Block 1 - Abx Review Flashcards
Which AB affect cell wall?
Beta lactams
Bacitracin
Glycopeptides
Lipoglycopeptides
Which AB affect DNA/RNA synthesis?
Fluoroquinolones
Rifamycins
Which AB affect folate synthesis?
Sulfonamides
Trimethoprim
Which AB affect cell membrane?
Daptomycin
Polymyxins
Which AB affect 50s subunit protein synthesis?
Chloramphenicol
Lincosamides
Macrolides
Oxazolidinones
Pleuromutilins
Streptogramins
Which AB affect 30s subunit protein synthesis?
Aminoglycosides
Tetracyclines
Beta lactam target?
Cell wall
Bacitracin target?
Cell wall
Glycopeptide target?
Cell wall
Fluoroquinolone target?
DNA/RNA synthesis
Rifamycin target?
DNA/RNA synthesis
Sulfonamide target?
Folate synthesis
Trimethoprim target?
Folate synthesis
Daptomycin target?
Cell membrane
Polymyxin target?
Cell membrane
Chloramphenicol target?
50s subunit
Lincosamide target?
50s subunit
Macrolide target?
50s subunit
Beta lactam target?
Cell wall
Bacitracin target?
Cell wall
Glycopeptide target?
Cell wall
Fluoroquinolone target?
DNA/RNA synthesis
Rifamycin target?
DNA/RNA synthesis
Which AB can cause diarrhea and C. diff colitis?
All of them
Trimethoprim target?
Folate synthesis
Daptomycin target?
Cell membrane
Polymyxin target?
Cell membrane
Chloramphenicol target?
50s subunit
Lincosamide target?
50s subunit
Counseling points on natural penicillins?
IM formulation should not be given IV
May decrease effectiveness of oral contraceptives
Pen VK should be taken on an empty stomach 1hr before or 2hrs after meals to enhance absorption
Oxazolidinone target?
50s subunit
Pleuromutilin target?
50s subunit
Anti-staphylococcal PCN AE?
High salt load and hepatotoxicity
Anti-staphylococcal PCN counseling points?
Caution to those w/ HF
Tetracycline target?
30s subunit
What does the beta lactam ring consist of?
4 member ring with a nitrogen and a double bond to an oxygen
Beta lactams are (bactericidal/static)
Bactericidal
Which AB are found in the beta lactam group?
Penicillins
Cephalosporins
Carbapenems
Complete beta-lactam MOA?
Inhibits cell wall synthesis by binding to penicillin-binding proteins which inhibits final transpeptidation step
What are the natural penicillins?
Pen G and V
What are the anti-staphylococcal PCNs?
Oxacillin
Nafcillin
Dicloxacillin
Cefoxitin is a ___ Gen cephalosporin
2nd
Anti-staphylococcal PCN counseling points?
Caution to those w/ HF
What are the broad-spectrum PCNs?
Aminopenicillins
Ampicillin/Amoxicillin
Augmentin
Unasyn
Zosyn
What are the 3rd Gen cephalosporins?
Cefotaxime
Ceftriaxone
Ceftazidime
Cefixime
Cefpodoxime
Cefdinir
3rd Gen cephalosporin AE?
Ceftriaxone causes biliary sludging/kernicterus of newborns
Dont administer ceftriaxone w/ calcium solutions
Serum-sickness rxn
Cefdinir = liver issues
Cefpodoxime = take w/ food
Cefdinir = take at least 2hrs before/after antacids or iron
What are the 2nd Gen cephalosporins?
Cefotetan
Cefoxitin
Cefuroxime
2nd Gen cephalosporin AE?
Disulfiram-like rxn w/ cefotetan
Oral contraceptive efficacy with cefuroxime may be reduced
Cefazolin is a ___ Gen cephalosporin
1st
Cephalexin is a ___ Gen cephalosporin
1st
Cefotetan is a ___ Gen cephalosporin
2nd
Cefoxitin is a ___ Gen cephalosporin
2nd
Cefuroxime is a ___ Gen cephalosporin
2nd
Which 1st Gen cephalosporin is IV/PO?
IV: cefazolin
PO: cephalexin
Which 2nd Gen cephalosporin is IV/PO?
IV: cefotetan, cefoxitin
PO: cefuroxime
Cefotaxime is a ___ Gen cephalosporin
3rd
Ceftazidime/Avibactam AE?
High salt load, caution in HF pts
Positive direct Coombs test
Neuro issues
What are the carbapenems?
Meropenem
Imipenem/cilastatin
Doripenem
Ertapenem