Antibiotics Chapter Flashcards

(50 cards)

1
Q

Moa

50 S protein synthesis inhibitors

A

Macrolides
Clindamycin
Oxalolidiones (Linezolid)
Streptogramins (quinopristin/dalfopristin)

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2
Q

Moa

Cell wall inhibitors (bacteriocodal)

A

Penicillins, cephalosporins, carbapenams, vancomycin, monobactans, fosfomycin

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3
Q

Dna/ rna inhibitors (bacteriocodal)

A

FQ (dna gyrase/topoisomerase)
Rifampin
Flagyl

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4
Q

Call membrane inhibitors (bacteriocidal)

A

Polymixins (colisitin)

Daptomycin

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5
Q

Folic acid synthesis inhibitors: bacteriostatic alone, but cidal in combination

A

Sulfonamides and trimethoprim

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6
Q

Concentration dependent drugs

A

AG
FQ
Daptomycin

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7
Q

Time dependent drugs

A

Cephalosporins
Carbapenams
B-lactams

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8
Q

Auc :mic

A

Vancomycin
Macrolides
Tetracyclines

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9
Q

Hydrophilic agents

A
Beta lactams 
AG 
Glycopeptides 
Daptomycin 
Colistin
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10
Q

Lipophillic agents

A
FQ 
Macrolides
Rifampin 
Linezolid
Tetracyclines 
Chloeamphenicol
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11
Q

Moa

30 S protein synthesis inhibitors

A

AG and tetracyclines

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12
Q

Seizures with accumulation ; allergic reactions

A

Beta-lactams

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13
Q

Ototoxic, infusion reactions (redmans syndrome)

A

Vancomycin

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14
Q

Additive QTc interval, muscle toxicity, phlebitis, D5W only

A

Synercid

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15
Q

Interaction with statins due to increase cPK

A

Daptomycin

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16
Q

Turns urine red

A

Rifampin

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17
Q

BBW: colitis

A

Clindamycin

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18
Q

Serotonin syndrome (can’t use with SSri, MAO-I, and HTN crisis patients (sympathininetics), BMS

A

Linezolid

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19
Q

Contraindicated with CrCL

A

Nitrofurantoin

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20
Q

Avoid during 3rd trimester. Allergic reactions and photosensitive

A

Bactrim

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21
Q

Avoid during first trimester

22
Q

Increase neuromuscular blockers, Ototoxic based on dose

23
Q

BBW: tendonitis, additive QT c, photosensitive, cations ***

24
Q

Additive QTc and hepatic toxicity

25
Cations and photosensitive
Tetracyclines
26
CNS/meningitis
``` Streptococcus pneumonia Neisseria gonorrheoae H. Influenza Streptococci/E. Coli (young) Listeria (young/old) ```
27
Abelcet
Amphotericin B lipid complex
28
AmBisome
Liposomes Amphotericin B
29
Amphotec
Amphotericin B cholesteryl sulfate complex
30
The conventional aphotericin formulation
Amphotericin B desoxycholate
31
Fluconazole IV/PO
1:1
32
What is ketoconazold more likely used for?
Androgen related disorders due to its anti-androgenic activity
33
Can itraconazole capsules and solutions be changed interchangeably?
No
34
How take itraconazole capsules?
With food. Requires gastric acidity for absorption
35
How take itraconazole solution?
More bioavailability than capsules. Take on an empty stomach
36
What is the DOC for treating Aspergillus?
Voriconazole
37
Which two antifungals have pH dependent absorption?
Itraconazole and ketoconazole Don't use with antacids!!!
38
All Azole antifungals are ______inhibitors
3A4
39
What is voriconazoles big adverse effect?
Visual changes. Caution driving at night. Avoid direct sunlight
40
What electrolytes do you need to correct before starting voriconazoles?
K+, Ca2+, Mg 2+
41
Voriconazoles follows what kinetics?
1st order followed by Michaelis-Menten non-linear kinetics
42
Caspofungin can cause bad ___
Hepatotoxicity
43
Inhibit synthesis of B (1,3) - D - glucagon. Fungicidal
Echinocandins
44
List the Echinocandins
Caspofungin Micafungin Anidulafungin
45
Bind to ergosterol, altering cell membrane permeability in susceptible fungi and causing cell death ; fungicidal
Amp B
46
Penetrates fungal cells and is converted to flourouracil which competes with uracil, interfering with fungal RNA and protein synthesis ;fungicidal
Flucytosine Don't use as monogherapy. use with amp B to have synergy
47
Decrease ergosterole synthesis and inhibit cell membrane formation and are typically fungistatic, but may be fungicidal for select fungal pathogens
Azole antifungals
48
What Does posaconazole cover that Vori does not?
Zygomycosis/Mucor
49
Neuramindase inhibitors
Tamiflu (oseltamivir) Zanamivir (Relenza)
50
Neuramidase inhibitors affect _________of viral particles
The release