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AE's Pharm III
Adverse Effects
| Question | Answer |
|---|---|
| AE's Penicillins | Generally WT, Diarrhea, Rash, Seizures in HIGH doses, neutropenia/thrombocytopenia |
| Drugs that don't need rnal adjustment | Clindamycin, Ceftriaxone, Azithro/erythro, Nafcillin, Doxy/minocycline |
| Drugs cause False + fever | B. lactams, PCN's, Cephs, Salcylates, Phenotoin |
| AE's Cephalosporins | Generally WT, 5-10% cross w/PCN's Diarrhea, Neutropenia, thrombocytopenia, platelet dysfxn |
| AE's Carbapenems | Seizures, rash, anaphlaxis, cross w/ B-lactams |
| Gram - specialist | Monobactams, Aminoglycosides |
| AE's Monobactams | Rash, N/V/D rare cross-sensitivity to PCNs and ceps |
| Tx options w/ monobactams | G- Sepsis, pneumonia, osteomylitis, UTI's |
| AE's Vancomycin | Red man syndrome, oto and nephrotoxcity |
| Monitoring for Vanco | trough levels, high doses: oto and nephrotoxicity |
| AE's for FQ's | limited <18yo and pregnant women: Bone/Joint/cartilage erosion GI: MC, CNS: dizziness, lightheadness HA insomnia |
| AE's For TMP/SMX | 15% sulfa allergy, GI, Rare life-thretning: Steven-johnson's, blood dyscrasias, hepatotoxic rxns & hyperkalemia |
| CI TMP/SMX | Hypersensitivity, folate deficiency anemia, infants <2m, marked hepatic or renal dysfx, bf |
| AE's Aminoglycosides | Oto tox, Neprhrotoxicity |
| AE's Tetracyclines | Teeth and bone discoloration CI <8yo or pregnancy, GI upset, photosensitivity |
| AE's Macrolides: Erythro and Claritrho | GI: N/V/D/ abd cramps Rare: hearing loss, Vtach, QT prolongation |
| AE's Clindamycine | Diarrhea 20% Pseudomembranous colitis |
| AE's Metronidazole | Nerological effects: seizures at high doses, Disulfiram like effect, GI upset, metallic taste, darkened urine |