Allman review Flashcards

1
Q

what are the gram positive bacteria

A

staph
strep
enterococcus

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2
Q

what are the atypical bacteria

A

chlamydia
mycoplasma
legionella

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3
Q

why are atypical drugs called atypical

A

they don’t take up red or blue dye, so present atypically

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4
Q

what are the anaerobe bugs

A

peptostreptococcus
bacteroides
clostridium

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5
Q

what are the gram negative PIddly drugs

A
haemophilus
moraxella (M.cat)
salmonella
shigella
morganella
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6
Q

what are gram negative bugs that are piddly but also fence bugs

A

neisseria

providencia

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7
Q

why are FENCE bugs called fence bugs

A

sometimes they are really hard to treat or very easy

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8
Q

what is a pan culture

A

culture everything

blood, urine, sputum

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9
Q

what acronym is used for fence bugs

A

PEK
proteus
E. coli
klebsiella

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10
Q

where are SPACE bugs found

A

hospitals or nursing homes

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11
Q

when is broad specturm therapy used

A
  • when we don’t know what the bug is
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12
Q

synergy

A

1+1+5

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13
Q

time dependent kill? what is minimum dosing

A

time above MIC

minimum of 40-50% dosing

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14
Q

what do you want in concentration dependent kill

A

high peak
get post-anti-biotic effect
-10 times MIC for peak

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15
Q

Name two dugs that have concentration dependent kill

A

aminoglycosides

fluroquinolones

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16
Q

what are the two penicillins that cover psuedomonas

A

pipercillin

ticarcylin

17
Q

what cephalosporins cover psuedomonas

A
4th generation - cepefime
3rd genertaion (antipseudomal) - ceftazidime
18
Q

what does cefoxitin and cefetetan cover

A

anaerobes

19
Q

which cephalosporin covers MRSA

A

5th generation: ceftaroline

20
Q

which carbapenems cover pseudomonas

A

imipenem
meropenim
doripenim

21
Q

MOA fluroquinolones

A

work on DNA gyrase

22
Q

aminoglycosides MOA

A

work on 30S

23
Q

what drug is taken orally for gut decontamination

A

niomyocin

24
Q

Niomyocin high peak has what adverse effect

A

high ototoxicity

25
Q

Niomyocin too high of troughs is associated with what adverse effect

A

high nephrotoxicity

26
Q

what other drug beside nicomyosin also exhibits high troughs and high peak side effects

A

vancomyosin

27
Q

what is the infusion related syndrome with vancyomyocin

A

Red man’s sydnrome

28
Q

why is methacillin off the market

A

severe damage to kidneys

interstitial nephritis

29
Q

ampicillin is drug choice for what bacteria

A
strep
enterococcus
H. flu
salmonella/shigella 
PEK
30
Q

what does aminoglycosides cover

A

gram (-)

synergy for enterococcus

31
Q

what does vancomycin cover

A

graph (+) except VRE

MRSA

32
Q

Linezolid covers what

A

MRSA

VRE

33
Q

what is the drug drug interaction with Linezolid

A

serotonin uptake inhibitor

causes serotonin storm because it is MOA inhibitor

34
Q

what is Mupricin used for

A

MRSA eradication

topical only

35
Q

fosfomyocin is good for what type of disease state

A

UTI