Final Flashcards

1
Q

Sulfanomides

A

Broad Spect
Static
PABA agonists-inhibits folic acid synthesis

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2
Q

Dihydrofolate reductase enzyme inhibitors?

A

Diaminopyrimidines

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3
Q

Sulfa that is an ophthalmic preparation-short acting

A

Sulfacetamide

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4
Q

Sulfa: UTI in sm animals
soluble and rapidly excreted
short acting

A

Sulfisoxazole

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5
Q

Sulfa: Respiratory and enteric infections in calves and swine
short acting

A

Sulfachlorpyridazine

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6
Q

Sulf: Intermediate acting UTI in sm animals

A

Sulfamethoxazole

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7
Q

Long acting sulfas?

A

Sulfadimethoxine

Sulfamethazine

Sulfaethoxypyridazine

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8
Q

Sulfa; Colitis in dogs

A

Sulfasalazine

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9
Q

Sulfa: Coccidiosis in poultry

A

Sulfaquinoxaline

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10
Q

Topical Sulfa

A

Silver sulfadiazine

sulfacetamide

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11
Q

Sulfa spectrum of action

G+/-?

A

Both G+ and -

Protozoa

Ineffective against obligate anaerobes

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12
Q

What can you combine sulfas with to get an even broader spectrum?

A

Diaminopyrimidines

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13
Q

What is the distribution of Sulfa

A

Wilde

synovial, aqueous and spinal fluid, placental, sm conc in milk

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14
Q

How are Sulfa metabolized and excreted

A

Acetylation—dooooggssss can’t acetylate

Renal Excretion

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15
Q

What are your toxic effect of sulfa?

A

KCS

Hepatic necrosis

Nephrotoxicity

Blood dyscrasias: hypoprothrobinemia, aplastic anemia, thrombocytopenia

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16
Q

Breed sens of Sulfa

A

Doby: Polyarthritis, cutaneous eruption, hepatitis

Dogs and Ducks: Hypoglycemia

Dogs: Iatrogenic hypothyroidisms

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17
Q

MOA for diaminopyrimidines

A

Reversibly binds and inhibits dihyrdofolate reductase enzyme

This affects bacterial folic acid production

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18
Q

Diamino specific for protozoa

A

Pyrimethamine

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19
Q

Pharmacokinetics of Diamino

A

Well aborbed

BBB, conc in prostatic fluid and milk (ion trapping)

met in liver

excreted in urine

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20
Q

What is it called when you combin sulfa and Diamino

what is this Ab efficacy?

A

poteniated sulfa

synergistic
Bactericidal
alone these are static

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21
Q

Name some Diamino

A

Ormetoprim
Pyrimethamine
Trimethoprim

Aditoprim
Tetroxoprim
Metioprim

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22
Q

What is the susceptibility of Potentiated Sulfas?

A

G+ and - (except pseudo)

Protozoa

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23
Q

What are your beta-lactam Ab?

A

Penicillins

Cephalosporins

Carbepenems

Monobactams

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24
Q

How do Beta Lactam Ab work?

A

Inhibits bacterial cell wall synthesis

They bind to the PBP and interferes with the transpeptidation reaction

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25
How can bacteria become resistant to Beta lactam Ab?
Production of beta-lactamase enzymes that hydrolyze the beta lactam ring G- are impermeable to beta lactam ab Reduced sensitivity of penicillin binding protein
26
What are your natural penicillins?
Penicillin G (Na+/K+, Benzathine, procaine) Penicillin V (acid stable)
27
Which bacteria are susceptible to natural Penicillin
Step, Staph, Corny, Listeria, Pasturella, Haemophilus, Anaerobic Spirochetes
28
What are your semi-synthetic Penicillin used for?
Penicillinase resistance
29
What are your 3 types of semi-synthetic Penicillin
Penicillinase resistance penicillin Broad Spectrum Penicillin Extended spectrum/anti-pseudomonal Penicillin
30
Cloxacillin, Oxacilling, Dicloxacillin are all what kinds of Penicillin
Penicillinase resistant
31
What can you tx with penicillinase resitant Penicillin
Staph that is producing penicillinase---BOVINE MASTITIS Eye infection
32
What kind of Penicillin are Amoxi and Ampi?
Broad spectrum
33
What can you treat with ampi and amoxi?
Microbes that are susceptible to natural penicillin (Step, Staph, Corny, Listeria, Pasturella, Haemophilus, Anaerobic, Spirochetes) Enterbacteriacae
34
Which kinds of penicilllin do you want to admin together?
Beta lactamase inhibitors and semi-synthetics/extended
35
What are your extended spectrum/anti-pseudomonal penicillins?
Ticarcillin Carbenicillin Piperacillin
36
What is the Microbial susceptibility of extended spectrum penicillins?
G- aerobic and anaerobic Enterobactericae PSEUDO
37
Which penecillin should be admin by IM?
Benzathine Penicillin G
38
What would happen if you administered Procaine penicillin G IV? What can you add?
AFFECTS CARDIAC CONDUCTION SYSTEM sodium salt
39
Why can penicillin give an allergic reaction?
Bc it has an active metabolite that can cause it | Penicilloic acid
40
Which one is excreted in the bile and what kind of penicillin is it?
Nafcillin Penicillinase resistant penicillin
41
SE of penicillin
``` Allergic reactions Superinfection Convulsion/ataxia CNS disorders in sm exotics Excitement in horses Cardiac toxicity ```
42
How do you classify cephalosporins?
Generations--4
43
Whats a 1st gen ceph used on sm animals?
Cefazolin
44
What is a first gen ceph that is used for mastitis? intramammary
Cephapirin
45
What is a 1st gen ceph that is used as an ophthalmic ointment for conjunctivitis in dogs and cats, and mastitis in cattle?
Cafalonium
46
What are you susceptible bacteria for 1st gen cephs?
G+ and -
47
Which ceph can cross the BBB
cefuroxime
48
What are the two second gen cephs that she highlighted?
Cefeotetan Cefoxitin
49
Which gen, 1 or 2, is more effective for G-?
2nd
50
Second gen cephs are also active against?
Anerobic
51
Whic ceph is active against Pseudo?
Cefoperazone
52
Which ceph is active against Pseudo in exotic and zoo animals?
Ceftazidime
53
Which ceph is a single injection in dogs and cats for pyoderma/skin/UTI?
Cefovecin
54
Out of the gen of ceph which one is most effective for G-?
3rd
55
Which ceph has a broader G+ activity? Strep
Ceftiofur
56
Which ceph is effective against resistance infections?
Cefquinome
57
What drug prevents degredation of admin of penicillin?
betalactamase inhibitors: Clavulanic acids Sulbactam-parenteral Tazobactam (resist pseudo)
58
Which betalactam Ab has the broadest spectrum of action? is used for serious resistant infections? what is the SE
Imipenem Seizures
59
What can you use instead of imipenem if you want a more soluble drug with decreased SE
Meropenem
60
What drug is used in penicillin allergic patients?
Aztreonam