Pharmacology Flashcards
What meds are used to treat a staph epidermidis prosthetic joint infection?
Vancomycin or rifampin
What are 6 different components of bacteria that antibiotics can target?
- Cell wall synthesis
- Folic acid metabolism
- Cell membrane
- DNA replication
- DNA-dependent RNA polymerase
- Protein synthesis (50S or 30S)
Define minimal inhibitory concentration.
How does it relate to susceptibility and resistance?
The minimal dose of drug needed to inhibit bacterial growth in vitro.
When MIC < cut-off, that bacteria is suscpetible.
When MIC > cut-off, that bacteria is resistant.
Define the following:
- Time-dependent antibiotics
- Concentration-dependent antibiotics
- Bactericidal antibiotics
- Bacteriostatic antibiotics
- Drugs that are more efficacious the more time they spend in the body (at a level about the MIC)
- Drugs that are more efficacious at a higher peak concentration
- Antibiotics that kill bacteria
- Antibiotics that slow/inhibit bacterial growth but do not kill the bacteria
What are 7 major groups of antibiotics?
- Beta-lactams (penicillins, carbapenems, cephalosporins)
- Fluoroquinolones
- Macrolides
- Anaerobic antibiotics
- Glycopeptide antibiotics
- Sulfonamides
- Tetracyclines
Fill in the following chart concerning the different types of beta-lactams
What are 4 major groups of anti-fungals?
- Polyenes
- Azoles
- Allylamines
- Echinocandins
What are 6 common side effects of anti-fungals?
- Nausea
- Diarrhea
- Abdominal pain
- Skin rashes
- Headache
- Fatigue
What is the mechanism of antiviral medications?
They attack different steps in viral repication, most often by mimicking viral nucleotides to block thenormal viral pathways.
What are some drugs used against herpes viridae?
- Acyclovir
- Ganciclovir
- Famciclovir
- Valacyclovir
- Valganciclovir
- Foscarnet
- Cidofovir
What are some drugs used against influenza virus?
- Adamantanes
- Amantadine
- Rimantadine
- Oseltamivir
- Zanamivir
- Peramivir
What drugs can cross the BBB? (4 groups, 3 specifics)
Groups = Celphalosporins 3rd gen, Fluoroquinoles, Sulfamides, Carbapenems excepting ergapenem
Specifics = Metronidazole, Rifampin, Penicillin