cephalosporins and cell wall inhibitors Flashcards

1
Q

vancomycin is what class of Abx

A

glycopeptide

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2
Q

daptomycin is hwat class of Abx

A

cyclic lipopeptides

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3
Q

cefazolin what class

A

1st gen cephalo

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4
Q

cefazolin what route

A

iv

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5
Q

cephalexin what class

A

1st gen cephalo

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6
Q

cephalexin what route

A

oral

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7
Q

cefuroxime what class

A

2nd gen cephalo

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8
Q

ceftriaxone what class

A

3rd gen cephalo

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9
Q

ceftriaxone what route

A

iv

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10
Q

ceftazidime what class

A

3rd gen cephalo

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11
Q

ceftazidime what route

A

iv

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12
Q

cefepime what class

A

4th generation cephalo

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13
Q

ceftaroline what class

A

5th gen cephalo

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14
Q

as a class cephalosporins are not active against which organisms

A

enterococci and listeria

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15
Q

1st gen cephalos are more active against what kind of organisms

A

GP

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16
Q

later gen cephalos are more active against waht kind of organisms

A

GN

17
Q

cephalsospirin mechanism of action

A

bind PBPs and inhibit assembly of bacterial cell wall = bactericidal

18
Q

cefazolin spectrum

A

GP few weak GNR

19
Q

cephalosporin drug interaction

A

probenecid inhibits renal active tubular secretion

20
Q

cefotetan drug class

A

2nd gen cephalo

21
Q

cefoxitin drug class

A

2nd gen cephalo

22
Q

2nd gen cephalosporin spectrum

A

GP and somewhat expanded GNR coverage (lebsiella)

23
Q

which 3rd gen cephalsoporin has good CSF penetration

A

ceftriaxone

24
Q

which cephalo has good P aeruginosa coverage?

A

ceftazidime

25
Q

ceftaroline coverage

A

GNR and GPC includes MRSA

26
Q

ceftaroline toxicity

A

10% conver to positive direct coombs

27
Q

meropenem mechanism of action

A

binds to PBP which inhibits the assembly of the bacterial cell wall leading to bactericidal action

28
Q

meropenem coverage

A

GPC, GNR, anaerobes

29
Q

meropenem route

A

IV

30
Q

how is meropenem’s CSF penetration

A

good

31
Q

aztreonam drug class

A

monobactam

32
Q

aztreonam coverage

A

olg GNR

33
Q

vancomycin coverage

A

virtually all GPC

C diff

34
Q

vancomycin resistance arises how

A

develops in enterococci and MRSA by changing D-Ala to D-lactate

35
Q

daptomycin coverage

A

GPC

36
Q

daptomycin mechanism of action

A

binds to cell membrane, depolarizes cell which leads to inhibition of synthesis of protein, DNA and RNA, leading to cell death
doesn’t enter cytoplasm

37
Q

daptomycin route

A

IV

38
Q

dapto toxicity

A

myopathy