Antibiotics part 2 Flashcards

1
Q

cephalosporins (names and generations)

A

1: cephalexin, cefadroxil, cefazolin
2: cefatetan (IV), cefuroxime (+/- axetil –IV/PO), cefaclor (PO)
3: ceftriaxone (IV), ceftazidime (IV), cefdinir (PO)
4: cefepime
5: ceftaroline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cephalosporin MOA

A

PBP inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

1st gen cephalosporin indication

A

SSTI (impedigo 1st line)
cellulitis
zolin: pre-op

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

2nd gen cephalosporin indication

A

Group A strep
SSTI
early lyme
not really first line for anything

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

3rd gen cephalosporin indication

A

trioxone: gonorrhea (1st line)
tazidime: pseudomonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

4th gen cephalosporin indication

A

pneumonia

pseudomonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

5th gen cephalosporin indication

A

MRSA

CAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cephalosporin ADRs

A
N/V/D
c. diff
abd pn
hepatitis
candidiasis
pancytopenia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cephalosporin CI

A

anaphylaxis with PCN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Monobactam (name)

A

aztreonam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Monobactam MOA

A

PBP inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Monobactam indication

A

pesudomonas
septicemia
lower RTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Monobactam ADRs

A
V/D
c. diff
toxic epidermal necrolysis (TEN) -- rare
pancytopenia
weakness/myalgia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Monobactam cautions

A

renal dosing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

carbapenem (names)

A

imipenem
ertapenem
doripenem
meropenem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

carbapenem MOAs

A

PBP inhib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

imipenem inidcation

A

sepsis, intra-abd infect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ertapenem indication

A

sepsis, intra-abd infect
pre-op
PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

doripenem indication

A

sepsis, intra-abd infect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

meropenem indication

A

sepsis, intra-abd infect
pneumonia
SSTI
meningitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

carbapenem ADRs

A

N/V/D
c.diff
elevated LFTs
seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

carbapenem drug interacitons

A

valproic acid

probenecid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

macrolides (names)

A

erythromycin
clarithromycin
azithromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

