Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
49 Cards in this Set
- Front
- Back
Chloramphenicol / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450), Highly lipophilic / Broad / Oral / / Bacteriostatic, hepatic glucuronidate clearance, Good levels in CSF, Causes aplastic anemia (bone marrow distruction) and "gray baby syndrome", USED AS RESERVE
|
Chloramphenicol
|
|
Rifamycins / Targets bacterial DNA-dependent RNA polymerase / Broad / Oral / / Bacteriostatic, Resistance develops rapidly so combined with Chemo, metabolized in liver (CYP 3A4)
|
Rifampin
|
|
Sulfonamides / Folate antagonist, inhibit PABA synthesis to Folic acid / Broad (Actinomycetes, Chlamydia) / Oral / / Used with Trimethoprim, lipophilic, renal excretion, adverse Crystalluria, hypersensitivity
|
Sulfamethoxazole (with Trimethoprim)
|
|
Trimethoprim / Folate antagonist, inhibit PABA synthesis to Folic acid / Broad (Atypical bacteria, malaria) / Oral / / Used with Sulfonamides, lipophilic, renal excretion,
|
Trimethoprim
|
|
Tetracyclines / Binds to 30S ribo sub of bacteria / Broad spectrum / Oral / Long acting (2x daily) / Bacteriostatic, absorption erratic with food, high concentration in skin (acne use), deposite in developing teeth, Biliary elimination, Chelates
|
Doxycycline
|
|
Tetracyclines / Binds to 30S ribo sub of bacteria / Broad spectrum / Oral / Short Acting (4x daily) / Bacteriostatic, absorption erratic with food, high concentration in skin (acne use), deposite in developing teeth, Renal Elimination, Chelates
|
Tetracycline
|
|
Carbapenems / Carbon with B-lac / Broad Spectrum / Parenteral / Short / Used with Cilistatin
|
Imipenem
|
|
Cephalosphorins / Large ring, B-lac / Broad Spectrum / Ig / Long (~9 hours) / Gen 3 (Use against Pseudomonas)
|
Ceftazidime
|
|
Cephalosphorins / Large ring, B-lac / Broad Spectrum / Ig / Long (~9 hours) / Gen 3, Binary excretion
|
Ceftriaxone
|
|
Cephalosphorins / Large ring, B-lac / Broad Spectrum (More G+) / / / Gen 4
|
Cefepime
|
|
Tetracyclines / Binds to 30S ribo sub of bacteria / Broad spectrum (MRSA) / Oral / / Bacteriostatic, deposite in developing teeth, absorption erratic with food
|
Tigecycline
|
|
Cephalosphorins / Large ring, B-lac / Broad Spectrum (only one for MRSA) / / / Gen 5
|
Ceftaroline
|
|
Macrolide / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Broad Spectum (better than Eythromycin at G-) / Oral / 68 hours / Bacteriostatic, hepatic clearance,
|
Azithromycin
|
|
Macrolide / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Broad Spectum (Better than Eythromycin at G+) / Oral / Longer than Erythromycin / Bacteriostatic, hepatic clearance,
|
Clarithromycin
|
|
Strepogramins / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Broad Spectum (Staph/MRSA) / Parenteral / 1 hour / Bacteriostatic, hepatic clearance,
|
Quinupristin/Dalfopristin
|
|
Fluoroquiolones / Fluordidation inhibits DNA gyrase and topoisomerase / Extended G-, G+ (respiratory) / Oral / 7 / Gen 3, Biliary elimination, caution with epileptics and cartilage damage not for kids
|
Levofloxacin
|
|
Aminoglycosides / Binds to 30S ribo sub of bacteria / Extended Spectrum G- (aerobic only) Many for Pseudomonas / Parenteral / every 8 hours/ once a day / Bactericidal, Synergistic with B-lac but chemically incompatible, Distributed in extracellular water, cross placenta, excreted through urine, effected CN8, Post-antibiotic effect
|
Gentamicin
|
|
Aminoglycosides / Binds to 30S ribo sub of bacteria / Extended Spectrum G- (aerobic only) When other aminoglyosides fail / Parenteral / every 8 hours/ once a day / Bactericidal, Synergistic with B-lac but chemically incompatible, Distributed in extracellular water, cross placenta, excreted through urine, effected CN8, Post-antibiotic effect
|
Amikacin
|
|
Aminopenicillin (B-Lac) / Animo group, form zwitterions at body pH to pass / Extended Spectum / Oral use only / Short / 3x daily, Ampicillin rash from mono
|
Amoxicillin
|
|
