Super Random Deck (2.1) Flashcards

1
Q

Which drugs are used to Tx pt with Reduced Renal Function (8)

A
  1. Nafcillin
  2. Ceftriaxone
  3. doxycycline
  4. Tegacycline
  5. Erytrhomycin
  6. Azythromycin
  7. Moxifloxacin
  8. Synercid (Quinupristin)
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2
Q

Which drugs are contraindicated in pregnancy

A
  1. Tetracyclines
  2. Aminoglycosides
  3. Fluoroquinolones
  4. Sulfonamide
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3
Q

Rifampin is contraindicated with?

A

HIV protease inhibitors

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4
Q

sulfonamides and trimethorpin target what?

A

Folic acid production

bacteria HAVE to make it, we get it from our diet

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5
Q

fluoroquinolone target what?

A

Gyrase (Gram -)

Gyrase and Topo IV (Gram +)

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6
Q

which drug class is used for empiric treatment

A

carbapenems

  • since they are such broad spectrum (+ - Aero/ anaero)
  • used in a critically ill pt until you get the culture results (you give them AFTER you obtain the culture)
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7
Q

Which drugs are used that work after MIC

A

Aminoglycosides- dose dependent

Quinupristin

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8
Q

Under what conditions do penicillins cross BBB

and Which ones

A

under inflammation— can cross BBB

Pen G and Pen V to tx meningitis

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9
Q

Most protein Synthesis inhibitors are STATIC

EXCEPT

A

Aminoglycosides - BACTERICIDAL

which is why you can use a B lactam with an aminoglycoside and they won’t antagonize each other

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10
Q

Which drugs are Contraindicated with hepatic dysfunction

A

Erythromycin and Tetracyclines

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11
Q

Why are Tetracyclines C/I in Pregnant and kids under 8

A
  • binds to Calcium
  • causes tooth decay
  • interferes with bone growth (abnormalities)
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12
Q

why are aminoglycosides C/I in pregnant and kids

A

causes ototoxicity

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13
Q

Why are Fluoroquinotolones C/I in pregnant and kids

A
  • interferes with cartilage growth
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14
Q

Chloramphenicol
age for C/I in kids
why

A

DONT give to children less than 1 month

causes grey baby syndrome bc their livers cannot glucuronidate this drug leading to accumulation

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15
Q

Sulfonamide
age for C/I in kids
why

A

DONT give to children less than 2 months
sulfonamide is highly bound to albumin, can displace bilirubin from albumin leading to an increase in albumin in CNS— kernicterus

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16
Q

macrolides
bacteriostatic
v
bactericidal

A

bacteriostatic at therapeutic level

bactericidal at HIGHER concentrations

17
Q

with Chloramphenicol which bacteria are bactericidal

A

H. influenza
N. meningiditis
Bacteroides

18
Q

tetracycline is highly resistant by?

A

S. pyogenes!

so you CANT use it

19
Q

which drugs is initially used for prophylaxis of bacterial endocarditis

A

amoxicillin

20
Q

which drug is used for surgical prophylaxis

A

cephazolin

21
Q

CTI

A

CTI = LD (patient)/ LD (bacteria)

you want a HIGH CTI