Cushman random Flashcards

1
Q

when do we use vanc

A

c. diff unresponsive to metronidazole
MRSA

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2
Q

side effects of vanc

A

nephrotox
ototox
red man syndrome

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3
Q

which lipoglycopeptides have long halftime

A

dalbavancin and oritavancin

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4
Q

what is synercid bacteriostatic against

A

enterococcus faecium

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5
Q

what is synercid bacteriocidal against

A

MR staph and MS staph

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6
Q

quinupristin resistance mechanism

A

adenine methylation in 23S RNA hinders quinupristin from binding

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7
Q

what is virginiamycin

A

looks like synercid and is in livestock so there is resistance from this

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8
Q

synercid drug interactions

A

cyp 3a4

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9
Q

linezolid used for what

A

multi drug resistant gram +

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10
Q

linezolid resistance

A

G to U substituion reduces affinity for linezolid binding to 23S RNA

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11
Q

linezolid side effects

A

GI, N/V , diarrhea
thrush
tongue discolor
myelosuppression
thrombocytopenia
neuropathy

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12
Q

linezolid drug interactions

A

monoamine oxidase inhibitor
tyramine containing foods (cheddar, red wine,camembert, stiliton)

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13
Q

aminoglycoside toxicity

A

ototoxicity - irreversible
nephrotoxicity - reversible

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14
Q

aminoglycoside effect on respiratory

A

respiratory paralysis - reversed by calcium gluconate, neostigmine

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15
Q

can aminoglycosides and penicillins be given together

A

yes but in seperate arms

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16
Q

neomycin indication

A

traveler diarrhea

17
Q

paromomycin indication

A

travelers diarrhea
dwarf tapeworm
beef tapeworm

18
Q

macrolide degradation

A

lactone ester hydrolysis
adenine added to 23S RNA to prevent binding of macrolides to 50S unit
adenine to guanine mutation

19
Q

macrolide drug interactions

A

clarithromycin and erythromycin inhibit CYP3A4

20
Q

macrolides side effects

A

GI
skin reactions
jaundice
pyloric stenosis

21
Q

what drug given with leucovorin for AIDs pts

A

clindamycin

22
Q

big side effect of clindamycin

A

diarrhea and mega colon

23
Q

how does