Infectious Diseases- Antibiotics Part 2.pdf Flashcards
Treat MRSA (IV only)
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
Clostridium difficile (C.diff) (PO only)
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
Does handsanitizer kill C. Diff?
Yes or No
No
Vancomycin treats
a. Clostridium difficile (C.diff) (IV only)
b. Clostridium difficile (C.diff) (PO only)
c. MRSA (PO only)
d. MRSA (IV only)
b. Clostridium difficile (C.diff) (PO only)
d. MRSA (IV only)
Which has Nephrotoxicity
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
b. Aminoglycosides
e. Sulfonamides: Sulfa antibiotics
Which has Ototoxicity
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
d. Macrolides (ACE)
b. Aminoglycosides
Which has Histamine release/flushing syndrome
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
Which has a trough with Nephrotoxicity
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
What is Vancomycin trough ?
When is the trough given?
Vancomycin trough levels (?-?mcg/mL)
Vancomycin trough levels (10-20mcg/mL)
30 to hour before admidnistaion.
Monitor SCr/BUN?
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
Nephrotoxicity
Vestibular damage- dizziness/balance
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
a. Ototoxicity
Cochlea- hearing, tinnitus (ringing in ears), fullness in ears
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
a. Ototoxicity
Formerly (and still called) “Red Man Syndrome”
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
c. Histamine release/flushing syndrome
Mast cell degranulation
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
c. Histamine release/flushing syndrome
Rash, Itching, Flushing
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
c. Histamine release/flushing syndrome
Tachycardia, Hypotension
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
c. Histamine release/flushing syndrome
Rare and potentially reversible
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
d. Hepatotoxicity
e. PHOTOSENSITIVITY
g. LFT
a. Ototoxicity
Useful for Penicillin Allergies
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
Which deals with Prokinetic- Gastroparesis
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
Erythromycin-
d. Macrolides (ACE)
Which Macrolides (ACE) deal with Prokinetic- Gastroparesis
Azithromycin, Clarithromycin , Erythromycin,
Erythromycin
Which has anti-inflammatory properties
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
Which has QT prolongation?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
Which has heart palpitations, dysrhythmias
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
Which has Torsades de pointe
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
CYP3A4 drugs is a
Inducer or Inhibitor
Inhibitor
Which has CYP3A4 inhibitor?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
d. Macrolides (ACE)
Which treats Anthrax and Chlamydia
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Which is very irritating to the G.I. tract- can cause ulceration
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Which you take with full glass of water, avoid bedtime b/c of ulcers?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Which has Hepatotoxicity with larges doses
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Which is Jaundice, anorexia, malaise, fatigue, nausea
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
d. Hepatotoxicity
e. PHOTOSENSITIVITY
g. LFT
h. Hypersensitivity Reactions
d. Hepatotoxicity
Which is stomach cramp and Dark urine?
a. Ototoxicity
b. Nephrotoxicity
c. Histamine release/flushing syndrome
d. Hepatotoxicity
e. PHOTOSENSITIVITY
g. LFT
h. Hypersensitivity Reactions
d. Hepatotoxicity
Which is PHOTOSENSITIVITY
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Which BINDS TO CALCIUM- TOOTH DISCOLORATION
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Avoid Calcium products-Milk, yogurt, antacids, Iron, aluminum, magnesium, zinc products. MultiVitamins
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
g. Fluoroquinolones
DO NOT GIVE TO CHILDREN, PREGNANT PATIENTS
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Can suppress bone growth in developing infants, reversible once stopped
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Do not give to Pregnant Women, Nursing Women
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Aviod in Children < 8 years old
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
c. Tetracyclines
Treats Pseudomonas aeruginosa
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
b. Aminoglycosides
Which is GTN
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfa antibiotics
g. Fluoroquinolones
f. Vancomycin
b. Aminoglycosides
Which has Neomycin (Neosprone)
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides:Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
b. Aminoglycosides
Do NOT mix with Penicillin (in same syringe or IV site)
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides:Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
b. Aminoglycosides
Which deals with UTI
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
e. Sulfonamides:Sulfamethoxazole-Trimethoprim
kidney issues due to crystallization
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
Blood dyscrasias- PANCYTOPENIA
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
Kernicterus in newborns?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
Which _ Pregnancy (last 2 months) Breastfeeding, Infants SULFA ALLERGY-what other drugs??? Don’t forget this causes kernicterus a. Phenazopyridine b. Aminoglycosides c. Tetracyclines d. Macrolides (ACE) e. Sulfonamides: Sulfamethoxazole-Trimethoprim g. Fluoroquinolones f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
_Photosensitivity (SUNLIGHT) Rash/FEVER Stevens-Johnson Syndrome/TEN (rare) a. Ototoxicity b. Nephrotoxicity c. Histamine release/flushing syndrome d. Hepatotoxicity e. PHOTOSENSITIVITY g. LFT h. Hypersensitivity Reactions
h. Hypersensitivity Reactions
Which cause Photosensitivity (SUNLIGHT) Rash/FEVER Stevens-Johnson Syndrome/TEN (rare) a. Phenazopyridine b. Aminoglycosides c. Tetracyclines d. Macrolides (ACE) e. Sulfonamides: Sulfamethoxazole-Trimethoprim g. Fluoroquinolones f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
Potential hyperkalemia drugs
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
Which deals with renal crystalization and hydration?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
f. Vancomycin
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
Broad Gram +/- coverage, Treats them all?
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Tendon rupture/tendonitis
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Exacerbates Myasthenia Gravis
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Peripheral Neuropathy
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
CNS mental health disturbance
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
outweigh the benefits for patients
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
low blood sugar adverse reactions
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
increased risk of ruptures or tears in the aorta blood vessel
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
QT prolongation
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Hypoglycemia and hypoglycemia coma
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Increased risk for C.Diff or superinfections
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
Chelation-zinc, iron, magnesium, calcium, aluminum
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
increased Warfarin levels
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
g. Fluoroquinolones
For SYMPTOMS of a UTI
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
a. Phenazopyridine
STAINS URINE-reddish/orange color
a. Phenazopyridine
b. Aminoglycosides
c. Tetracyclines
d. Macrolides (ACE)
e. Sulfonamides: Sulfamethoxazole-Trimethoprim
g. Fluoroquinolones
f. Vancomycin
a. Phenazopyridine