Cephalosporins Flashcards

(31 cards)

1
Q

name 1st generation Cephalosporins

A
Cefazolin 
Cefadroxil
Cehalexin
Cephalothin
Cephapirin
Cephradine
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2
Q

What do all first generation cephalosporins treat

A

PeCK
Proteus mirabilis
K. pneumonia
E. coli

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3
Q

Name 5 bacteria fist generation Cephalosporins do NOT treat

A
P. aeruginosa
Enterobacter
S. marcescens
Citrobacter
Acinetobacter
B. Fragilis
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4
Q

DOC for surgical prophylaxis

A

Cefazolin

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5
Q

first gen cephalosporin DOC for E.coli & K. pneumonia

A

Cefazolin

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6
Q

What can Cefazolin NOT treat

A

meningitis

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7
Q

1st generation cephalosporin alternate to anti-staph treatment in pts with penicillin allergy

A

Cefazolin

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8
Q

Only first generation IV or IM

A

Cefazolin

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9
Q

what are 1st gen ceph used to treat

A

UTI
Strep & Staph infection
Cellulitis
Soft tissue abscess

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10
Q

Name 3 IV 2nd gen Cephalosporins and what they treat

A

Cefotaxime
Ceftazidime
Ceftrixone
* active against B. fragilis & less active against H. Influenzae

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11
Q

2nd generation cephalosporin used with penicillin-non-succeptible pnemocci

A

Cefuroxime axetil

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12
Q

which 2nd generation cephalosporin has greater susceptibility to B-lactamase hydrolysis

A

Cefaclor

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13
Q

Clinical use of 2nd gen cephalosporins

A

H. Influenza or Moraxella catarrhalis

- sinusitis, otitis, lower respiratory tract infection

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14
Q

Peritonitis, Diverticulitis, & Pelvic Inflammatory Disease is treated with what 3 cephalosporins

A

2nd generation -

  1. Cefoxitin
  2. Cefmetazole
  3. Cefotetan
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15
Q

Which 2nd generation cephalosporin is used to treat community acquired pneumoniae

A

Cefuroxime

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16
Q

Cefuroxime crosses the BBB but is less effective than what 2 drugs in treating meningitis?

A

Ceftriaxone
Cefotaxime
*3rd gen cephalosporins

17
Q

What do 3rd gen cephalosporins treat

A

Citrobacter
S. marcesens
Providencia

18
Q

What are 3rd gen cephalosporins not good to treat

19
Q

3rd generation cephalosporins used to treat P. aeurginosa

A

Ceftazidime

Ceoperazone

20
Q

3rd generation cephalosporins used to treat B. fragilis

A

Ceftizoxime

Moxalactam

21
Q

What 3rd gen cephalosporins are not good for S. aureus

A

Cefixime and Ceftibuten

22
Q

What do Ceftriaxone and Cefotaxime treat

A

meningitis & most active against penicillin non-susceptible strains of pneumococci

23
Q

What meningitis will Ceftraixone and Cefotaxime NOT treat

A

caused by L. monocytogens

24
Q

Neutropenic, Febrile immunocompromised patietn is best treated with what 3rd gen cephalosporin

25
Name 4th gen cepholosporins
Cefepime
26
What does Cefepime treat
P. aeruginosa Enterobacteriacea S. aeureus S. pneumonia
27
What is Cefepime highly active against
Haemophilus | Neisseria
28
T/F Cefepime penetrates cerebral fluid
true
29
what is used to treat MRSA
ceftaroline fosamil - this drug is bactericidal
30
Adverse effect specific to cephalosporins
Hypothombinemia & Bleeding disorders assoc with Cefamandole, Cefmetazole, Cefotetan, Cefoperazone --> also a disulferam reaction when taken with alcohol
31
What can a patient take to prevent Hypothombinemia & bleeding dz assoc w. the specific cephalosporins
Vitamin K