Chapters 38 and 39: Antibacterial Drugs Flashcards
therapy used to prevent infection
prophylactic therapy
given for bone infections
fluoroquinolones
most common reactions are urticaria, pruritus, and angioedema
penicillin
can cause ototoxicity
vancomycin, aminoglycosides
treats chlamydial infections
macrolides
used to treat syphilis
PCN G
severe reactions to antibiotics typically occur within ____________
20-30 minutes
Disinfectants are used for (nonliving objects, living tissues), have a (lower, higher) potency, and are (bacteriostatic, bactericidal) against organisms
nonliving objects, higher, bactericidal
results in disulfiram reaction to alcohol
cephalosporins, metronidazole
results from too rapid of injection of vancomycin
red man/neck syndrome
Disease-producing bacteria reproduce by cell division every __________
20 minutes
severe bronchoconstriction with stridor, hypotension, and airway swelling can occur
penicillin
milk products prevent absorption of the medication (separate by 2 hours)
tetracyclines
side effects include dizziness, nasal congestion, and headache
metronidazole
primarily given IV and IM because not absorbed well via GI tract
aminoglycosides
monitor for cardiovascular side effects (palpitations, chest pain, QT prolongation, dizziness)
macrolides
complications include blood dyscrasias, crystalluria, and hyperkalemia
sulfonamides
treats active tuberculosis
streptomycin
this drug class comes in first to fifth generations
cephalosporins
can cause discoloration (yellow, brown) of permanent teeth, tongue, and nails
tetracyclines
inhibit bacterial protein synthesis
lincosamides
broad-spectrum antibiotics are examples of _________ therapy
empiric
infection acquired by someone who has not recently been in the hospital or had a medical procedure
community-associated infection
contraindicated in people with liver disease
macrolides
avoid alcohol ________ before and ________ after taking metronidazole
24 hours, 36 hours
side effects include headache, nausea, diarrhea, and vomiting
linezolid
given for upper and lower respiratory tract infections
macrolides
IV doses of cephalosporins should be infused over _____________ to prevent ________ and _________
30 minutes, pain, irritation
Achilles tendon rupture is a potential side effect
fluoroquinolones
never given IM because they are too painful
macrolides
treats vancomycin-resistant enterococcus faecium (VRE)
linezolid
contraindicated in ulcerative colitis
lincosamides
macrolides are ____________ with low to moderate doses and ___________ with high doses
bacteriostatic, bactericidal
given for skin infections
macrolides, fluoroquinolones
allergic reaction to penicillin typically occurs within ___________ of administration
30 minutes
avoid alcohol while taking and for 3 days after completion
cephalosporins
used for gynecologic and intrabdominal infections
metronidazole
do not use for QT prolongation
macrolides
commonly used for bacterial decontamination of GI tract before surgery
neomycin
treat anthrax poisoning
tetracyclines
ciprofloxacin
can cause nephrotoxicity (assess renal function)
vancomycin, aminoglycosides
monitor for allergic reactions
penicillin
use cautiously in kidney disease
penicillin
given for UTIs
macrolides, fluoroquinolones (complicated only), sulfonamides
the first symptom of a hypersensitivity/allergic reaction is usually _____________
shortness of breath
infection that occurs following care at a healthcare institution
health-care-associated (nosocomial) infection
fungus that was discovered in seawater at a sewer outlet in Sardinia
cephalosporin
to prevent superinfections, consider adding _________ or __________ to diet
probiotics, yogurt
examples of superinfections caused by antibiotic use
C. difficile, thrush/yeast infections
use caution in individuals with bleeding disorders or anticoagulant use
cephalosporins
do not administer to individuals with allergies to these drugs, thiazide diuretics, or loop diuretics
sulfonamides
antibiotics that are effective against gram-positive and gram-negative bacteria
broad spectrum antibiotics
these two drug categories are chemically related (use with caution in those with known allergy to one, monitor closely)
penicillin, cephalosporin
presumptive treatment of an infection to avoid treatment delay in which treatment is started before the offending bacteria is identified
empiric therapy
avoid tyramine-containing foods
linezolid
increase the effect of oral anticoagulants
tetracyclines
monitor liver function in those taking for longer than 2 weeks
macrolides
treat Rocky Mountain Spotted Fever
tetracyclines
can cause photosensitivity
tetracyclines
type of resistance caused by prior exposure to antibacterial drug
acquired resistance
passes through blood-brain barrier and can be used to treat meningitis
ceftriaxone
requires serum monitoring
vancomycin, aminoglycosides
resistance that occurs without previous exposure to the antibacterial drug
natural resistance
inhibit enzyme needed for DNA replication
fluoroquinolones
5-10% of people will experience an allergic reaction to this
penicillin
not common with antibiotic therapy lasting less than a week
superinfection
increased risk of serotonin syndrome with SSRI use (agitation, muscle rigidity, diarrhea, rapid heart rate, rapid blood pressure, confusion)
linezolid
red man/neck syndrome is a (toxic effect, allergic reaction) from giving the drug ____________
toxic effect, vancomycin
drug of choice for anthrax infection
ciprofloxacin
administration of antibiotics is based on known results of culture and sensitivity
definitive therapy
resistance that can occur between antibacterial drugs that have similar actions
cross-resistance
treats Legionnaire’s disease
macrolides
used for treatment of C. difficile diarrhea
fidaxomicin
the (first, second, third, fourth, fifth) generation of cephalosporins is most likely to reach CSF fluid and most effective against gram negative bacteria
fifth
can treat those with penicillin allergy
macrolides
narrow-spectrum antibiotics are an example of ____________ therapy
definitive
C. difficile is common
lincosamides
do not give tetracyclines to children younger than __________
8 years
a natural antibiotic obtained from mold
penicillin
another name for beta-lactam antibiotics
penicillin
treats recurrent pulmonary infections in patients with cystic fibrosis
tobramycin
results from killing healthy bacteria
superinfection
macrolides are ________ spectrum antibiotics
broad
inhibit protein synthesis
macrolides
drug of choice for MRSA
vancomycin
Antiseptics are used for (nonliving objects, living tissues), have a (lower, higher) potency, and are (bacteriostatic, bactericidal) against organisms
living tissues, lower, bacteriostatic
antibiotics that are primarily effective against one bacteria type
narrow spectrum antibiotics
administer slowly, at least over 60 minutes
vancomycin