Antibiotics Flashcards

(68 cards)

1
Q

antibiotics work by

A

inhibiting a process in the bacterial cell such that the cell cannot function properly or is killed outright

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2
Q

what are the general adverse effects of aminoglycosides

A
nephrotoxicity
ototoxicity
vestibulotoxicity
neuromuscular blockade
narrow therapeutic index
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3
Q

aminoglycosides are bacterio____

A

cidal

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4
Q

aminoglycosides are used to treat

A

everything but streptococcus or obligate anaerobes

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5
Q

how are aminoglycosides absorbed?

A

poorly absorbed orally; rapidly IM or SQ

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6
Q

aminoglycosides concentrate in

A

inner ear perilymph and renal cortex tubule cells

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7
Q

are aminoglycosides water or lipid soluble

A

relatively water soluble; so doesnt go intracellularly

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8
Q

when are aminoglycosides illegal?

A

illegal if you cause a residue

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9
Q

how are aminoglycosides able to have extended elimination

A

they enter tubular cells in kidney and are released slowly from those cells

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10
Q

amikacin

A

long persistance of residue in renal tissue so dont give to food animals
NM blockade possible with anesthetics

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11
Q

gentamicin

A

only approved use in food animals is oral treatment in pigs for swine dysentery
other food animal use is prohibited
if given to cattle systemically, extended withdrawal times are required
neuromuscular toxicity

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12
Q

neomycin

A

some oral absorption in calves may cause alterations in microflora leading to diarrhea
dont inject
dont give to veal calves

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13
Q

dont use neomycin for more than

A

14 days

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14
Q

aminoglycoside MOA

A

acts on 30S ribosome affecting protein synthesis

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15
Q

when should you give neomycin orally

A

when you would want its effect in the git (poorly absorbed)

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16
Q

what is the MOA of fluoroquinolones

A

inhibit DNA synthesis by inhibiting DNA gyrase

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17
Q

general adverse effects and contraindications of fluoroquinolones

A

CNS toxicity especially with renal failure
Vomiting/nausea and diarrhea
arthropathy in young animals
use caution in animals prone to seizures (only seen in people)

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18
Q

fluoroquinolones are bacterio_____

A

static

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19
Q

fluoroquinolones spectrum

A

good for mycoplasma, and everything but strep and anearobes

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20
Q

fluoroquinolone legal issues

A

illegal to use extralabel in food animals, SR

can use for Bovine Respiratory Disease Complex

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21
Q

metabolism of fluoroquinolones

A

most eliminated via the kidney as parent drug (not enro)

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22
Q

elimination of fluoroquinolones

A

mainly via the urine

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23
Q

ciprofloxacin adverse effects

A

may cause enteritis and colic in horses;

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24
Q

enrofloxacin adverse effects/contraindications

A

retinal degeneration in cats
dont give to young dogs or foals
dont use in lactating dairy cattle or veal calves

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25
is ciprofloxacin registered for use in animals
no
26
absorption of ciprofloxacin
10-50% in dogs, 10% in horses
27
absorption of enrofloxacin
70-80%
28
name the fluoroquinolones
cipro, enro, marbo, prado
29
phenicols MOA
inhibits protein synthesis by binding 50S Ribosome
30
general adverse effects/contraindications
dose dependent bone marrow suppression | non dose-dependent aplastic anemia in humans
31
chloramphenicol use
EVERYTHING except the others list (ahhhh the dreaded others list)
32
florfenicol use
not good for aerobes, enterobacteriacease, or pseudomonas, (works on gram + aerobes and respiratory pathogens)
33
chloramphenicol absorption
well absorbed orally
34
chloramphenicol metabolism
in liver, paritally via glucouronidation
35
chloramphenical is an inhibitor of
CYTOCHROME P450!!!!!!!!!!!!!1
36
Florfenical absorption
well absorbed orally and IM/SQ; slow absorption in after IM/SC in cattle
37
florfenicol metabolism
some in liver
38
florfenicol adverse effects/contraindications
dd bm suppression diarrhea, possibly testicular degeneration avoid long term administration not for horses dong give more than 10 mL at a single site
39
chloramphenical adverse effects/contraindications
bm suppression avoid use in pregnant or neonatal anmals avoid longterm use in cats aplastic anemia in humans
40
toxicity differential between patient and infecting organsims can be exploited to
reduce adverse effects
41
______ can influence potential uses
bioavailability
42
tetracycline MOA
inhibits protein synthesis by binding to 30S ribosome
43
general adverse effects/contraindications
binds to bone and developing teeth in young animals | high doses cause renal tubular necrosis
44
uses of tetracyclines
not good for enterobacteriaceae, pseudomonas, or anaerobes; (good for gram + aerobes, spirochetes, and mycoplasma, and protozoa)
45
tetracycline water or lipid soluble
lipid; goes intracellularly
46
tetracycline legal
when used in feed ust be under veterinary feed directives extralabel use of food medications is illegal voluntary removal of growth promotion from in-feed anitbiotics has been requested by the FDA
47
Distribution of tetracycline
concentrates in cells (serum concentrations much lower than tissue concentrations)
48
tetracycline metabolites
many are metabolized by non-acive metabolites in liver
49
chlortetracycline adverse effects
oral administration may cause diarrhea; avoid use in young animals
50
doxycycline adverse effects/contraindications
esophageal irritation, injury or stricture;fatal IVv in horses, PO can cause diarhea; dont administer rapidly IV; only give orally to horses
51
doxycycline is drug of choice for
tick borne diseases
52
minocycline adverse effects
diarrhea
53
oxytetracycline adverse effects/contraindications
drug fever in cats; hepatotoxicity, colic and diarrhea in horses; avoid IM injections larger than 10mL/site in cattle 5mL/site in pigs
54
tetracyclines are bacterio_____
bacteriostatic
55
_____ can affect drug movement
ionization
56
what are weak acids
HA - H + A
57
what are weak bases
H + B - HB
58
based on environment predict which way the chemical equilibrium will shift
x
59
ionized versions of drugs
will not cross membranes and will be trapped in whatever body of fluid they are found in
60
unionized versions
will cross membranes and be absorbed
61
mechanisms of lincosamides
inhibits protein synthesis by binding 50S ribosome
62
use of lincosamides
not good for respiratory pathogens, enterobacteriacease, or pseudomonas
63
lincosamides legal
in feed, must be under veterinary feed directive | extralabel use of food medications is illegal
64
clindamycin oral solution
associated with esophageal lesions
65
clindamycin side effects/contraindicaions
high doses cause vomiting and diarrhea in cats; diarrhea and enteritis in horses and ruminants; not for rodents or rabbits; dong give PO to horses or ruminants because death
66
clindamycin treats
gram + pathogens and gram _ anaerobes
67
lincomycin adverse effects/contraindications
uncommon; diarrrhea, vomiting and can cause severe or fatal enteritis in ruminants; do not administer PO to rodents, horses, ruminants or rabbits
68
lincomycin works on
gram +, gram - anaerobes