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Antibiotics that Affect Bacterial Cell Walls - Coggle Diagram
Antibiotics that Affect Bacterial Cell Walls
Penicillins
Indications
Broad: Gram + Cocci
Narrow: Syphilis and Meningitis (gram -, Neisseria meningitides)
Extended: pseudomonas, klebsiella
Prophylaxis for procedures
Bactericidal
Adverse Effects
Allergies/ Anaphylaxis
Renal Dysfunction
Hyperkalemia and Hyperatremia
Dysrhythmias
Contraindications
Allergies to penicillin
Cross allergy to cephalosporin
Superinfections
Cephalosporin
Bactericidal, Broad
Indications
Postoperative infections
pelvic infections
meningitis
Generations
1- Cefazolin
2- Cefaclor
3- Ceftriaxone, cefotaxime,
4- Cefepime
5- Ceftaroline
Getting Larger
more likely to reach cerebral spinal fluid
less likely to be destroyed by batalactomas
more effective against gram - anaerobes
Adverse Effects
Allergy/ Anaphylaxis
Cross Allergy with penicillin
Bleeding disorder
thrombophlebitis
Renal Dysfunction
Superinfection
Contraindication
No alcohol- Disulfiram reaction
Nursing Actions
Dilute medication
Rotate injection site
Vancomycin
Inhibit cell wall
Indications
Resolve of infection, fever, pain, normal breathing, and inflammation
Methicillin resistant staph aureus (MRSA), E. Coli, Staph epidermidis
Vancomycin (PO)- C. Difficile out of the gut
Adverse Effects
BIG EARS and KIDNEYS
Red Man Syndrome
rash, flushing, tachycardia, hypotension
Give drug slower over 1 hour
Thrombophlebitis
Contraindications
Corn Allergy
Hearing Loss with loop duretics, ethacrynic acid, aminoglycosides
Nursing Actions
Monitor trough and peaks
Watch creatinine
Aztreonam
treats C diff
Adverse effects: diarrhea
Fosfomycin
Single Dose for UTI
Adverse Effects
Gi Issues
Droesiness
Carbapenems
Contraindications
Superinfection (pneumonia)
Adverse Effects
GI Dysfunction
Allergy/ Anaphylaxis
Indications
Anaerobic bacteria
Gram + and - cocci
Pneumonia, peritonitis, UTI
Bactericidal, Broad