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Lehne's Pharmacology for Nursing Care, 10th Ed., Burchum & Rosenthal, 2019 Nursing (RN) School Study Aid


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85 - Drugs that Weaken the Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin, Telavancin, Aztreonam, and Fosfomycin
5 Picmonics to Learn | 10 mins

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Aztreonam (Azactam)
Mechanism
Monobactam Antibiotic
Bactericidal
Indications
Gram-Negative Infections
No Activity on Gram-Positives or Anaerobes
Side Effects
Blood Dyscrasias
Pain at Injection Site
Considerations
Safe for Penicillin Allergy
Synergistic with Aminoglycosides
Nebulizer Form Available
2 mins
Cephalosporins
Starts with "Cef-"
Mechanism of Action
Bactericidal
Indications
Gram-Positive and Gram-Negative Infections
Side Effects
Allergic Reactions
Thrombophlebitis
Bleeding
Contraindications
Renal Impairment
Considerations
Avoid IV Calcium with Ceftriaxone
No Alcohol
1 min
Imipenem and Meropenem (Carbapenems)
Mechanism
Carbapenems
Broad-spectrum Antibiotic
Bactericidal
Indications
Gram Positive and Gram Negative Infections
Side Effects
GI Distress
Suprainfections
Seizures
Considerations
Penicillin Allergy
IV or IM Route
Imipenem Combined with Cilastatin
2 mins
Vancomycin
Mechanism of Action
Inhibits Bacterial Cell Wall Synthesis
Indications
Serious Gram-Positive Infections
Side Effects
Nephrotoxicity
Ototoxicity
Red Man Syndrome
Thrombophlebitis
Nursing Considerations
Culture Samples First
Infuse IV Over 60 Minutes
Take Around the Clock
1 min
Clostridium difficile (Clostridioides difficile) Treatments
Oral Vancomycin
Fidaxomicin
Metronidazole
Stool Transplant
2 mins

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