Cephalosporins Flashcards
moa of cephalosporins
inh of cell wall synthesis. same target in transpeptidation with cephalosporin binding protein
most common adverse reaction for cephalosporins
hypersensitivity
t/f: cephalosporins are more stable than penicillins
true. cephalosporins are not easily destroyed by beta lactamase esp members of 4th and 5th gen
t/f: cephalosporins have broader spectrum of activity than penicillins
true. because they are more resistant to beta-lactamase
t/f: whatever substituent or radical is attached to R1 or R2 will make Cephalosporin unique.
true
1st gen cephalosporins
Cephalexin, cephadroxil
cephalotin, cephaloridine
cephradine
2nd gen cephalosporins
extended activity against G(-) organisms
cefaclor, cefprozil
cefamycin, cefoxitin, cefotetan, cefmetazole, cefuroxime
3rd gen cephalosporins
-extended spectrum against G (-) organisms, especially rarely encountered organisms
cefixime, cefdinir, ceftibuten
cefoxatime, ceftazidime, ceftriaxone
drugs used in pseudomonas infection
ceftazidime, cefoperazone
4th generation cephalosporins: more resistant to beta lactamase producing enterobacter
cefepime, cefpirome
5th generation celhalosporins: activity effective against MRSA
ceftobiprole
cephalosporins are excreted thru
renal
some are excreted biliary: cefoperazone, ceftriaxone
drugs associated with renal complications
cephaloridine
drugs associated with hypothrombinemia and bleeding disorders
those that contain methylthiotetrazole group:
cefamandole
cefmetazole
cefotetan
cefoperazone
AmanMetOtetOpera