Aminoglycosides Flashcards

1
Q

examples

A

streptomycin

kanamycin

gentamycin

amikacin

neomycin

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2
Q

mech of action

A

bactericidal by acting on intracellular protein synthesis

NO NOT ACT OF CELL WALL

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3
Q

use

A

aerobic gram neg. bacteria

gentamycin broader spectrum, toxic levels if > 9mcg/ml

neomycin adjunct therapy to hepatic coma (lowers NH3 with given PO)

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4
Q

met/elim

A

extensive renal excretion

T1/2 - 2-3 hr

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5
Q

side effects

A

ototoxicity - dose dependent, irreversable

nephrotoxicity (tubular necrosis, reversable

skeletal muscle weakness (decreased release of ACh and decreased sensitivity post synaptically)

prolongs NMB

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6
Q

anesthesia considerations

A

1st sign of nephro-toxicity is inability to concentrate urine

caution in myasthenia gravis

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