Pharmacology Flashcards

1
Q

general term that encompasses
antibacterial (antibiotics), antifungals, antimalarials,
antituberculosis agents (antimycobacterials), antehelmintics, antiprotozoans and antivirals.

A

anti-infective

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2
Q

developed a synthetic that is effective only against infection causing cells not human cells.

A

Paul Enrich

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3
Q

at what year is penicillin created?

A

1920

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4
Q

at what year did sulfonamide created

A

1935

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5
Q

What drugs does interfere with the steps involved in protein synthesis, functions to maintain the cell and allow cell division.

A

Aminoglycosides
macrolides
chloramphenicol.

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6
Q

what drugs does prevent the cells of the invading organism from using substances essential to their growth and development, leading to an inability to divide and eventual cell death.

A

Sulfonamides
Antimycobacterials
trimethoprim-sulfamthoxazole.

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7
Q

what drugs does alter the permeability of the cell membrane to allow essential cellular components to leak out, causing cell death.

A

antibiotics
antifungals
antiprotozoals

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8
Q

varying effectiveness of anti- infective against invading organisms

A

spectrum

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9
Q

so selective in action that they are effective against only a few microorganism w/ a very specific metabolic pathway or enzyme.

A

narrow spectrum

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10
Q

biochemical reactions in many different kinds of microorganisms, making treatment in wide variety of infections.

A

broad spectrum

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11
Q

those that causes death of bacteria.

A

bactericidal

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12
Q

prevents replication of bacteria, by interfering w/ proteins or enzyme system necessary for reproduction of bacteria.

A

bacteriostatic

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13
Q

property of antibiotics that allows them to affect certain proteins or enzyme systems used by bacteria but not by human cells, sparing human cells.

A

selective toxicity

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14
Q

treatment to prevent an infection before it occurs.

A

prophylaxis

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15
Q

ability of the bacteria to adapt to an antibiotic and produce cells that are no longer affected by the drug.

A

resistance

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16
Q

Co-Amoxiclav is a combination of

A

Amoxicillin-trihydrate and clavulanic acid

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17
Q

What are the different adverse effects to anti infective drugs?

A

GI Toxicity
Hypersensitivity Reactions
Kidney Damage
Neurotoxicity
Superinfections

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18
Q

What are the classifications of Anti-Infective drugs?

A

Aminoglycosides
Cephalosporin
Carbapenems
Fluoroquinolones
Penicillin and Penicillin-Resistant Drugs
Sulfonamides
Tetracycline
Antimycobacterials

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19
Q

What are the different categories of Anti-Infective Drugs?

A

Aminoglycosides
Cephalosporin (1st-4th Generation)
Carbapenems
Fluoroquinolones
Penicillin and Penicillin-Resistant Drugs (Penicillin, Extended Spectrum Penicillin & Penicillin Resistant Drug)
Sulfonamide
Tetracyclin
Anticomycobacterials (Anti-Tuberculotic Drugs, Leprostatic Drug)

20
Q

What are other Anti-Bacterial Drugs

A

Ketolides
Lincosamides
Lipoglycopeptide
Macrolides
Monobactams

21
Q

New class of broad-spectrum antibiotics effective against gram + and Gram – bacteria.

A

Carbapenems

22
Q

What are the different Drug under Carbapenems

A

Doripenem
Ertapenem
Meropenem
Imipenem-Cilastatin

23
Q

Contraindications with Carbapenems

A

Allergy to any Carbapenem property/beta lactams
seizure disorders
meningitis
lactation
Teratogenic (use during pregnancy)

24
Q

C/I with etrapenem

A

not recommended with patients under 18 years old

25
meropenem is associated with
development of pseudomembranous colitis
26
caution with meropenem
inflammatory bowel disorders
27
adverse effects with carbapenems
toxic effect in GI tract pseudomembranous colitis clostridium difficile diarrhea nausea and vomiting superinfections CNS effects seizures
28
Carbapenems CNS effects are manifested through
dizziness headache altered mental state
29
Ganciclovir may cause
seizures
30
Meropenem should not be combined with ____ that may be toxic.
probenecid
31
Carbapenems are mostly given
IV and IM
32
half life of carbapenems is
1-4hours
33
Introduced since 1960’s
cephalosporin
34
argely effective with gram-positive bacteria that are affected by Penicillin G, as well as Gram negative bacteria, Proteus mirabilis, E. coli, & klebsiella pneumoniae.(PEcK)- bacterias that are susceptible to 1st gen. cephalosporin's.
1st Generation
35
are effective against those strains, also Haemophilus influenzae, Enterobacter aerogenes, & Neisseria species. (HENPeCK).
2nd Generation
36
2nd gen. ______ against gram-positive bacteria
are less effective
37
are weak against gram(+) bacteria but are more potent against gram (--) bacilli as well as against Serratia marcescens(HENPeCKS).
3rd generation
38
are in development. have improved gram positive spectrum and expanded gram-negative activity or 3rd generation cephalosporins.
4th Generations
39
active against gram (-) and gram (+) organisms including cephalosporin-resistant staphylococci and P. aerogunosa.
Cefepime (Maxipime)
40
is more active against pneumococci.
Cefepime
41
What drugs are under 1st Generation
Cefadroxil Cefazolin Cefalexin
42
What drugs are under 2nd Generation
Cefaclor Cefoxitin Cefprozil Cefuroxime
43
What drugs are under 3rd Generation
Cefdinir Cefotaxime Cefpodoxime Ceftazidime Ceftibuten Ceftizoxime
44
What drugs are under 4th Generation
Cefditoren Cefepime Ceftaroline
45
C/I with cephalosporin
allergic to drug teratogenic (pregnant and lactating mothers) patients with kidney problems/failure
46
Cephalosporin should be taken
with an empty stomach