Antibiotics Flashcards

1
Q

Penicillin General

A
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2
Q

Pencillin G

A
  1. First gen
  2. treats: gram postive, enteroc and T. Pallidum ( syphillus)
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3
Q

Ox/ Diclox/nacfcillin

A
  1. second gen
  2. best against staph, only gram postive
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4
Q

Ampacillin and amoxicillin

A

1.3rd gen
2.gram - and + and listeria
3.HELP - Haemophilus Ecoli Listeria Proteus

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5
Q

Piperacillin

A
  1. Gen 4
  2. Treats CAPES - Citrobacter, Actobacter, Psuedomonas, Serritea
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6
Q

Cefazolin/Cephalexin

A
  1. 1st gen ceph
  2. treats PEK - Proteus, Ecoli , Klebsiella
  3. usually used for surgery
    4.
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7
Q

Cefuroxime, Cefoxitin and Cefotetan

A
  1. 2nd gen and better - converage
  2. Covers HNPEK -Haemophilus, Nesseria, Proteus, ecoli and Klebsiella

AD
Disulfram rxn

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8
Q

Ceftazidime, Ceftriazone, cefotaxime

A
  1. 3rd gen more broud spectrum
  2. CAPES - Citrobacteria, Acinterbacteria, Psudomonas, Ecoli, Serratia
  3. Ceftazidime for psudomonas
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9
Q

Cefepime

A
  1. 4th gen
  2. used like cefazidime
  3. IV ONLY
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10
Q

Ceftaroline

A
  1. 5th gen
  2. broad + and - but cant treat psudomonas
  3. however can treat MRSA
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11
Q

Cephalosporins AD

A
  1. hypersensitve
  2. GI
  3. Alchol intolerance
  4. 1st gen nephrotoxic
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12
Q

Aztreonam

A
  1. MOnobactams and beta lactam sensitve
  2. only gram negative bc smol and can fit
  3. **no cross rxns ith penciliin or cephalosporins **
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13
Q

What med do we use to treat someone with a gram negative bacteria who is allergic to pencillin or cephalosporins

A

Axtreonam

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14
Q

Meropenem

A
  1. Carbapenems
  2. treats both + and -, anerobic and Psudomonas
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15
Q

Vancomycin

A
  1. Glycopetide - stops the crpss linking
  2. treat only gram positice and MRSA and Enteroccus
  3. 1st line for C. Diff but only oral
    AD
  4. Vancomycin flushing bc of histamine release
  5. Ototoxic w/ aminopsi
  6. nepho toxic
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16
Q

Daptomycin

A
  1. Lipopeptides - forms pores to kill bacteria
  2. only gram + and VRE
    AD
  3. BIG MUSCLE WEAKNESS
  4. CC with the statins
  5. monitor Creatine Levels
17
Q

Gentamycin, tobramycin

A
  1. Aminoglycosides - crack membranes and bind with oxygen to get into the cell blocks 30s subunit
  2. Treatment only gram negative and pseudomonas
  3. can combo with cell wall inhibitors to attack gram positive
    AD
  4. Neph
  5. ototoxic
  6. high does muslce blocker
18
Q

Linezolid

A

1.oxlianthione - blocks mrna from the 50s subunit
2.used only gram + bc efflux on gram negative kicks it out, MRSA, eneroc
3.VRE

AD
1. GI
2. Bone marrow
3. optic
4. CAN CAUSE SEOTONIN SYNDROME

19
Q

Doxycycline and Tigecycline

A
  1. Tetracyclines binds to the 30s 2nd subunit of mRNA ribsome
  2. Docy is the 2 space 2
  3. Tigecycline is the god and hasnt been used a lot so can treat a lot of things except pseudomonas
  4. TIgecycline for VRE

AD
1.GI
2.GREY TEETH PURE CARE
3.Phototoxic

DDI
1. kids
2. pregnacny
3. Cations

20
Q

Azithromycin

A
  1. Macrolides ( the crows) blocks the 50s of translocation
    AD
  2. GI
  3. Hepatoxic
  4. QT prolonged

DDI cyp interactions except Azithromycin

21
Q

Clindamycin

A
  1. Blocks the 50s transloiation of rDNA
  2. mainly used in combo to provide coverage for anaerobes
  3. ONE OF THE BIG ANAEROBIC ABOVE DIAPHRAM
22
Q

sulfoniamides combo with trimethprim has to (BACTRIM)

A
  1. inhibits folic acid synthesis
  2. can treat MRSA
  3. usually used for UTI
  4. HPEK treats

AD
1. GI
2. Hypersensitiviry rxn
3. hemologic effects
4. Leukopenia
5. hemolytic aniema (GD6P deficentcy)
6. kernitcus - frees bullirubin and gets into our basal ganglia in neonates
7. hyperkalemia
8. block cyp
9. protein binding

Contra
1. pregnacy
2. infants

23
Q

Ciprofloxocin, Levofloxacin, moxifloxacin

A
  1. block super coiling glueing - just create strand breaks to cause cell death
  2. Cirpo can trea pseudomonas but not levo or moxi bc they made them more gram postitive
  3. made them more postice to use to treat respiroty antibitotics

AD
1. peripheral neropaty
2. photo toxic
3. seizures
4. MUSCOSKELETO - Tendonotos and tendon rupture
5. QT prolongation

CI
1. kids
2. pregnant
3. MAF Can give 2 befroe or 4 after

24
Q

Metronidazole

A
  1. produg that generates free radicals that kill anaerobic bacteria
  2. USED FOR BELOW THE DIAPGHR ANEAROBIC

AD
1. GI
2. metalic taste
3. furry tounge
4. disulfam rxn
5. no alchohol

CI
sizure
slcholism
cancer risk

25
Q

Rafampin

A
  1. Ribsome inhibitor
  2. used for TB mainly
  3. mengitis prophlaxsis
  4. hemophyllis prophlaxsis

AD
1. hepa tosic
2. red and organge body fluids
3. cyp450

26
Q

Rafampin

A
  1. Ribsome inhibitor
  2. used for TB mainly
  3. mengitis prophlaxsis
  4. hemophyllis prophlaxsis

AD
1. hepa tosic
2. red and organge body fluids
3. cyp450