Antibiotics Part 2 Flashcards

(78 cards)

1
Q

which drugs are aminoglycosides

A

tobramycin
neomycin
gentamycin
amikacin

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2
Q

what is the order of aminoglycosides in order of spectrum of activity

A

amikacin > tobramycin > gentamycin > neomycin

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3
Q

what is the Vd of aminoglycosides

A

small Vd

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4
Q

true or false:
aminoglycosides are concentration dependent

A

true

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5
Q

how are aminoglycosides excreted

A

renal / kidney / urine

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6
Q

are aminoglycosides bacteriocidal or bacteriostatic

A

bacteriocidal

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7
Q

what is the spectrum of aminoglycosides

A

gram -
aerobes

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8
Q

what is the main use of all aminoglycosides

A

treat aerobic gram - bacteria and staphylococci

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9
Q

what are amikacin and tobramycin used to treat

A

P. aeruginosa

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10
Q

what is drug is usually the first choice of treatment of MRSP infections

A

gentamycin

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11
Q

what are the adverse effects of all aminoglycosides

A

ototoxicity
nephrotoxicity

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12
Q

which aminoglycoside can cause vestibular damage

A

gentamycin

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13
Q

which aminoglycoside can cause cochlear damage

A

amikacin
neomycin

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14
Q

what are some considerations to take when deciding on if to give food animals aminoglycosides

A

Renal accumulation into tissues
NOT SAFE FOR FOOD ANIMALS

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15
Q

what are used to measure the nephrotoxicity of aminoglycosides

A

peak and trough concentrations

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16
Q

true or false:
aminoglycosides are easy drugs to combine with others

A

false
physically incompatible with many drugs

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17
Q

when should aminoglycosides not be given

A

newborns / first weeks of life

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18
Q

what are some risk factors for toxicity with aminoglycosides

A

prolonged therapy
acidosis and electrolyte disturbances
hypovolemia
age
renal disease

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19
Q

which type of drug would be your first choice in treatment of bacterial bovine and porcine respiratory disease complexed

A

tetracyclines

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20
Q

what can tetracyclines be used to treat in cases of resistance

A

methicillin resistant staphylococcal infections

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21
Q

true or false:
tetracyclines are best for their impact on obligate intracellular pathogens

A

true

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22
Q

what are the outcomes of using doxycycline in calves

A

cardiotoxicity

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23
Q

in what species is doxycycline not safe to administer

A

horse
calves

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24
Q

what are some adverse effects of tetracyclines

A

nephrotoxicity
severe liver damage
acute cardiac toxicity

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25
what are the drugs within tetracycline
chlortetracycline tetracycline oxytetracycline doxycycline
26
tetracyclines - bacteriocidal or bacteriostatic?
bacteriostatic
27
what is the Vd of tetracyclines
high Vd
28
how are most tetracyclines excreted? what's the exception?
renal/ kidney/ urine doxycycline = intestinal by P-gp and biliary
29
what is the bioavailability of tetracyclines
good orally
30
in what type of patients should tetracyclines not be used in
liver or kidney patients
31
what drugs are chloramphenicols
chloramphenicol florfenicol
32
what drug is used in MRSE and MRSP infections / ocular infections/prostatitis / otitis / salmonellosis
chloramphenicol
33
which chloramphenicol is used to treat bovine respiratory disease
florfenicol
34
what drug is used to treat bovine kerato-conjunctivitis
florfenicol
35
what is the adverse effect of florfenicol
bone marrow suppression
36
why are chloramphenicols banned in food animals
drug caused bone marrow suppression in humans
37
in what species is florfenicol not recommended to use in
horse
38
what type of drugs should chloramphenicols not be used with
bactericidal drugs
39
what species can florfenicol be used in
bovine chicken fish
40
which group of drugs are often combined with trimethoprim
short acting sulphonamides
41
what are short acting sulphonamides used to treat
systemic and genito-urinary infections nocardiosis
42
what is the spectrum of short acting sulphonamides
gram + / - toxoplasma protozoa
43
what are some adverse effects of short acting sulphonamides
nephrotoxicity urinary tract disturbance hematopoeitic disorders
44
what are the short acting sulphonamides
sulphamethoxazole sulphamethazine sulphadiazine
45
true or false: both short acting sulphonamides & intermediate acting sulphonamides are bacteriostatic
true
46
what are intermediate acting sulphonamides used to treat
respiratory, genito-urinary, enteric and soft tissue infection s coccidiosis
47
what drug is an intermediate acting sulphonamide
sulphadimethoxine
48
which sulphonamides can cause keratoconjunctivits
sulfadiazine sulfasalazine
49
what are some adverse effects of sulphonamides
nephrotoxic hematopoeitic disorders potential neuro issues in horses
50
in what species are sulphonamides intermediate/ potentiated in
horses cattle swine chicken and turkeys
51
what is a poorly absorbable sulphonamide
sulphasalazine
52
what sulphonamide is used to treat IBD
sulphasalazine
53
which sulphonamide is used to treat burns and otitis externa
topical sulphonamide
54
what is a topical sulphonamide
silver sulphadiazine
55
which sulphonamides are used to treat systemic resp/urinary and cutaneous infections
potentiated sulphonamides
56
what are potentiated sulphonamides combined with to treat coccidiosis and nocardiosis
trimethoprime
57
true or false: sulphonamides are bacteriocidal and coccidiostatic
false they are bacteriostatic and coccidiostatic
58
what metabolizes sulphonamides
liver
59
what is possible with administration of any sulphonamide
hemorrhagic diathesis hypersensitivity neurotoxicity in higher concentrations
60
what can sulphonamides be combined with (group of drug)
diaminopyrimidine
61
what are sulphonamides antagonized by
procain benzyl penicillins procaine/ local anesthetics
62
what drug is a diaminopyrimidine
trimethoprim
63
describe trimethoprim
bacteriostatic high Vd eliminated unchanged in urine
64
what is usage of trimethoprim
combined with sulphonamides treat gram - prostatic infections
65
true or false: when combined, trimethoprim and sulphonamides are bactericidal
true
66
in what breed should trimethoprim + sulphonamides not be given
dobermans pinchers
67
what group of drugs in antagonized by chloramphenical and rifampin
fluoroquinolone
68
true or false: fluoroquinolones are time dependent
false - concentration dependent
69
what are the uses of fluoroquinolones
UTIs septicemia and pneumonia skin and soft tissue infections
70
what are the 2nd generation fluoroquinolones
enrofloxacin ciprofloxacin marbofloxacin
71
what is a 3rd generation fluoroquinolone
pradofloxacin
72
true or false: fluoroquinolones can be used against P. aeruginosa
true
73
true or false: all fluoroquinolones absorb well orally in monogastrics
true
74
what are fluoroquinolones synergistic with
beta-lactams aminoglycosides
75
which generation of fluoroquinolones is less potent against gram +
2nd generation
76
which fluoroquinolone is most potent against P. aeruginosa
ciprofloxacin
77
which 2nd generation fluoroquinolone causes the most toxicity
enrofloxacin
78
what can be seen in young animals with the use of fluoroquinolones
articular cartilage lesions