicitis  
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show Bowel lesion = spread of infection  
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show Abcess Formers  
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Gram (+) Bacilli Bacteria   show
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show Meningitis (Can't eat cheese in 2nd/3rd trimester)  
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Gram (-) Cocci Bacteria   show
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show Vibrio cholerae, Campylobacter jejuni, H. Pylori, Pseudomonas Aeruginosa, Salmonella, H. Influenza, Brucella, Francisella Tularensis (Tularemia), Pasturella Multocida, Legionella Pneumophilia, Bartonella, Shigella, Enterobacter (E. Coli, etc.)  
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show Bites (Mouths) or Cats & dogs  
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show Cat scratch  
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Anaerobes   show
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Clostridium Perfringens Infection   show
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show Penicillin, Cephalosporin, Carbapenems, Aztreonam  
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Beta-Lactums MOA   show
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show Interferes with cell wall synthesis  
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Fluoroquinolones MOA   show
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show Interferes with DNA replication, transcription  
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Aminoglycosides MOA   show
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Macrolides MOA   show
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show Binds to 30s/50s Ribosomal Subunit  
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show Binds to 30s/50s Ribosomal Subunit  
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Tetracyclines MOA   show
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show Binds to 30s/50s Ribosomal Subunit  
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Broad Spectrum Drugs   show
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show Vancomycin  
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Narrow Spectrum Gram(-) Drugs   show
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show Metronidazole (Flagyl)  
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Pharmacokinetics   show
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Pharmodynamics   show
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show % of oral dose available compared to IV form (100%)  
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Clearance   show
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show Relates the amount of drug in the body to the serum drug concentration (Dependent on BMI)  
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show After 3 half lives  
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show Delay before organisms recover & begin growing despite decrease concentration of drug  
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Four Primary Machanisms of Resistance.   show
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show DONT under dose/increase duration = resistance  
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show Beta Lactams, Cephalosporins, quinolones, aminoglycosides  
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Bacterostatic Drugs   show
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show Nephrotoxic (reversible) & Toxic to the Ear (irreversible)  
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Drugs that penatrate the BBB to the CSF   show
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show Bone, synovial fluid, prostate, Abscesses, Peritoneal Fluid  
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show Drug of Choice  
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show Indications  
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show Adverse Reactions  
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show Warnings & Precautions  
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SSSI   show
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show (IgE) Hives (Uticaria). Respiratory Difficulty (Bronchospasm). Swelling. Occurs within the first 72 hours.  
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show Penicillin  
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Penicillin ADR   show
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Penicillin half life   show
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show Natural, Penicillinase-resistant, Aminopenicillins, Extrended-spectrum ureidopenicillins, B-lactam/B-lactamase Inhibitors  
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show Penicillin G (IV/IM) & Penicillin V (PO)  
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Natural Penicillin effective against...   show
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Natural Penicillin DOC   show
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Natural Penicillin R   show
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show C  
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Natural Penicillin ADR   show
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show Oxacillin/Nafcillin (IV) & Dicloxacillin (PO-empty stomach)  
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Penicillinase-resistant penicillins effective against...   show
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Penicillinase-resistant penicillins ADR   show
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show Ampicillin (IV/PO), Amoxicillin (PO)  
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show Enterococci, E.coli, H. influenza, Proteus, Klebsiella  
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show Renal Insufficiency & Cephalosporin allergy  
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show Rash & GI upset  
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show Pipercillin (IV) usually used in combination!  
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show Anaerobes, enterobactericacae & pseudomonas  
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Extended-spectrum ureidopenicillins W/P   show
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Extended-spectrum ureidopenicillins ADRs   show
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B-lactamase inhibitor drugs   show
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show Ampicillin & sulbactam  
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show Pipercillin & tazobactam  
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show Amoxicillin & Clavulanate  
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show Diarrhea (increased with clavulanate)  
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Penicillin Class drug interactions   show
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Penicillin Class ADRs   show
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Cephalosporins types   show
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Cephalosporins pregnancy categroy   show
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Cephalosporins ADRs   show
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1st generation cephalosporins drugs & forms   show
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show Ancef  
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Cephalexin   show
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1st generation cephalosporins coverage   show
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show surgical prophylaxis, SSSIs & UTI  
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show Less gram + & more gram -  
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2nd generation cephalosporins drugs   show
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show strep, haemophilus, E. coli, Proteus, Klebsiella  
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Cefuroxime (Ceftin)uses   show
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Cefuroxime   show
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show Cefotan  
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Cefotetan (Cefotan) covers   show
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Cefotetan (Cefotan) uses   show
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show weak gram + & good gram -  
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show Ceftriaxone (Rocephin) - IV. Ceftazadime (Fortaz - IV. Cefpodoxime (Vantin) - PO. Cefixime (Suprax) - PO  
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show Rocephin  
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Ceftriaxone (Rocephin) ADRs   show
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show Severe gram (-) infection & Meningitis  
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Ceftazadime   show
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Ceftazadime (Fortaz) coverage   show
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show Vantin  
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Cefixime   show
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show URIs & RTIs  
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4th Generation Cephalosporin drug & form   show
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show Pseudomonas, gram (-) rods (enterobacter, serratia & citrobacter).  
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show Febrile neutropenia, hospital acquired pneumonia, serious gram (-) infections.  
