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56 Cards in this Set

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Penicillin
Transpeptidase blocker- gram pos- rash, allergy, Coomb's positive
Syphillis-spirochetes and Strep
Ampicillin
amino penicillin, wider coverage- periplasmic space, rash and allergies, orally
Enterococcus
Amoxcillin
Transpeptidase blocker, amino modified, for gram-negative(can get into periplasmic space), rash, allergies, IV administered
Naficillin
Methicillin(nephrotoxic)- B-lactamase resistant, interstitial neprhotoxic (-Oxacillin)
Strep and Staph
Clavulanate
Inhibits B-lactamases, used with ampi and piper, not protective of chromosomal
extends toH. influenzae, Klebsiella
Vancomycin
Binds lipid 2, Need a lot, IV, Nephro and Ototoxic, Red Man's
C.dificile, MRSA, penicillin allergic
Pipericillin
Ureidopenicillin, Psuedomonas, better than ticaricillin
Psuedomonas
Ticaricillin
Carboxypenicillin, Psuedomonas, Platelet aggregation
Psuedomonas
Cephalosporins (general)
B-lactamase resistant, Increasing generation more gram negs, penicillin allergies
Reason for enterococcus prevelance
Cefaparazone
Bleeding, Bile, Psuedomonas
Cefepime
Enterobacter
Cefazolin
Surgical Prophaylactic
ceftaxime
Meningitis
Cefamandole
Bleeding/disulfirim
cefotetan
Bleeding/disulfirim
Ceftazidime
psuedomonas
Ceftriaxone
Meningitis and Bile
Ceftaroline
MRSA
Ceftbiprole
MRSA
Imipenem
Blactamase resistant, Seizures (cilastatin-prevents metabolism)
Kills all but MRSA and VRE,
Meropenem
Same as Imipenem- no seizures - no renal dehydropeptidase metabolism
Kills all but MRSA and VRE,
Aztreonam
Monobactam, only gram negs, good for those with B-lactam allergies
Ertapnem
Same as Imipenem-Narrower, Longer halflife, No Psuedomonas
Aminoglycoside examples:
30S, Gentamycin, Streptamycin, Tobramycin, Neomycin, Amikacin
Aminogylcosides Counterindications
Pregnancy, Anerobes (O2 dependent transport), LoopDiuertics(ototoxcitiy), Nm blockers(be careful)
Gentamycin
30s mistranslation, Synergy with Blactams- Irreverisble ototoxic, nephrotoxic, Nm blockers
Amikacin
Aminoglycoside- better than gentamycin - Psuedomonas-
Tobramycin
Aminoglycoside- better than gentamycin - Psuedomonas-
Streptomycin
Aminoglycoside- Y. pestis and Mycobacteria (ototoxic)
Tetracyclines
30S- Blocks Amino acyl Trna - less potent than doxycycline
Tetracyclin group counterindications
Pregnancy- Fatty liver, Teeth and calcium absorption probs, When using penicillins- antagonistic
Doxycycline
30S, - can be pumped out, Rikettsia and Chylmadia - not for preg, fatty liver, teeth and Ca problems, don’t use with penicillin
Demeclocycline
Tetracyline, SE: causes diabetes inspidus ADH antag (For SIADH-)
Tigecylcine
Tetracyline- Resistant to RPPS and efflux pump - No Psuedomonas
Cholramphenicol
50S, blocks peptidyl transferase, Aplastic Anemia, Gray baby, Bone marrow suppresion
Menigococcal, H. infleunze an Pneumococcola Meningitis (BBB)
Name Macrolides
50 S Azithromycin, Erythomycin, Clarithromycin
Erithromycin
Reversible 50S, Translocation inhibition, Bile, CYP inhibitor Increased Gi- motilin receptor agonist, Cholestatic hepatitis,
Clarithromycin
Same as Erthro -less GI
Azithromycin
Same as Erthro -less GI
Clindamycin
Lincosamide, Irreversibly binds 50S, great for anerobes, Causes c. dificile
Sulfamethaxodole
Stops folate no DNA - Hemolytic Anemia with G6PD , hypersensitivity, Kerticterus
Trimethoprim
Stops Folate, selective for bacterial, Megablastic Anemia
Cipro
Blocks Dna gyrase topoisomerase, no anerobes, Can inhibit Gaba- nitemares, cartilage issues
Potentiates Phenytion and Warfarin
SAFE Mothers Take Care
Sulfonamides, Aminoglyc, Fluoroquin, Erythomy, Metronidaz, Tetracyclines, Chloramphenicol
Nocardia, weird ones
Buy AT 30, CELL at 50
Aminoglyc,Tetraycy- ---Cloramphen, Erythryomy, Lincosamides, Linezolid
Linezolid
Kils MRSA, 50 S, Kills VRE
Metronidazole
Activated by reduction of drug via ferrodoxins in Anaerobes, creates cytotoxin intermediates, DISULFARIM Like reaction
Isoniazid
Screws mycolic acid making, baceriocidal, Hepatitis and peripheral neuropathy, inhibits Cyp
Ethambutol
bacteriostatic, Prevents arabinogalactan synth, Optic Nueritis
Pyrazinamide
Bacteriocidal, mycolic acid synt, tuberculosis SE: Hyperuricemia
Dapsone
Paba analog, - Hansen's disease, SE: Hemolysis, Erythema nodosum, don’t give to G6PD deficient
Rifampin
Transcriptional inhibitor, Tuberculosis, hansen's disease, eradication of H. influenze, Secretions=orange- induces CYP450