Antimicrobials Ch. 30 Flashcards
(58 cards)
Prophylactic AB indications
- prevent Rheumatic heart disease against strep infection
- Prevent subacute bacterial endocarditis in pt with prosthetic valve
- prevent TB post contact
- prior to surgery
- Prevent fetal HIV
AB complication
- allergy
- toxicity-cell damage
- superinfection-kill norma flora
bacteriocidal=
cell lysis
penicillin is
bacteriocidal
Penicillin acts on what type of bacteria
extended specturm: Gram + and some gram -
ampicillin uses
Gram+ listeria
Gram- E.coli,salmonella
Gram-influenzae
Indication for anti-pseudomonal
Gram- E coli, proteus, pseudomonas
Penicillin side effects
- allergy-5% anaphylaxtic
- diarrhea
- nephritis
- seizure
- bleeding
- Na toxicity
cephalosporin action
B-lactam antibiotic
cephalosporin indication
Listeria, c. diff, and other Gram +
Cephalosporin side effects
allergy(if allergic to penicilli, don’t take cephalosporin)
vancomycin is a cell wall
inhibitor
vancomycin action
inhibit cell wall phospholipids and protepglycans
vancomycin indication
gram+ MRSA and enterococcus faecalis
vancomycin side effects
- fever
- chills
- flushing
- phlebitis
- shock (histamine release)
Tetracycline is a synthesis
inhibitor
tetracycline action
inhibit protein synthesis
bacteriostatic
tetracycline indication
broad spectrum for gram+ and - with others
tetracycline side effects
- gastric stress(take with food)
- teeth malcolor
- liver failure with prego
- phototoxicity-sunburn
- vertigo-endolymh accum
- superinfection-candida overgrowth
- pseudotumor cerebri-benign
aminoglycosides action
bacteriocidal
aminoglycosides include what AB
gentamycin, neomycin, streptomycin, tobramycin
Mycin
aminoglycosides indication
aerobic gram- bacilli
ex. pseudomonas aeruginosa
and gram+ cocci
aminoglycosides side effects
- ototoxicity-accum of end and perilymph in fetus causing damage and deafness
- nephrotoxicity-tubular necrosis
- paralysis-decr ACh at NMJ
- Skin rash-contact dermatitis
what do you give pt on aminoglycosides that has rxn involving paralysis?
calcium gluconate or neostigmine