Chemotherapeutic Agents ulit Flashcards
These drugs affect cells by altering cellular function or disrupting cellular integrity, causing cell death, or by preventing cellular reproduction, eventually leading to cell death
Chemotherapeutic drugs
are used to destroy both organisms that invade the body (e.g., bacteria, viruses, parasites, protozoa, fungi) and abnormal cells within the body (e.g., neoplasms, cancers).
Chemotherapeutic drugs
basic structural unit of the body
cell
Each cell has a __________, a _____________, and ___________, which contains a variety of organelles
nucleus; cell membrane; cytoplasm
contains all genetic material necessary for cell reproduction and for the regulation of cellular production of proteins
nucleus
nucleus contains a spherical mass called
nucleolus
sites of protein synthesis
ribosomes
Within this mass (nucleolus) are dense fibers and proteins that will eventually become
ribosomes
essential for cellular integrity and is equipped with many mechanisms for maintaining cell homeostasis
cell membrane
“power plants” within each cell that produce energy in the form of ATP,which allows the cell to function.
mitochondria
membrane-covered organelles that contain specific digestive enzymes that can break down proteins, nucleic acids, carbohydrates, and lipids
lysosomes
are responsible for digesting worn or damaged sections of a cell when the membrane ruptures and the cell dies.
lysosomes
designed to target foreign organisms that have invaded and infected the body.
ANTI-INFECTIVE AGENTS
active against the infective microorganisms that they actually cause the death of the cells they affect
Bactericidal
not as aggressive; they interfere with the ability of the cells to reproduce or divide.
Bacteriostatic
a complex interaction among chemical mediators, leukocytes, lymphocytes, antibodies, and locally released enzymes and chemicals.
HUMAN IMMUNE RESPONSE
Anti-infective drugs cannot totally eliminate the pathogen without causing ______________ in the host
severe toxicity
interfere with biosynthesis of the pathogen cell wall
ANTI-INFECTIVE AGENTS
interfere with the steps involved in protein and DNA synthesis, functions necessary to maintain the cell and allow for cell division
ANTI-INFECTIVE AGENTS
alter the permeability of the cell membrane to allow essential cellular components to leak out
ANTI-INFECTIVE AGENTS
refers to the ability over time to adapt to an anti-infective drug and produce cells that are no longer affected by a particular drug.
resistance
synergistic, which means that they are more powerful when given in combination
Combination Therapy
to prevent infections before they occur
Prophylaxis
Inhibit protein synthesis
AMINOGLYCOSIDES
used to treat serious infections caused by susceptible strains of gram negative bacteria, including Pseudomonas aeruginosa, E. coli, Proteus species, the Klebsiella–Enterobacter– Serratia group, Citrobacter species, and Staphylococcus.
AMINOGLYCOSIDES
AMINOGLYCOSIDES
amikacin
gentamycin
kanamycin
neomycin
streptomycin
tobramycin
AMINOGLYCOSIDES
CONTRAINDICATIONS/ CAUTIONS:
Allergy
Hepatic disease
Renal disease
Preexisting Hear loss
Herpes/ Mycobacterial Infection
myasthenia gravis or parkinsonism
Lactation
AMINOGLYCOSIDES
ADVERSE EFFECTS
ototoxicity and nephrotoxicity
CARBAPENEMS
doripenem
ertapemen
imipenem-cilastatin
meropenem
are a relatively new class of broad-spectrum antibiotics
CARBAPENEMS