mmmm heres sumthing to get ur head round... something to help and encourage learning.
please feel free to add other things which u might believe will help us in our path to attain our goals

Attached Images

     

Proud Peter Met Nancy On a Cold Day, AfterA Cup of Tea Peter Met Anna


The above can be used to remember penicillins

Penicillin G
Penicillin V
Methicillin
Nafcillin
Oxacillin
Cloxacillin
Dicloxacillin
Ampicillin
Amoxicillin
Carbenicillin
Ticarcillin
Piperacillin
Mezlocillin
Azlocillin

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case study

a 45year old white female presents to your clinic with increased urinary urgency and discharge. She reports that this has occured several times over the last year despite antibiotic treatment. On review of her medical records, you notice that she has been treated with both first and second line pharmacological agents for recurrent UTI's. Cultures show that the causative organisms are Klebsiella and Serratia. Her medical history is notable for an allergy to penicillins and cephalosporins. You decide to put the patient on a B-lactam drug that is effective against gram negative rod infections and can be used in patients who have penicillin allergy
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what you should be thinking about

1. 1. shes female
   2. recurrent UTI's
   3. allergy to penicillin and cephalosporin

do u know the answer??
which drug would u put this patient on??

the answer:

AZTREONAM

-it is a drug with a monocyclic B-lactam ring
- used to treat gram negative rods - klebsiella/pseudomonas/serratia
NO ACTIVITY against gram positive organisms

can be used to treat infections in patients:
1)who have allergy to penicillin or
2) patients who are renally insufficient - and therefore cannot tolerate Aminoglycosides