MOA: Inhibitors Of Cell Wall Synthesis Flashcards
What is the spectrum of activity for Natural Penicillins?
Gram Positive Cocci: Streptococcus
Spirochetes
Treponema pallidum
Route of administration for Penicillin VK?
PO
What is the route of administration for Benzathine Penicillin (Bicillin L-A)?
IM
What are adverse effects of (Class) Natural Penicillins (Drug) Penicillin VK?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What are adverse effects of (Class) Natural Penicillins (Drug) Bemzathine Penicillin (Bicillin L-A)?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What are safety considerations for Penicillin VK?
Hypersensitive
Susceptible to inactivation by beta- lacatamase (penicillinase) unless paired with a penicillinase inhibitor
What are safety considerations for Benzathine Penicillin (Bicillin L-A)?
Hypersensitivity
Susceptible to inactivation by beta- lacatamase (penicillinase) unless paired with a penicillinase inhibitor
What is the spectrum of activity for Penicillinase-Resistant Penicillin?
Gram positive Cocci
Dicloxacillin works on what organisms?
Gram positive cocci
Penicillinase resistant Penicillins
What are adverse effects of dicloxacillin?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What are Adverse Effects of Methicillin?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
Is Methicillin only used in lab testing?
Yes
What are adverse effects of Methicillin?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What is the Drug Class of Amoxicillin (Amoxil, Moxatag)?
Extended Spectrum Penicillin
What is the Drug Class of Ampicillin (Omipen)?
Extended Spectrum Penicillin
What is the spectrum of activity for Penicillin VK?
Gram Positive Cocci
-Streptococcus
Spirochetes
-Treponema Pallidum
What is the spectrum of activity for Benzathine Penicillin (Bicillin L-A)?
Gram Positive Cocci
-Streptococcus
Spirochetes
-Treponema Pallidum
What is the spectrum of activity for Dicloxacillin?
Gram positive Cocci
What is the Spectrum of Activity for Amoxicillin (Amoxil, Moxatag)?
Gram positive Cocci and Listeria Monocytogenes
What is the spectrum of activity for Ampicillin (Omnipen)?
Gram positive Cocci and Listeria Monocytogenes
What is the route of administration for Amoxicillin?
PO
What is the route of administration for Ampicillin?
IM and IV
What are adverse effects of Amoxicillin?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What are adverse effects of Ampicillin?
Hypersensitivity
Diarrhea
Rash
Severe:
Seizures, nephrotoxicity, Stevens-Johnson,Toxic epidermal necrolysis
Hypersensitivity - Immediate Type I reactions are the most serious (anaphylaxis) - Delayed Type IV morbilliform rash is not dangerous - Risk of Delayed Type II or III reactions: serum sickness, hemolytic anemia, thrombocytopenia, nephritis, hepatitis, drug fever - 1-10% risk of cross- sensitivity with cephalosporins
- “Ampicillin rash”
(increased risk in pts
with EBV or CLL – not
an allergy)
What are safety considerations for Amoxicillin?
Hypersensitive
Susceptible to inactivation by beta- lacatamase (penicillinase) unless paired with a penicillinase inhibitor
What are Safety Considerations for Ampicillin?
Hypersensitive
Susceptible to inactivation by beta- lacatamase (penicillinase) unless paired with a penicillinase inhibitor