DCPA Antibiotics
Help!
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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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