Pen Flashcards
Penicillin اي عالم اكتشفه
وعلى اي بكتريا
Alksander Fleming,staphylococcus
Penicillin can’t cross BBB
In normal condition but in meningitis can cross
Penicillin ionized or nonionized
Pencilin nonionzide outside the body
When enter the body become ionized
Which defrent betwen normal artery and cerebral artery
Normal artery contained poors can cross the fluid
Why Penicillin can cross the placenta but not teratogenic ¿
Because the fetal tissue absent transpeptidase enzyme pBP
Can retentions penicillin long time and not excretion
By giving probenecid inhibit excretion
Type of penicillin
1-benzylpeniciline (penicillinG)and related drug
2-antistaph penicillin
3-Extended spectrum penicillin
4-antipseudomonal penicillin
Which advantage and disadvantage of benzilypeniciline
Advance 1-streptococcus Stapheloccocase Pneumonia ذولي تلاثتهم يكونونgram positive Sephalus Genase ذولي gram negative هذا ينقاس بوحده الكونت لان يكون طبيعي
Disaadvantage
اول شي مينأخذoral لان يتأثر بلphمالت المعده
Intramuscular by 3-10time day
Spectrum of it narrowed
Procaine
Local ansethesia when driving to penicillin 24hour
Penzethine penciline
ننطق بلعضله كل ٣اسابيع حتى ميجيهم recurrent tonsillitis
Amoxicillin with clavulanic acid
=Co amoxiclave produce broaded spectrum
Amoxicillin concentration in
Bile effect liver disease and tophy
Ambicilin more active
Inshigula and influenza
Proimpiciline pivimpeicilin and talaimpicilin
More absorbed in blood and has no effect in the bectria flora
Which better absorbed impicilin or amoxicillin
Amoxicillin is better absorption and penetration than ampicillin
Aminoglycoside
Don’t cross BBB but can cross placenta
لهذا احنه مننطي للمرأه الحامل
Neomycin
Surgical in intestine oral high does ينطي لجراح علمود يعقم الامعاء
Benzyle penicillin
Treatment gram positive cocci streptococcus,staphylococcus,pnuemcocci,gram negative cocci gonococci ,meningococcus ,urinary tract infections
Vancomycin treatment +؛-bectria
Gram positive
Vancomycin
Don’t get orally
Red man syndrome
Caused by vancomycin because release histamine which cause rash skin
High dose of vancomycin can cause
Deafnease because injury in8nerve ,nephrotoxity,thrombonephlitic
Bactriacin
Inhibit building peptidoglycan block the active against positive bacteria
Bactricine in skin infection
Neomycins And polymixine
Macrolide
Erythromycin,clerthromycin,azithromycin,roxithromycin
Macrolid
Act on 50s protein synthesis in small dose bactriostatic,in high dose bactriocidal
Erythromycin
Absorption effected by food and Hcl
Macrolid
Macrolid can penetrate organ tissue and placenta and small amounts penetrate csf
Arethromycin andazithromycin
Macrophages and nuatrophil and lung tissue
Macrolid execurtion and concentration
In liver bile
Clindomycine
Treatment of acne ,can penetrate bone and joint
Aminoglycoside
30s protein synthesis irreversible bond
better given as single large dose
Aminoglycoside
Gram negative aurobic
Aminoglycoside
Narrow spectrum
Aminoglycoside +penicillin
Synergism because penicillin facilated Aminoglycoside to enter
Aminoglycoside absorption
Not absorbed orally
Chloramphenicol
Gray baby syndrome
Function of GH
1-increase protein synthesis
2-increase free fatty acid in blood
3-decrease utilizing of glucose increase conservation of carbohydrates
Panhypopitutarsim
Decrease level all hormon of pituitary ,don’t developed sexual
Dwarfism
Def. In GH
Gintisim
Executive of GH
Deference between duration ,t1/2
T1/2 الزمن الي يبقى بي الدوا بالبلازما
Duration الزمن الي يبقى بي الدم بالانسجة
Floroqunalin
كلهم يعالجون uti
ماعدا
Moxifloxacin
Toboisonorize enzyme
HelpDNAto relax
Floroqunoline
Bacteria cidal
Fluroqunolin uses
1-uti 2-RTI 3-osteomilites 4-meningitis 5-atypical صحصح التهاب السحايا راح نعالجه بصوره اساسيه عن طريق بينسلين بس المرضى الي عدهم حساسيه منه ومن كيفلوسبورين راح نجي ونستخدمه فلوروكينولون Atypical نسخدم بصوره اساسيه Macrolid بس المريض الي عنده حساسية منه نسخدمله
Cause of repture tendon Achilles
I ceprofloxoci
Floroqunolin,Macrolid
⬆️QT interval
Hypothyroidism,maxidema
T3;T4 decrease TSH ⬆️
Cold ,fatigue ,depression
T4,T3
T4 7day
T3 1day
Sulfoamide
كلهم نفس الشي ماعدا انو اكو اختلاف بلفارماكاينتك
Kerniktrase
Sulfonamide
In the baby below 2year blirubine pass bbb
Sulfonamid
Teratogenic
Any drug inhibit folic acid
Megaloplastic anemia,neural tube effect
Metronidazole don’t use to treatment uti بلرغم
انو ٦٠٪من عنده ينزل بدون تغير
Because this drug specialised anaerobic Bactria and UTI erobic Bactria
Short acting penicillin
Benzyle penicillin
Methicillin, cloxacillin, dicloxacillin, flucloxacillin, and nafcillin]
They are effective against p-lactamase producingStaphylococci.
Penicillin high dose
Neurotoxicity,seizure,renal failure
Naficilin
Neutropenia, thrombocytopenia,
Methecilin
Interstitial nephritis,
Coamxicalve,
Cholistatic jaundice
Some organ receive single supply of ANS
Suprarenal gland ,blood supply,sweat gland
Systole ,dystole
S CO
Dystole pr
Personal متنرفز والعصبي
نعطي الفا 2
Beta1
Found in kidney and hearts
B3
Adybocyt
Beta2
الطيبه مالها اثار جانبيه 🤍📝
Penzodiyzabine
اي شخص تسمم بدوا cns stimulation
Migraine
صداع نصفي
Corenary artery
The only artery filled in dystole
Superior mesntric ,splanchnic
Portal veins