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show Imipenem/cilastatin (Primaxin) - IV. Meropenem (IV). Ertapenem (Invanz)- IV.  
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show imipenem/cilastatin  
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show gram +'s including MSSA, grams -'s & anaerobes.  
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Primaxin (Imipenem/cilastatin) uses   show
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Primaxin (Imipenem/cilastatin) ADR   show
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show Hx of seizures  
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Primaxin (Imipenem/cilastatin) pregnancy category   show
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show Less seizures & N/V  
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show B  
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show Staph & strep  
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Ertapenem   show
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Ertapenem (Invanz) does not cover   show
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Monobactam drug & form   show
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show Azactam  
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show Gram negative ONLY  
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show B  
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show Well tolerated  
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show Gentamicin, Tobramycin & amikacin (all IV; not absorbed well)  
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show Gram - (Pseudomonas)  
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show Abscesses  
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Aminoglycoside Pregnancy category   show
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show Always used in combo: serious gram (-) infections or b-lactam for synergy  
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show Erythromycin (Iv, PO, Opth). Clarithromycin (Biaxin) - PO. Azithromycin (Zithromax) - IV/PO  
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show Biaxin  
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Azithromycin   show
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Macrolides Pregnancy category   show
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Macrolides coverage   show
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show OM, CAP, COPD, STD  
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show GI (take with food) & QT prolongation  
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Clarithromycin (Biaxin) DOC   show
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Azithromycin (Zithromax) DOC   show
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show 68 hours  
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Fluoroquinolone drugs   show
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Fluoroquinolone coverage   show
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show Legionella  
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Cipro & Levaquin cover   show
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Fluoroquinolone pregnancy category   show
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show <18y.o. (arthropathy)  
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show N/V/D, CNS (HA, restlessness), decrease seizure threshhold, tendon rupture (spontaneous - achilles), increase in AST/ALT  
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show Aluminum/Mg antacids, sulcralfate, Ca2+, Fe2+ & Zinc - decrease absorption. Increases the effect of warfarin (except moxifloxacin & gatifloxacin)  
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Fluoroquinolone uses   show
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Tetracycline drugs   show
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Tetracycline coverage   show
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show D  
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show < 8 y.o. (permanent discoloration of the teeth & inhibits bone growth)  
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show CAP, STD (Chlamydia), syphilis (pen-allergic pts.), Lyme dz, acne, community acquired MRSA  
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Tetracycline ADR   show
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Tetracycline DI   show
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Vancomycin Forms   show
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Vancomycin MOA   show
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show gram +'s (MRSA, MRSE) & mild-mod anaerobic  
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show C  
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Vancomycin ADR   show
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Vancomycin administration   show
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show Penetrates CSF  
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show Cleocin  
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Clindamycin (Cleocin) forms   show
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show Lincomycin  
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Clindamycin (Cleocin) MOA   show
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show **anaerobes** Strep & S. aureus (MRSA)  
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Clindamycin (Cleocin) use   show
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show N/V/D & rash - can cause C. Diff  
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show Flagyl  
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show Inhibits DNA synthesis  
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Clindamycin (Cleocin) coverage   show
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show Abdominal abscess, C. diff, Rx trich, & H. pylori  
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show B (avoid 1st trimester)  
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Clindamycin (Cleocin) special abilities   show
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Clindamycin (Cleocin) ADR   show
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TMP/SMZ   show
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show PO or IV  
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show Inhibits folic acid synthesis (static)  
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TMP/SMZ (Trimethoprim/Sulfamethoxazole) pregnancy category   show
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show Staph, strep, GNR's & Pneumocystis (prophylaxis for HIV pt.)  
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show UTIs, gram - infections, MRSA  
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show PCP  
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show Rash, CNS disturbances, photosensitivity, GI Sx.  
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TMP/SMZ (Trimethoprim/Sulfamethoxazole) Increase toxcity of...   show
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Rifampin Form   show
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show Inhibits bacterial synthesis  
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show TB, Meningococcal prophylaxis, nasal carriers of MRSA  
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Rifampin ADR   show
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Linezolid   show
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Linezolid (Zyvox) forms   show
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Linezolid (Zyvox) class   show
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show Staph (MRSA), Coag (-) staph, strept, enterococci (VRE). Minor against anaerobes  
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Linezolid (Zyvox) ADR   show
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Linezolid (Zyvox) uses   show
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show Quinupristin/Dalfopristin  
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Synercide Quinupristin/Dalfopristin class   show
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show IV via central line only!  
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show MRSA, VRE  
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show Myalgia, arthalgia  
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show Rarely  
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Daptomycin Form   show
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show MRSA  
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Daptomycin use   show
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Tygecycline coverage   show
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Mupirocin   show
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show Topical  
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Mupirocin (Bactroban) use   show
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show Macrodantin  
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Nitrofurantoin (Macrodantin) coverage   show
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show B  
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Nitrofurantoin (Macrodantin) DI   show
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show G6PD deficiency = interstitial pulmonary fibrosis with chronic use.  
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Nitrofurantoin (Macrodantin) use   show
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Bacteria that must be treated for > 4 weeks   show
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show **Nafcillin, oxacillin, dicloxacillin, cefazolin  
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Anti-MRSA   show
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Anti-anaerobic   show
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show pipercillin/tazobactam, aminoglycosides, ceftazadime, cefepime, imipenem, meropenem, ciprofloxacin, levofloxacin.  
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