Aminopenicillin (B-Lac) / Animo group, form zwitterions at body pH to pass / Extended Spectum / Parenteral / Short / Limited absorption from GI
|
Ampicillin
|
|
Ketolide / Binds to 23s ribo sub (part of 50S) of bacteria / Extended Spectum G+ (and some G-) / Oral / 10 hours / Bacteriostatic, hepatic clearance, severe adverse effects
|
Telithromycin
|
|
Macrolide / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Extended Spectum G+ (and some G-) / Oral / Variable / Bacteriostatic, hepatic clearance,
|
Erythromycin
|
|
Cephalosphorins / Large ring, B-lac / Extended, G+, some G- (HENPEck) / Oral/Ig / / Gen 2 (Use in ab surgery, anaerobic activity)
|
Cefoxitin
|
|
Cephalosphorins / Large ring, B-lac / Extended, G+, some G- (PEck) / Ig / Longer / Gen 1
|
Cefazolin
|
|
Cephalosphorins / Large ring, B-lac / Extended, G+, some G- (PEck) / Oral use / Short / Gen 1
|
Cephalexin
|
|
Aminopenicillin (B-Lac) / / Extended, Includes more G- than amoxicillin / Ig / / Use against Pseudomonas, broadest of all penicillins
|
Piperacillin
|
|
/ Inhibits bacterial cell membrane function / G- / Topical / / Bactericidal, Topical due to severe systemic toxicity (nephro, CN8)
|
Colistin
|
|
/ Inhibits bacterial cell membrane function / G+ (MRSA) / IV / / Renal elimination, Bactericidal
|
Daptomycin
|
|
Aminopenicillin (B-Lac) / / Includes more G- than amoxicillin / Ig / / Use against Pseudomonas
|
Ticarcillin
|
|
Fluoroquiolones / Fluordidation inhibits DNA gyrase and topoisomerase / Narrow G- / Oral / 4 / Gen 2, Renal elimination, caution with epileptics and cartilage damage so not for kids
|
Ciprofloxacin
|
|
Aztreonam / / Narrow G- / Parenteral / Short / fully synthetic
|
Aztreonam
|
|
Penicillinase-Resistant Penicillins / Big ring sturcture to protect B-lac / Narrow G+ / Oral use only / Short /
|
Dicloxacillin
|
|
Penicillinase-Resistant Penicillins / Big ring sturcture to protect B-lac / Narrow G+ / For only Staph / Short /
|
Methicillin
|
|
Penicillinase-Resistant Penicillins / Big ring sturcture to protect B-lac / Narrow G+ / Parenteral / Short /
|
Oxacillin
|
|
B-Lactam / Carboxlyic acid / Narrow G+ / Parenteral, Not acid stable / Short / Only one ordered in units
|
Penicillin G
|
|
B-Lactam / Carboxlyic acid / Narrow G+ / For oral use, acid stable / Short or long /
|
Penicillin V
|
|
Glycopeptide / Prevent cross-linking of cell wall polymers / Narrow G+ / IV / Long / Also attacks cell membrane if vancomycin resistant, Renal Clearance
|
Telavancin
|
|
Glycopeptide / Prevent cross-linking of cell wall polymers / Narrow G+ / IV / / Poor GI absorbtion, Renal Clearance,
|
Vancomycin
|
|
Lincosamides / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Narrow G+ (bacteroides) / Oral / 6-8 hours / Bacteriostatic, hepatic clearance, good bone penetration, Causes bad diarrhea, Superior to Lincomycin
|
Clindamycin
|
|
Lincosamides / Binds to 50s ribo sub of bacteria, substrate of CYP 3A4 (cytochrome P450) / Narrow G+ (bacteroides) / Oral / 6-8 hours / Bacteriostatic, hepatic clearance, good bone penetration
|
Lincomycin
|
|
Oxazolidinone / Binds to 50S and 30S ribo sub of bacteria / Narrow spectrum G+ / Oral / / For MRSA, SSRI interactions, Renal elmination
|
Linezolid
|
|
Macrocyclic Antibotic / Inhibits bacterial RNA polymerase / Narrow, only Clostridium difficile diarrhea / Oral / / Bactericidal,
|
Fidaxomicin
|
|
/ Metabolized by organism to toxic intermediate / Protozoan, Clostridium difficile / / / Concentration dependent, can cause GI distress
|
Metronidazole
|
|
Urinary antiseptic / Liberates formaldehyde in acid / / / /
|
Methamine
|
|
Beta-Lactamase Inhibitors / / / / / Use in combo with penicillins to enhance, I.E. - used with Amoxicillin in oral dose
|
Clavulanic Acid
|
|
Beta-Lactamase Inhibitors / / / / / Use in combo with penicillins to enhance
|
Sulbactam
|
|
Beta-Lactamase Inhibitors / / / / / Use in combo with penicillins to enhance, I.E. - used with Piperacillin for broad Spectrum
|
Tazobactam
|
|
Urinary antiseptic / / / / Long /
|
Fosfomycin
|
|
Urinary antiseptic / / / / / GI distress
|
Nitrofuranton
|