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antibiotic rxns
antibiotic rxns
31
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1st Grade
02/03/2014

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Term
penicillin
Definition
hematologic - neutropenia with high doses
renal - interstitial nephritis
CNS - seizures with high doses
GI
Procaine (IM) - neurologic symptoms if enters bloodstream
Term
ampicillin
amoxicillin
Definition
hematologic - neutropenia with high doses
renal - interstitial nephritis
CNS - seizures with high doses
GI
Amp has higher incidence of rash (esp with allopurinol) and GI.
Term
oxacillin
Definition
-increase LFTs, hepatitis
-neutropenia
-decreases warfarin INR
Term
Nafcillin
Definition
-Neutropenia
-thrombophlebitis
-decreases warfarin INR
Term
dicloxacillin
Definition
-Neutropenia
-decreases warfarin INR
Term
piperacillin
ticarcillin
Definition
-hypernatremia
-hypokalemia
-neutropenia, thrombocytopenia
-AIN
Term
augmentin
Definition
GI and hepatotoxicity is worse than with just amoxicillin
Term
imipenem/cilastin
Definition
cilastin lowers seizure threshold
Term
carbapenems
Definition
-CNS: seizures > elderly, high dose, renal failure. less w mero/dori
-Allergic
-GI
-increase LFTs
-lowers valproic acid conc. by 50%
Term
Cephalosporins
Definition
-hypersensitivity
-vaginal yeast overgrowth
-neutropenia, eosinophilia, thrombocytopenia
-increase LFTs
Term
Cefepime (unique ADR)
Definition
-neurotoxicity
Term
ceftriaxone (unique ADR)
Definition
-pseudobiliary lithiasis (stones due to biliary sludging)
-C/I with calcium in neonates (<28 days) use cefotaxime
->28 days, flush lines before calcium products
Term
Cefotetan (unique ADR)
Definition
-disulfuram like rxn (MTT side chain)
Term
Cefdinir (unique ADR)
Definition
can cause red stool, mainly in pts receiving iron products
Term
which cephs interact with antacids, H2 blockers, PPIs
Definition
the produgs: separate by 2 hours
-cefpodoxime
-cefuroxime
-cefditoren
Term
AG tobra, genta, amikacin, stepto
Definition
-ATN (reversible)
-ototoxicity (usually irreversible) auditory and vestibular
-neurotox: neuromuscular blockade (neuropathy, numb, tingling, twitching, convulsions, myasthenia gravis-like)
Term
cipro, levo, moxi
Definition
-GI
-QTc
-liver failure
-renal
-tendinitis
-peripheral neuropathy, myasthesia gravis
-CNS
Term
Bactrim
Definition
-GI
-hypersensitivity
-thrombocytopenia, leukopenia, megaloblastic anemia
-crystalluria (give w lots of water)
-preg D
-C/I infants <2 months
-increases warfarin INR
Term
macrolides
Definition
-GI (erythromycin)
-cholestatic jaundice
-thrombophlebitis (IV)
-hearing loss (transient)
-QTc
-myasthenia gravis
Term
telithromycin (macrolide)
Definition
-C/I in myasthenia gravis, hepatitis, colchicine in renal or hepatic impairment
-QTc prolongation
-visual disturbances
-Transient loss of consciousness
Term
clindamycin
Definition
-GI: diarrhea (c.dif), ab pain
-allergic
-hepatotoxicity (> with IV)
-neutropenia, thrombocytopenia, agranulocytosis
-metallic taste
Term
metronidazole
Definition
-CNS: *peripheral neuropathy*
-GI and metallic taste
-pancreatitis (rare)
-disulfiram rxn
-urine discoloration
-C/I 1st trimester
-interacts with warfarin
Term
TCN class
Definition
-teeth and bones
-photosensitivity
-esophageal ulcerations and other GI adrs
-intracranial HTN +/- visual field loss
-hepatotoxicity and increase BUN w diuretic
Term
minocycline
Definition
-CNS: vertigo, tinnitus (2nd and 3rd day) -bluish gray nail, skin and sclera pigment -autoimmune disorders: lupus, hepatitis, serum sickness, vasculitis, pneumonoitis
Term
tigecycline
Definition
-teeth discoloration, photosensitivity
-NAUSEA, VOMITING, DIARRHEA
-rash
-pancreatitis
-INCREASED ALL-CAUSE MORTALITY!!
Term
colistin
Definition
-ATN
-dizziness, visual disturbances
-neuromuscular blockade, resp failure or apnea
-areosolized therapy: bronchoconstriction
Term
vancomycin
Definition
-nephrotoxicity
-ototoxicity
-red man syndrome
-thrombocytopenia, neutropenia, thrombophlebitis
Term
synercid
Definition
-venous irritation (give centrally)
-elevated conjugated bilirubin
-arthlagias and myalgias (30%, very painful)
-n/v/d, rash
Term
linezolid
Definition
-myelosuppression, thrombocytopenia
-n/d/HA
-lactic acidosis
-peripheral and optic neuropathy
-convulsions
Term
daptomycin
Definition
-muscle pain or weakness in distal extremeties
-eosinophilic pneumonia
-peripheral neuropathy
Term
nitrofurantoin
Definition
-n/v
-pulmonary, irreversible pul fibrosis
-hepatitis
-hemolytic anemia w g6pd deficiency
-peripheral neuropathy
-beers list
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