macrolides MOA

A

50s ribosomal subunit inhibitor

bacteriostatic until its cidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
erythromycin indications
``` gastroparesis CAP (1st line) PCN-allergic AOM, strep chlamydia in newborn pertussis/diptheria rheumatic fever prophylax (DOC) ```
26
clarithromycin indications
``` H. pylori/duodenal ulcer (DOC) mycobact infection (DOC for HIV) CAP PCN-allergic AOM, strep pertussis/diptheria ```
27
azithromycin indications
``` chlamydia mycobact infection (DOC for HIV) acute exacerbations of COPD CAP PCN-allergic AOM, strep pertussis/diptheria ```
28
macrolide ADRs
``` long QT p450 3A4 inhibitor and substrate (clarithro and erythro) N/V/D/cramps SJS/TEN seizure interstital nephritis hearing loss dysguesia (clarithro) ```
29
Ketolide (names)
telithromycin
30
ketolide MOA
50S ribosomal substrate inhibitor | bacteriocidal
31
ketolide inidications
MDR strep pneumo (esp PCN-resistant) | CAP
32
ketolide CI
myasthenia gravis | liver problems
33
ketolide ADRs
liver and kidney probs/monitor | p450 metab
34
lincosamide (names)
clindamycin
35
lincosamide MOA
50S ribosomal inhibitor | bacteriostatic until its cidal
36
lincosamide indications
sepsis malaria AOM/RTI/strep (PCN-allergic) SSTI and other anaerobe infections
37
lincosamide ADRs
``` N/V/D (will get D) c.diff rash jaundice/increase LFT leukopenia, eosinophilia (rare) ```
38
tetracycline (names)
``` tetracycline minocycline doxycycline tigecycline demeclocycline ```
39
tetracycline MOA
30S ribosomal inhibitor | bacteriostatic
40
tetracycline indications
``` acne animal bites/probs (lyme, vibrio, malaria, RMSF) psittacosos/ornithosis syphilis (in PCN= CI) demeclocycline: SIADH ```
41
tetracycline ADRs
``` photosensitivity N/V/D hyperpigmentation teeth discoloration candidiasis (doxy) black hairy tongue ```
42
tetracycline CI
``` expired meds (will pop the kidney) pregnancy/lactation (cat D) avoid with hepatic insufficiency ```
43
tetracycline drug interactions
Al, Mg, Fe, Ca diary products anticoagulants digoxin (some)
44
fluoroquinalones (names)
ciprofloxin, ofloxin (2nd gen) | levofloxin, moxifloxin (3rd gen)
45
fluoroquoinalone MOA
DNA gyrase and topoisomerase inhibitors | bacteriocidal (rapid cell death)
46
fluoroquinalone indications
cipro: pyelonephritis, UTI | moxi/levo: lower RTI, CAP with comorbidities (1st line), HAP, pseudomonas, plague
47
fluoroquinalone ADRs
``` GI: N/V/D/cramps CNA: HA, dizzy, insomnia, delirium CV: torsades, long QT neuro: polyneuropathy BGL probs (up and down) ```
48
fluroquinalone CI
peds | cipro: p450 probs
49
fluoroquinalone drug interactions
Al, Mg, Fe, Ca
50
Sulfanomide (names)
sulfacetamide silver sulfadiazine sulfasalazine sulfamethoxazole-trimethoprim
51
sulfonamide MOA
PABA analog-- prevents synthesis of folate b/c bact picks up sulfa drug instead of PABA bacteriosatic
52
sulfonamide indications
``` uncomplicated UTI toxoplasmosis PCP pneumonia travelers diarrhea AOM shigellosis MRSA cellulitis ```
53
silver sulfadiazine indication
prevention of bacterial infection of a burn (not tx!)
54
sulfacetamide indication
bacterial conjunctivitis
55
sulfasalazine indication
ulceritive colitis
56
sulfamethoxazole-trimethoprim indication
MRSA cellulitis UTI acute exacerbation of chronic bronchitis
57
sulfonamide ADRs
``` GI photosensitivity bone marrow suppression (with radiation) hemolytic anemia SJS/TEN (rare) meningitis ```
58
Aminoglycoside (names)
``` gentamycin amikasin tobramycin neomycin streptomycin ```
59
aminoglycoside MOA
30S subunit inhibitor | bacteriocidal
60
sulfonamide CI
pregnancy folate deficiency newborn
61
sulfonamide drug interactions
``` cyclosporine (decrease [x]) can block some ABX effects phenytoin sulfonylureas warfarin (increase effect) ACEI/ARB: affect K+ ```
62
aminoglycoside indications
``` pyelonephritis severe UTI with resistant org opthalmic/otic infect HAP with MDR (tobra if CF too) sepsis with pseudomonas ```
63
aminoglycoside ADRs
ototoxicity (neo, amik, tobra) ataxia/vertigo (strep, gent, tobr) tinnitus (first sign of ototox --> BAD) nephrotoxicity (mainly neo)
64
aminoglycoside caution
obese ppl: doesnt distrib well in periphery
65
UTI drugs (names)
fosfomycin nitrofurantoin phenazopyradine
66
fosfomycin MOA
inhib cell wall synthesis | bacteriocidal
67
fosfomycin indication
UTI (uncomplic-- E facelis and E coli)
68
fosfomycin ADRs
``` c. diff N/D HA vaginitis rhinitis ```
69
nitrofurantoin MOA
goes intracellular: disturb RNA/DNA | bacteriocidal
70
nitrofurantoin indications
UTI (uncomplic--E facelis, E coli) | good to use if preg
71
nitrofurantoin ADRs
N/V/D chronic hepatitis (rare) IPF (long term use- rare) neuro manifestations
72
phenazopyradine MOA
NOT AN ABX!
73
phenazopyradine indication
analgesic during UTI (decrease burn, itch, frequency, urgency)
74
phenazopyradine ADRs
turns urine orange
75
MRSA drugs (names)
``` vancomycin oxazoladinones lipoglycopeptides mupirocin quinipristin-dalfopristin colistin ```
76
vancomycin MOA
inhib cell wall synthesis | bacteriocidal
77
vancomycin indication
``` MRSA pneumonia septicemia c. diff bone/joint infections ```
78
linezolid CI
it's a non-selective MAOI, so no deli meats, cheese, beer, wine, etc
79
vancomycin ADRs
``` red-man flush phlebitis renal toxicity rash (rare) ototoxicity (rare) ```
80
oxazoladinones (names)
linezolid | tedizolid
81
oxazoladinone MOA
50S subunit inhibitor | bacteriostatic and cidal (depend on org)
82
linezolid indications
``` MRSA VRSA VRE strep (PCN-resist) SSTI (with resist bact) ```
83
tedizolid indication
SSTI | MRSA
84
lipoglycopeptides (names)
oritavancin | dalbavancin
85
lipoglycopeptide MOA
inhib bact cell wall cross-linking
86
lipoglycopeptide indications
MRSA | SSTI (cellulitis, wound infect, abscess)
87
linezolid ADRs
GI: N/V/D pancytopenia HA lactic acidosis
88
linezolid drug interactions
``` SSRIs TCA tramadol dextromethorphan Epi/NE/DA ```
89
oritavancin ADRs
``` infusion rxn c. diff osteomyelitis neutropenia N/V/ HA dizzy worsen abscess ```
90
oritavancin drug interaction
warfarin/heparin (increase effect)
91
dalbavancin ADRs
``` c. diff infusion rxn elevated LFTs N/D HA ```
92
mupirocin MOA
inhib protein synthesis
93
mupirocin indication
colonization of MRSA in the nose | impetigo (SSTI)
94
mupirocin ADRs
``` sting, itch, irritate tingle, burn sore facial pn post nasal drip sinusitis rhinitis conunctivitis ```
95
quinupristin-dalfopristin MOA
steogramin ABX inhib prot synthesis bacteriocidal
96
quinupristin-dalfopristin indication
VRE life-threat | really bad SSTI
97
quinupristin-dalfopristin ADRs
arthalgias/myalgias hyperbiluribinemia c. diff
98
colistin MOA
increase membrane permeability | neutralize endotoxins
99
colistin indications
last line defense for MRSA