Final Flashcards
What does lipoprotein lipase do?
Converts triglycerides into free fatty acids and monoacylglycerides
What are the three ways to decrease triglycerides?
Decrease consumption
Decrease VLDL secretion
Increase lipoprotein lipase activity
What are the four ways to decrease cholesterol?
Decrease dietary cholesterol
Decrease bile acid reabsorption
Decrease cholesterol absorption
Decrease cholesterol synthesis
What are the 5 classes of drugs used in lowering triglycerides and/or cholesterol?
Nicotinic acid (Niacin) Fabric acid derivatives (Fibrates) Bile acid binding resins HMG-CoA reductase inhibitors (Statins) Cholesterol absorption inhibitors
What is at least one representative drug for nicotinic acid?
Niacin (nicotinic acid)
What is at least one representative drug for fibric acid derivatives?
Gemfibrozil
Fenofibrate
What is at least one representative drug for bile acid binding resins?
Cholestryamine
Colestipol
What is at least one representative drug for HMG-CoA reductase inhibitors?
Lovastatin
Simvastatin
What is at least one representative drug for cholesterol absorption inhibitors?
Ezetimibe
What are different factors that determine/influence the likelihood of infection of a microorganism
Virulence Numbers Host resistance Systemic level factors (e.g., antibodies) Local level factors
What are factors that influence the selection of antibiotic therapy?
Identification of the organism Susceptibility of the organism Site of infection Drug characteristics Pharmacodynamics Pharmacokinetics Patient factors Allergy Safety Cost Route of administration
What is the post-antibiotic effect?
Suppression of microbial growth even after levels of antibiotic have fallen below the MIC
Length of time following the removal of antimicrobial drug to reach log-phase growth
What are patient factors that could influence the selection of antibiotic therapy?
Immune system Renal function Hepatic function Poor perfusion Age Pregnancy/lactation
What is empiric therapy?
The initiation of treatment before a firm diagnosis is made (usually involves broad spectrum antibiotics)
What is directed therapy?
The choice of treatment is based on knowledge of the organism that is the cause of the infection